- CVS Health (Columbus, OH)
- …treatment/services. + Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, ... such as ambulatory care or outpatient clinic/facility. + Active and unrestricted Independent Behavioral Health clinical license in the state of Ohio. ( Ex… more
- CVS Health (Columbus, OH)
- …that empowers individuals to achieve better health outcomes. As a Behavioral Health Case Manager , you'll use your clinical expertise to support members ... Coordinate services across behavioral , physical, and psychosocial domains. + Apply clinical guidelines and case management best practices to ensure quality,… more
- OhioHealth (Columbus, OH)
- …for individuals from at-risk populations from interdisciplinary team members (including physicians, Case Managers, staff nurses and other members of the care team). ... responsibilities for scheduling staff, daily assigning of cases, and assisting the manager with direct supervision of the social work staff and masters level… more
- Molina Healthcare (Columbus, OH)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... to provide quality and cost-effective member care. Essential Job Duties * Provides behavioral health oversight and clinical leadership for health plan and/or… more
- Molina Healthcare (Columbus, OH)
- …and ability to navigate online portals and databases. **Preferred Qualifications** * Certified Case Manager (CCM). To all current Molina employees: If you are ... a candidate with a MA RN licensure. Candidates with case management and home health are highly preferred. Bilingual...determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness… more
- Elevance Health (Columbus, OH)
- **Field Nurse - Nurse Case Manager II** **Work location:** This field-based role located in the Columbus, OH area enables associates to primarily operate in the ... 9am to 5:30pm EST The **Field Nurse - Nurse Case Manager II** is responsible for care...+ Coordinate referrals to local and statewide resources including behavioral health, housing, transportation, and food assistance. + Partner… more
- Molina Healthcare (Columbus, OH)
- …to navigate online portals and databases. **Preferred Qualifications** * Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), ... **JOB DESCRIPTION** **Job Summary** This position will be focused on Clinical Program Design. Provides subject matter expertise and leadership to healthcare services… more
- Molina Healthcare (Columbus, OH)
- …directly with individuals with substance use disorders. Preferred Qualifications * Certified Case Manager (CCM). * Experience working with populations that ... members on Waiver program. This position will have a case load and manage members enrolled in this program....accordingly. * Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS)… more
- Highmark Health (Columbus, OH)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- Molina Healthcare (Columbus, OH)
- …be required (dependent upon state/contractual requirements). Preferred Qualifications * Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed ... suggest changes accordingly. * Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and… more
- CVS Health (Columbus, OH)
- …do it all with heart, each and every day. **Position Summary** The Care Plan Reviewer ( Clinical Case Manager BH) utilizes advanced clinical judgment and ... and begin to identify comprehensive member needs. **Required Qualifications** . Unencumbered Behavioral Health clinical license in Ohio is required (LMFT, LSW,… more
- Elevance Health (Columbus, OH)
- …director provides clinical expertise in all aspects of utilization review and case management. Provides input on the clinical relevance to account reporting ... medical policies used for operational reviews. + Leading multidisciplinary rounds for case management /complex clinical management. + Peer-to-peer outreach for… more
- Elevance Health (Lancaster, OH)
- …person_ _‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs._ The ... oversight of managed long-term services and supports, and including physical and behavioral health services for older adults and adults with physical disabilities to… more
- Elevance Health (Lancaster, OH)
- **LTSS Service Coordinator - Clinician ( Case Manager )** **Hiring near Cambridge, Canton, Columbus, Chillicothe, Coschocton, Hillsboro, Ironton, Mansfield, ... competent, person‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs.… more
- Adecco US, Inc. (Columbus, OH)
- …lives across Clinton, Clermont, and Hamilton Counties. **Position Details** **Title:** Case Manager , Licensed Social Worker (LSW) **Location:** Must reside ... impact in your community? Join My Care of Ohio's Case Management Team and use your clinical ...good standing (State of Ohio) + 3+ years of behavioral health or social work experience + Strong communication,… more
- Sharecare (Columbus, OH)
- …helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... A Disease Management Nurse is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate...during the training period will be evaluated on a case by case basis and must be… more