• Field Care Manager

    Humana (Columbus, OH)
    …proudly serve. Are you Caring, Curious and Committed? If so, apply today! The Field Care Manager , Behavioral Health 2 work assignments are varied and ... to minimize duplication of efforts. **Position Responsibilities:** The Field Care Manager , Behavioral Health 2...Nurse (RN). + Minimum of 2 years of post-degree clinical experience in a behavioral health setting.… more
    Humana (11/19/24)
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  • Field Care Manager

    Humana (Columbus, OH)
    …and help us put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate member's ... care and wellbeing of members. The Field Care Manager , Behavioral Health 2...license with a minimum of 1 year of post-degree clinical experience in behavioral health **OR** an… more
    Humana (11/20/24)
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  • Care Manager Behavioral

    Highmark Health (Columbus, OH)
    …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... + 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience in a… more
    Highmark Health (12/12/24)
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  • Behavioral Health Case Manager - SUD

    Molina Healthcare (Columbus, OH)
    …state of OH. We are looking for a Licensed Social Worker to do telephonic Behavioral Health Case Manager . This role will work in remote setting supporting our ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term … more
    Molina Healthcare (01/08/25)
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  • Behavioral Health Case Manager II…

    Elevance Health (Columbus, OH)
    …Toledo, Cleveland and other locations throughout Ohio are welcome to apply.** The ** Behavioral Health Case Manager II - Ohio** is responsible for performing ... details: This is a field-based role where the case manager will be visiting with members in homes and/or...visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder… more
    Elevance Health (01/04/25)
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  • Clinical Services Manager - Service…

    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
    National Youth Advocate Program (11/19/24)
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  • Clinical Registered Nurse - Remote

    Sharecare (Columbus, OH)
    …a responsive, committed individual who ** ** recognizes the impact of the health care delivery system on the clinical and financial outcomes of the member ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...intervention guidelines. An RN is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate… more
    Sharecare (01/08/25)
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  • Care Manager RN - Weekends (Remote)

    Highmark Health (Columbus, OH)
    …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specific state licensure(s) may be required depending on where clinical care is being provided. **Preferred** +...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (01/07/25)
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  • Complex Case Manager RN (Remote)

    Highmark Health (Columbus, OH)
    …over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member ... panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent… more
    Highmark Health (11/20/24)
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  • Bilingual PRS Intensive Case Manager Level…

    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
    National Youth Advocate Program (10/24/24)
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  • Solution Director, SMI Total Cost of Care

    Elevance Health (Columbus, OH)
    …high-impact results for over 150 years. With capabilities spanning pharmacy, behavioral health, complex care delivery, medical benefits management, payment ... for the Serious Mental Illness (SMI) total cost of care product across all markets. This innovative and unique...enhance outcomes. Reporting to the Staff VP and General Manager of Carelon's SMI Product, this Director will focus… more
    Elevance Health (01/01/25)
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  • Director, Psychiatric Residential Treatment…

    CVS Health (Columbus, OH)
    …OhioRISE (Resilience through Integrated Systems and Excellence) plan is a Medicaid managed care program that provides and coordinates behavioral health care ... management and oversight of all activities that support PRTF clinical and administrative operations. The director of the PRTF...or more years of experience in public sector, managed behavioral health care . + Knowledge and understanding… more
    CVS Health (12/18/24)
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  • Medicare Medical Director

    Elevance Health (Columbus, OH)
    clinical consultation and serve as clinical /strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a ... changes in healthcare. + Leads, develops, directs, and implements clinical and non- clinical activities that impact health care quality cost and outcomes. +… more
    Elevance Health (01/08/25)
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  • Lead, Auditor (RN) Appeals & Grievances Remote

    Molina Healthcare (Columbus, OH)
    … system and process audits, as needed. + Audits for clinical gaps in care from a medical and/or behavioral perspective to ensure member needs are being met. ... + 3-5 years in case management, disease management, managed care or medical or behavioral health settings....behavioral health settings. + One year of auditing/ clinical review experience. + More than one-year supervisory experience.… more
    Molina Healthcare (01/13/25)
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  • Patient Health Advocate

    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
    Somatus (12/31/24)
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  • Associate Medical Director - Orthopedic Surgery

    Elevance Health (Columbus, OH)
    …Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee ... depression, and insightful analytics to improve the delivery of care . The ** Clinical Ops Associate Medical Director...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (12/17/24)
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  • Crisis & Referral Specialist

    Elevance Health (Columbus, OH)
    …Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee ... depression, and insightful analytics to improve the delivery of care . We are looking for candidates to work on...and a minimum of 1 year of experience in behavioral health or a minimum of 6 months of… more
    Elevance Health (12/11/24)
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  • Occupational Therapist, Home Health Per Diem

    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 (10/31/24)
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  • Novice LPN - Private Duty Nursing

    Maxim Healthcare Services (Mount Vernon, OH)
    …offer private duty nursing, skilled nursing, physical rehabilitation, companion care , respite care and behavioral care for individuals with chronic and ... Nurses are responsible for providing and documenting skilled nursing care in accordance with care developed for...to the Director of Clinical Services and/or Clinical Supervisor /Case Manager or licensed designee… more
    Maxim Healthcare Services (01/10/25)
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  • Community Connector, CHW in/near Franklin County

    Molina Healthcare (Columbus, OH)
    …Equal Opportunity Employer (EOE) M/F/D/V. Key Words: Community Connector, Nonclinical Case Manager , Care Manager , Community Engagement, CHW, Community Health ... waiver, making outreach to Medicaid members that have had a behavioral health hospitalization and more. **KNOWLEDGE/SKILLS/ABILITIES** + Serves as a community-based… more
    Molina Healthcare (12/14/24)
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