- Elevance Health (Columbus, 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
- CVS Health (Columbus, 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 of Ohio ... specialist to perform crisis intervention with members experiencing a behavioral health or medical crisis, refers appropriate...flexibility as you coordinate the care of your members. Case Manager BH is responsible for telephonically… more
- Elevance Health (Columbus, OH)
- …for autism and depression, and insightful analytics to improve the delivery of care._ ** Behavioral Health Care Manager II** **Location:** This is a remote, ... of our Elevance Health PulsePoint locations. The ** Behavioral Health Care Manager II**...there is licensed staff supervision. + Previous experience in case management/utilization management with a broad range of experience… more
- Humana (Columbus, OH)
- …put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate member's needs ... the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work...the KY Medicaid Population. + Managed Care Experience. + Case Management Certification (CCM). + Bilingual (English/Spanish); speaking, reading,… more
- Elevance Health (Columbus, 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 (Columbus, 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
- Highmark Health (Columbus, OH)
- …ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality… more
- Molina Healthcare (Columbus, 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
- Elevance Health (Columbus, 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
- Highmark Health (Columbus, OH)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee ... health benefits. HNAS is part of Highmark Health...or its strategic business partners. When this is the case , there may be less direct reporting relationships and… more
- National Youth Advocate Program (Columbus, OH)
- …therapists on case consultation with the development and growth of behavioral health and outpatient mental health services. **Responsibilities** The ... and philosophies. + Lead the application of evidence-informed service modalities in behavioral health service delivery for the Service Reception Center. +… more
- Molina Healthcare (Columbus, OH)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... multidisciplinary integration and collaboration to enhance the continuity of care including Behavioral Health and Long-Term Services & Supports for Molina… more
- Highmark Health (Columbus, OH)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The Billing Product Manager defines and executes the strategy and roadmap for a best-in-class ... define the product's value proposition to develop a compelling business case focused on revenue generation and operational efficiency. Responsibilities include… more
- Highmark Health (Columbus, OH)
- …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... the engagement deliverables, resources, and outcomes. + Develop the engagement business case , scope, staffing and incentive model for RPM engagement with Providers… more
- Molina Healthcare (Columbus, OH)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …matter in the prediction, prevention, and management of conditions related to women's health , the mental and behavioral spaces, and overall well-being. This is ... Otsuka Precision Health is a health experience company...billion in 2023. **About This Role** An OPH Product Manager brings a unique blend of product management and… more
- Securitas Security Services USA, Inc. (Grove City, OH)
- **Project Manager ** Wage: 29.00/ hour **Are you interested in being part of our Security Team?** + Apply quickly and efficiently online. + Weekly pay. + Growth ... opportunities within the company. + Health , dental, vision, and more! + Employee referral bonus...Vacation and Sick Leave **JOB SUMMARY:** Supports the Branch Manager or Account Manager through project planning… more
- Highmark Health (Columbus, OH)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
- Elevance Health (Columbus, 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
- National Youth Advocate Program (London, OH)
- …Excellence, is Ohio's first highly integrated care program for youth with complex behavioral health and multi-system needs. National Youth Advocate Program is ... children and youth enrolled in OhioRISE who have moderate behavioral health needs, and for helping to...Agency training requirements + Report all MUl's to Site Manager and Supervisor immediately + Other duties as assigned… more