- CVS Health (Cincinnati, OH)
- …and more compassionate. And we do it all with heart, each and every day. This Clinical Case Manager , Behavioral Health position is with My Care ... ensure members are receiving the appropriate services. + Adapts clinical guidelines, standardized case management procedures, and...flexibility as you coordinate the care of your members. Case Manager BH is responsible for telephonically… more
- Elevance Health (Cincinnati, OH)
- …Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee ... and insightful analytics to improve the delivery of care._ ** Behavioral Health Care Manager II** **Virtual:** This...an impact:** + Uses appropriate screening criteria, knowledge, and clinical judgment to assess member needs to ensure access… more
- Molina Healthcare (Cincinnati, OH)
- … health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) Preferred languages (Korean/English) To all ... an integrated delivery of care across the continuum, including behavioral health and long term care, for members with...per regulated timelines and determines who may qualify for case management based on clinical judgment, changes… more
- CVS Health (Covington, KY)
- …all with heart, each and every day. **Position Summary** The High-Fidelity Wraparound (HFW) Case Manager (CM) is a person who safeguards that the principles of ... may impact member outcomes and care planning components with appropriate engagement of clinical case management or crisis intervention as appropriate. - +… more
- Elevance Health (Cincinnati, OH)
- …office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering ... Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective… more
- Elevance Health (Mason, OH)
- …Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee ... impact:** + Determines the medical necessity of requests using clinical criteria. + Performs physician-level case review...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Cincinnati, OH)
- …Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee ... of 2 years of experience in health services or behavioral health field or in a peer support services...Skills, Capabilities and Experiences:** + Knowledge of care-coordination and case management concepts strongly preferred. + BA/BS or MBA… more