- 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
- 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
- Elevance Health (Columbus, OH)
- **JR167272 Manager Behavioral Health Services** Responsible for overseeing Behavioral Health Utilization Management (BH UM), this position supports the ... applying clinical and policy knowledge on the continuum of Behavioral Health treatment strongly preferred. **Preferred Skills, Capabilities, and Experiences:** +… more
- Humana (Columbus, OH)
- …us 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 and ... the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are...license with a minimum of 1 year of post-degree clinical experience in behavioral health + active,… 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
- Highmark Health (Columbus, OH)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- Molina Healthcare (Columbus, OH)
- …services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license ... members on Waiver program. This position will have a case load and manage members enrolled in this program....an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high… more
- Elevance Health (Worthington, OH)
- **LTSS Service Coordinator ( Case Manager )** **Hiring statewide across Ohio** **Location** : This field-based role enables associates to primarily operate in the ... competent, person‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs.… more
- National Youth Advocate Program (Columbus, OH)
- …Tuition Assistance, and **Work Anniversary Trips** ! **Position Overview** **Summary** The Clinical Services Manager assists the Director of Service Reception to ... vision, and values while providing leadership to the clinical supervisor and clinical therapists on case consultation with the development and growth of … more
- Molina Healthcare (Columbus, OH)
- …Reviews data to identify principal member needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits with team ... an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high...+ Screens members using Molina policies and processes, assisting clinical Case Management staff as they identify… more
- Molina Healthcare (Columbus, OH)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...Social Worker (LCSW), Advanced Practice Social Worker (APSW), **Certified Case Manager (CCM),** Certified in Health Education… more
- Molina Healthcare (Columbus, OH)
- …State RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in ... in case , disease or utilization management; managed care; or medical/ behavioral health settings. + One year of training delivery experience, including adult… more
- City of Columbus (Columbus, OH)
- …the MCH home visiting programs that have been identified by their case manager as needing additional support of behavioral or mental health related issues. ... Community Clinical Counselor (Social Service) (Vacancy) Print (https://www.governmentjobs.com/careers/columbusoh/jobs/newprint/5092359) Apply Community Clinical… more
- Molina Healthcare (Columbus, OH)
- …must live and have a current active unrestricted RN license in the state of OH Case Manager RN will work in remote and field setting supporting Medicare and ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Molina Healthcare (Columbus, OH)
- … assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or ... informal ICT collaboration. + Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during... case managers/supervisors as needed or required + Case managers in Behavioral Health and Social… more
- Molina Healthcare (Columbus, OH)
- …software program(s) proficiency. **Preferred Qualifications** * Certified Case Manager (CCM). * Experience in behavioral health care management. ... of members per regulated timelines and determines who may qualify for care coordination/ case management based on clinical judgment, changes in member health or… more
- Molina Healthcare (Columbus, OH)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS… more
- AmeriHealth Caritas (Dublin, OH)
- **Role Overview:** ;The Care Manager is responsible for managing and coordinating care, services, and social determinants of health for members with acute, chronic, ... medically complex, and/or behavioral health conditions and other health needs. Serves as...Utilizes strong assessment and communication skills, critical thinking, and clinical knowledge to identify issues, gaps in care, and… more
- AmeriHealth Caritas (Dublin, OH)
- **Role Overview:** The Care Manager supports maternity members through personalized care coordination and case management, helping them achieve optimal health ... ; **Responsibilities:** + Assess members to determine care coordination and case management needs for all referred members.; + Completes comprehensive… more
- Elevance Health (Columbus, OH)
- …office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering ... person_ _‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs._ The… more