- Molina Healthcare (Columbus, OH)
- …sections and reviews behavioral health portions of state contracts. * Assists behavioral health medical director lead trainers in the development ... SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and...and chemical dependency services - working closely with regional medical directors to standardize behavioral health… more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs ... and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides… more
- Elevance Health (Columbus, OH)
- **JR167272 Manager Behavioral Health Services** Responsible for overseeing Behavioral Health Utilization Management (BH UM), this position supports the ... make an impact:** + Serves as a resource for medical management programs. Identifies and recommends revisions to policies/procedures....UM: MS in social work, counseling, psychology or related behavioral health field or a degree in… more
- Elevance Health (Columbus, OH)
- …deliver an improvement in the health of the people we serve. The medical director supports product strategy/design through medical management that impact ... health improvement tools offered to clients/ members. The medical director provides clinical expertise in all...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Elevance Health (Columbus, OH)
- …-Long Term Support and Services** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and ... ** Medical Director -Long Term Support and...person_ _‐centered coordination for all members that addresses physical health , behavioral health , long term… more
- Elevance Health (Columbus, OH)
- ** Medical Director - Commercial** Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... able to work East Coast time zone hours.** The ** Medical Director ** will be responsible for utilization...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Elevance Health (Columbus, OH)
- **Utilization Management Medical Director - NC Medicaid** Location: This role enables associates to work virtually full-time, with the exception of required ... but not required. Alternate locations may be considered. The ** Medical Director ** will be responsible for utilization...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Elevance Health (Columbus, OH)
- ** Medical Director - Medical Policy**...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years ... required by law. Alternate locations may be considered. The ** Medical Director - Medical Policy** is...Medical Policy** is responsible for the administration of medical services for company health plans and… more
- CenterWell (Columbus, OH)
- **Become a part of our caring community and help us put health first** The National Medical Director for Home-Based Care Programs is a key clinical ... polychronic, and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership with the Strategy… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …advanced degree preferred (eg. MBA, MPH, MHA, advanced clinical degrees with experience in behavioral health ) + Minimum of 5 years of sales or business ... into customer benefits **PREFERRED QUALIFICATIONS** + Healthcare providers with behavioral health backgrounds (eg licensed therapists, clinical psychologists,… more
- Highmark Health (Columbus, OH)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- Highmark Health (Columbus, OH)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role will support the leadership team for Clinical Transformation and executive physicians ... three primary Workstreams: leadership over the execution of the Population Health Performance strategy roadmap, support physician executives to identify ownership,… more
- Battelle Memorial Institute (Columbus, OH)
- …Model a culture of safety and risk management across all domains, particularly in behavioral health and data privacy. + Direct resource management and staffing ... Program Director for Human Performance Optimization (HPO)** within our Health Business to lead the execution of large-scale, globally distributed military… more
- Highmark Health (Columbus, OH)
- …and lines of business. This will require aligning new models to the health plan's strategic objectives based on a deep understanding of innovation and industry ... Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** +… more
- Compass Group, North America (Columbus, OH)
- …platform includes the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership for a Healthier ... service team members. **Job Summary** Working as a **Regional Director of Operations (RDO)** you will lead, manage, and...at Morrison Healthcare are offered many fantastic benefits.** + Medical + Dental + Vision + Life Insurance/ AD… more
- Elevance Health (Columbus, OH)
- …culturally competent, person_ _‐_ _centered coordination for all members that addresses physical health , behavioral health , long term services and supports, ... medical necessity denial determination made by a Medical Director . + May work directly with...or RN license and/or certification to practice as a health professional within the scope of licensure in applicable… more
- National Youth Advocate Program (Columbus, OH)
- …and clinical therapists on case consultation with the development and growth of behavioral health and outpatient mental health services. **Responsibilities** ... Repayment assistance** , up to $1,200 per year! + Medical , Dental, and Vision + **22 Days Off** Each...+ Lead the application of evidence-informed service modalities in behavioral health service delivery for the Service… more
- Maxim Healthcare (Mount Vernon, OH)
- …+ Technological proficiency, including mobile devices for documentation Maxim Benefits: Health and Wellness Medical /Prescription, Dental, Vision, Health ... Advocacy (company paid if enrolled Medical ) and Health Advocate Employee Assistance Program Retirement and Financial Security: Health Savings Account,… more