- Highmark Health (Columbus, OH)
- …as the single point of contact for members to coordinate all of the member's care needs across the various service delivery systems and community supports. This is a ... and protocols. + Assess, plan, coordinate, implement and evaluate care for eligible members with chronic and complex health...health, hospice, public health, or assisted living **OR** + Registered Nurse or Licensed Practical Nurse and 2 years… more
- Humana (Columbus, OH)
- …us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Utilization Management (Behavioral Health) who will utilize their clinical skills to ... of behavioral health services and/or benefit administration determinations. The Manager , Utilization Management (Behavioral Health) applies a Person-Centered approach,… more
- Highmark Health (Columbus, OH)
- …skills and adopting positive behavior change; identify and address gaps in care ; resolve barriers to evidence-based care ; help members coordinate their ... resources. The overall goal is to help members navigate the health care system and develop condition self-management skills through behavior change **ESSENTIAL… more