- Evolent Health (Columbus, OH)
- …contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager , Utilization ... the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as...medical reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs, and Clinical… more
- CVS Health (Columbus, OH)
- …systems **Preferred Qualifications** + Crisis Intervention skills preferred. + Managed care/ utilization management experience preferred. Case Management and ... thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider… more
- CVS Health (Columbus, OH)
- …involving clinical issues * Provide leadership and day-to-day physician oversight for utilization management team, including the management of high-risk ... clinical/medical programs * Provide psychiatric leadership to an interdisciplinary utilization management team, including medical/clinical oversight, consultation… more
- CVS Health (Columbus, OH)
- …local community networks and resources. + Crisis intervention skills + Managed care/ utilization review experience + Case management and discharge planning ... thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider… more
- National Youth Advocate Program (Hilliard, OH)
- …initiatives including administrative and clinical review of medical records, utilization management , outcome measurement, and generating statistical and ... + Maintain the agencies compliance with HIPAA responsibilities and records management . **MINIMUM QUALIFICATIONS** + Bachelor's degree in behavioral sciences,… more
- Highmark Health (Columbus, OH)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective utilization management strategies including: review of appropriateness of health ... depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of… more
- Highmark Health (Columbus, OH)
- …includes leveraging cutting-edge customer experience platforms, implementing robust data management solutions, and optimizing marketing automation tools to drive ... department. This role will be responsible for managing our MarTech ecosystem, including management and delivery of agreed upon road maps and platform integrations to… more
- Ford Motor Company (Columbus, OH)
- …are as smart as you are. The Merchandise eCommerce Merchandising & Product Manager is responsible for deeply understanding customer needs, managing the day-to day ... day by pulling, analyzing, and translating web analytics and behavioral data into actionable insights to enhance sales, conversion,...experience + 3+ years of eCommerce Merchandising AND Product Management experience + 1+ years of Shopify Site … more
- Cerelia Bakery Canada LP (Whitehall, OH)
- …leader. Position Summary We are looking for an experienced Production Manager that provides manufacturing leadership to deliver superb products that meet ... achieving safety, quality, sanitation, productivity, and cost targets. The Production Manager will create and sustain a nurturing environment that empowers,… more
- Highmark Health (Columbus, OH)
- …actions (promotions, hiring, terminations, etc.) Develops talent, Addresses resource management , cultivates capabilities of staff, planning and coordination of work, ... in first-line resolution of complex technical problems 2. Provides Staff Management oversight * Hires, promotes, separates or makes recommendations regarding same… more
- Guardian Life (Columbus, OH)
- …certification in profession, such as Certified Rehabilitation Counselor (CRC),Certified Disability Management Specialist (CDMS), Certified Case Manager (CCM). + ... attitude. You can collaborate with stakeholders to provide effective case management within the boundaries of contractual definitions. **You will:** + Assess… more
- Marriott (Columbus, OH)
- …experience architecting and/or implementing Digital Experiences leveraging Adobe Experience Manager , Content, Digital Asset Management , Language Translation, ... States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** We are looking for a highly dynamic individual… more
- ChenMed (Columbus, OH)
- …DUTIES/RESPONSIBILITIES:** + Directs accountability for clinical outcomes and day-to-day management of Medical Directors in multiple centers within assigned market, ... with regular presence in the centers under direct management , and under the supervision of the Regional President. + Ensures successful clinical operations and… more
- CenterWell (Columbus, OH)
- …optimal patient care, high quality health outcomes, and improved cost and utilization in pharmacy-related care, and serve as a national clinical program leader ... This role reports to the National Director, High Risk Patient Management . Responsibilities will include: + Lead comprehensive clinical pharmacy service development,… more