- AmeriHealth Caritas (Dublin, OH)
- …managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover ... **RN Clinical Care Reviewer, Concurrent Review, Utilization Management** Location: Dublin, OH Primary Job Function:...now. We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate… more
- Highmark Health (Columbus, OH)
- …effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource ... utilization , identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and… more
- CVS Health (Columbus, OH)
- …access to a reliable vehicle required with insurance. **Preferred Qualifications** + Licensed Behavioral Health Clinician ie LISW, LPCC, LSW or Licensed Nurse ... performance metrics related to quality, clinical outcomes, coding, and utilization used to support OhioRISE programs. They will be...ie, LPN, RN, APRN + Experience working in a behavioral health , residential, or psychiatric setting +… more
- Highmark Health (Columbus, OH)
- …software engineers as needed on ETO Digital team. + Comprehension and utilization of the newest, emerging, innovative technologies and applications. + Apply lead ... learn other programming languages as needed + Knowledge of professional software engineering practices & best practices for the...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Columbus, OH)
- …and assesses, manages performance * Engages in skills assessments and promotes professional development of staff * Assigns tasks, schedules work and establishes ... assignments to maximize appropriate use of resources Optimizes the utilization of resources by applying appropriate concepts, technologies and...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- CenterWell (Columbus, OH)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... critical role in ensuring optimal patient care, high quality health outcomes, and improved cost and utilization ...we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer**… more
- Guardian Life (Columbus, OH)
- …aptitudes, work experience, restrictions and limitations, educational background, and behavioral /motivational factors to determine viability of and probability of ... providers to formulate viable return to gainful work plans. Cost effective utilization of vendors to provide rehabilitative services to support program goal.… more
- Marriott (Columbus, OH)
- …alternatives and solutions, solves problems, and chooses a course of action. + Professional Demeanor - Exhibits behavioral styles that convey confidence and ... environments + Experience in implement multilingual site, as well as the utilization of transliteration services. + Expertise with many of the following server-side… more
- Marriott (Columbus, OH)
- …alternatives and solutions, solves problems, and chooses a course of action. * ** Professional Demeanor** - Exhibits behavioral styles that convey confidence and ... expert for both senior leadership and project teams in effective utilization of existing technology in business technical applications, either enterprise-wise or… more
- Marriott (Columbus, OH)
- …alternatives and solutions, solves problems, and chooses a course of action. + Professional Demeanor - Exhibits behavioral styles that convey confidence and ... expert for both senior leadership and project teams in effective utilization of existing technology in business technical applications, either enterprise-wise or… more