- Evolent Health (Columbus, OH)
- …providing better health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Evolent Health (Columbus, OH)
- …providing better health outcomes for this population. **What You'll Be Doing:** + This RN Care Manager The RN CM will be providing 100% remote interaction with ... health of the nation by changing the way health care is delivered. Our pursuit of this mission is...Health team, conduct comprehensive assessments that include the medical, behavioral , pharmaceutical and social needs of the patient, identify… more
- National Youth Advocate Program (Columbus, OH)
- …Tuition Assistance, and **Work Anniversary Trips** ! **Position Overview** **Summary** The Clinical Services Manager assists the Director of Service Reception to ... behavioral health and outpatient mental health services. **Responsibilities** The Clinical Services Manager will perform administrative duties including, but… more
- CVS Health (Columbus, OH)
- …Medicaid managed care program that provides and coordinates behavioral health care for eligible children and youth. The Manager , Clinical Health ... programs are comprised of utilization management, quality management, network management and clinical coverage and policies. The Manager is responsible for… more
- AmeriHealth Caritas (Dublin, OH)
- ** Care Manager II- RN/LSW/LISW (Remote to Ohio)** Location: Dublin, OH Primary Job Function: Medical Management ID**: 37938 Your career starts now. We're looking ... services. Discover more about us at www.amerihealthcaritas.com . **Responsibilities:** The Care Manager II (RN/LSW) provides support to complex members… more
- Intermountain Health (Columbus, OH)
- …and provides short term treatment planning for mental, emotional and behavioral disorders, conditions and addictions. **Essentials:** + Participates in case reviews ... to evaluate care management and progress toward goals. Consults with healthcare team members to promote, monitor, and evaluate compliance with patient's treatment… more
- Highmark Health (Columbus, OH)
- …specified panel of **Pediatric** members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned ... member panel and utilizes data/analytics, in conjunction with professional clinical judgement, to identify the right clinical intervention for each member. The… more
- Molina Healthcare (Columbus, OH)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care ... and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long term services and supports, home and… more
- AmeriHealth Caritas (Dublin, OH)
- …prior authorization, medical necessity determinations, concurrent review, retrospective review, continuity of care , care coordination, and other clinical and ... **Utilization Management Plan Oversight Manager (Ohio Resident)** Location: Dublin, OH Primary Job...We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about… more
- CenterWell (Columbus, OH)
- …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... and help us put health first** The PEX Program Manager is a key leader responsible for shaping and...shaping and optimizing the patient experience at CenterWell Primary Care Organization (PCO). This role will drive patient experience… more
- National Youth Advocate Program (Columbus, OH)
- …old. + Master's degree in social work, psychology, sociology, or other relevant behavioral science in which direct clinical experience is a program requirement ... of Refugee Resettlement (ORR), NYAP's **Post Release Services (PRS) Intensive Case Manager Level 3** provides post release services focused on stabilizing the family… more
- Takeda Pharmaceuticals (Columbus, OH)
- …to take charge of your future at Takeda. Join us as a Regional Business Manager in our Raleigh, NC territory. Here, everyone matters and you will be a vital ... contributor to our inspiring, bold mission. As a Regional Business Manager working on the Gastroenterology Rare Disease Sales Team, you will be empowered to drive… more
- ChenMed (Columbus, OH)
- …you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to join our team. ... The Care Facilitator is one of a patient's first contact...the appropriate individual. + Clearly communicates information about ChenMed clinical personnel to patients and other individuals. + Verifies… more
- Somatus (Columbus, OH)
- …to a physician's treatment plan. The CHW-Patient Advocate will work as an extension of the clinical care team, specifically under the guidance of RN Care ... Works under the guidance of physicians and/or a nurse care manager . + Follow-up with health management...and guide the patient to meet both personal and clinical goals. + Schedules provider appointments on behalf of… more
- National Youth Advocate Program (Hilliard, OH)
- …in a timely manner. + Facilitate Clinical Supervision of Transitional Foster Care Clinical Team. + Manage caseloads and approve clinical documentation ... Advocate Program's mission, values, and philosophies. + Provide mentoring, coordinate clinical services, train new clinicians, supervise clinical staff, and… more
- CVS Health (Columbus, OH)
- …solutions to make health care more personal, convenient and affordable. **Job Summary** The Care Manager Specialist is a member of the Care Team. The ... These members are usually stratified as low risk. The Care Manager Specialist will work in conjunction...and service needs that may impact member outcomes and care planning components with appropriate referral to clinical… more
- CenterWell (Mount Vernon, OH)
- …of patients. + Report patient status and progress to the physician, rehabilitation staff, Clinical Manager , patient and family members. + Participate in care ... + Confer with the patient's physician and other health care team members and participate in development/revision of the...the retraining programs in a manner consistent with the behavioral goals of each patient and within the guidelines… more
- CenterWell (Columbus, OH)
- …with callers to answer questions, describe services, and sell prospective patients on the clinical care model. The Care Delivery Call Quality Professional ... learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and… more
- Highmark Health (Columbus, OH)
- …+ Participates in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The… more
- Elevance Health (Columbus, OH)
- …(formerly IngenioRx) leverages the power of new technologies and a strong, clinical -first lens, to deliver member-centered, lasting pharmacy care . In this ... understanding of the intricate workings of a pharmacy benefit manager . Ideal incumbents are likely to be proficient clinicians...other leaders across Carelon services relating to pharmacies like behavioral health and palliative care , to foster… more