• Behavioral Health Case

    Elevance Health (Independence, OH)
    ** Behavioral Health Case Manager II** **Location:** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... State of Ohio* and must be willing to do some community-based work** The ** Behavioral Health Case Manager II** position is responsible for performing … more
    Elevance Health (05/03/25)
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  • Field Care Manager , Behavioral

    Humana (Solon, OH)
    …Coordination Portal to minimize duplication of efforts. **Position Responsibilities:** The Field Care Manager , Behavioral Health 2 employs a variety of ... OhioRISE Plan, CPCs, and/or a Care Management Entity. Care Manager Plus serves as the single point of contact...of 2 years of post-degree clinical experience in a behavioral health setting. + Case more
    Humana (05/09/25)
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  • Behavioral Health Outreach Care…

    Elevance Health (Independence, OH)
    ** Behavioral Health Outreach Care Specialist** **Location** : This is a **hybrid** role. Associates will be working from home and out in the community (up to 40% ... : Monday - Friday 8:00am - 5:00pm EST The ** Behavioral Health ** **Outreach Care Specialist** is responsible...funded programs. + Coaches members on ways to reduce health risks. + Prepares reports to document case more
    Elevance Health (04/29/25)
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  • Behavioral Health Medical Director-…

    Elevance Health (Independence, OH)
    ** Behavioral Health Medical Director- Psychiatrist** Location: Alternate locations may be considered. This position will work a hybrid model (remote and office). ... an Elevance Health Pulse Point location. The ** Behavioral Health Medical Director- Psychiatrist** is responsible...make an impact:** + Conduct peer clinical and/or notes case reviews. + Supports the Medical Management staff ensuring… more
    Elevance Health (04/22/25)
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  • Case Manager (RN) (Must Reside…

    Molina Healthcare (Akron, OH)
    …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home and… more
    Molina Healthcare (04/11/25)
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  • Case Management Social Worker - Care…

    Cleveland Clinic (Warrensville Heights, OH)
    …career with one of the most respected healthcare organizations in the world. As a Case Manager Social Worker, you will coordinate the care and services of select ... Basic Life Support (BLS) through American Heart Association (AHA) + Certification as a Case Manager within one year of eligibility from an approved professional… more
    Cleveland Clinic (05/10/25)
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  • Case Management Social Worker - Psychiatry…

    Cleveland Clinic (Garfield Heights, OH)
    …will build a rewarding, lifelong career in a diverse and welcoming environment. As a Case Manager Social Worker, you will coordinate the care and services of ... plan by reducing or eliminating the social, psychological, financial, behavioral , and regulatory barriers to successful medical outcomes. +...+ Knowledge of community resources + Certification as a Case Manager within one year of eligibility… more
    Cleveland Clinic (04/11/25)
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  • Case Management Social Worker

    Cleveland Clinic (Cleveland, OH)
    …includes LSW, LISW or LISW-S. + Care Management Department : Certification as a Case Manager within one year of eligibility from an approved professional ... most respected healthcare organizations in the world. As a Case Management Social Worker, you will be coordinating the...for everyone, and comprehensive benefits that invest in your health , your physical and mental well-being and your future.… more
    Cleveland Clinic (04/29/25)
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  • Case Management Social Worker

    Cleveland Clinic (Cleveland, OH)
    …Preferred qualifications for the ideal future caregiver include: + Certification as a Case Manager within one year of eligibility from an approved professional ... organizations in the world. Social workers help communities get access to the health or social services that they need, improving or providing those services where… more
    Cleveland Clinic (05/01/25)
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  • Case Management Social Worker - Cancer…

    Cleveland Clinic (Cleveland, OH)
    …the ideal future caregiver include: + Care Management Department: Certification as a Case Manager within one year of eligibility from an approved professional ... the treatment plan by reducing or eliminating the social, psychological, financial, behavioral , and regulatory barriers to successful medical outcomes. + Serve as a… more
    Cleveland Clinic (04/09/25)
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  • Case Management Social Work

    Cleveland Clinic (Cleveland, OH)
    …includes LSW, LISW or LISW-S. + Care Management Department : Certification as a Case Manager within one year of eligibility from an approved professional ... the treatment plan by reducing or eliminating the social, psychological, financial, behavioral and regulatory barriers to successful medical outcomes. + Serves as a… more
    Cleveland Clinic (03/11/25)
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  • Manager II GBD Special Programs - LTSS

    Elevance Health (Independence, OH)
    …culturally competent, person_ _‐_ _centered coordination for all members that addresses physical health , behavioral health , long term services and supports, ... services and supports (LTSS) needs are assessed for physical health , behavioral health , and social...and oversees program operations in support of corporate and health plan management. + Mentors Manager I… more
    Elevance Health (04/27/25)
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  • Licensed Practical Nurse

    BrightSpring Health Services (Canton, OH)
    …+ Monitoring clients' vital statistics and reporting abnormal findings to the case manager and physician assessments + Performs medication administration, ... actions of all care given and communicates with family, case manager , and physicians as well as...living, adult host homes for adults regardless of disability, behavioral /mental health support, in-home pharmacy solutions, telecare… more
    BrightSpring Health Services (04/03/25)
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  • Medical Director- Carelon RX

    Elevance Health (Independence, OH)
    …The **Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
    Elevance Health (05/13/25)
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  • Medical Director - Medicare

    Elevance Health (Independence, OH)
    …The **Medicare Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
    Elevance Health (05/10/25)
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  • Wellness & Recovery Specialist

    Elevance Health (Independence, OH)
    …services. **Minimum Requirements:** + Requires AA/AS and minimum of 2 years of experience in health services or behavioral health field or in a peer support ... + Peer Specialist Certification required. + Knowledge of care-coordination and case management concepts strongly preferred. + BA/BS or MBA preferred. Please… more
    Elevance Health (05/03/25)
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  • Managed Care Claims Validator / Biller

    CommuniCare Health Services Corporate (Akron, OH)
    …conditions. Our more than 150 skilled nursing, assisted living, independent living, behavioral health , and long-term care facilities deliver sophisticated and ... working with the CBO cash collections team, CBO cash posting team, Business Office Manager , Regional Director of Finance, MDS, Case Management, and others. The… more
    CommuniCare Health Services Corporate (04/27/25)
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  • CM Delegation Liaison

    Molina Healthcare (Akron, OH)
    …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... delegation oversight staff as needed/required. + Coordinates with care managers in behavioral health to provide consultation, resources and recommendations to… more
    Molina Healthcare (04/09/25)
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  • LPN - Novice Nurse

    Maxim Healthcare Services (Wooster, OH)
    …patient/client status to the Director of Clinical Services and/or Clinical Supervisor / Case Manager or licensed designee + Documents all physician ... medical record and + communicates this information as needed + Attends case conferences, team meetings, education in-services as required + Supports professional… more
    Maxim Healthcare Services (05/01/25)
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