- Elevance Health (Columbus, OH)
- …health, behavioral health, long term services and supports, and psychosocial needs._ ** Medical Management Clinician ** **Location:** This role enables ... hours may be necessary based on company needs. The ** Medical Management Clinician ** responsible for ensuring appropriate, consistent administration… more
- Elevance Health (Worthington, OH)
- **LTSS Service Coordinator - Clinician (Case Manager)** **Hiring statewide across Ohio** **Location** : This field-based role enables associates to primarily operate ... term services and supports, and psychosocial needs. The **LTSS Service Coordinator- Clinician ** is responsible for working under the direction/supervision of an RN,… more
- Elevance Health (Worthington, OH)
- …an accommodation is granted as required by law._ The **LTSS Service Coordinator-RN Clinician ** is responsible for overall management of member's case within the ... **LTSS Service Coordinator - RN Clinician (Case Manager)** **Hiring statewide across Ohio** **Location** : This field-based role enables associates to primarily… more
- Molina Healthcare (Columbus, OH)
- …within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information from members or providers in ... Clinicians only). **Required Experience** 1-3 years of hospital or medical clinic experience. **Required License, Certification, Association** Active, unrestricted… more
- Molina Healthcare (Columbus, OH)
- …within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests additional information from members or providers in ... Nurse (RN). **Required Experience** 1-3 years of hospital or medical clinic experience. **Required License, Certification, Association** Active, unrestricted State… more
- Molina Healthcare (Columbus, OH)
- …* Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents cases in a consistent and efficient manner. ... teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. **Required Qualifications** * At least 2 years… more
- Molina Healthcare (Columbus, OH)
- …* Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. ... teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. **Required Qualifications** * At least 2 years… more
- Molina Healthcare (Columbus, OH)
- …* Processes requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. ... teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At least 2 years… more
- CVS Health (Columbus, OH)
- …or at risk for involvement in, multiple child-serving systems. The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the ... case management process, in order to facilitate appropriate healthcare outcomes...activities and monitors care plan progress. * Enhancement of Medical Appropriateness and Quality of Care: o Using holistic… more
- Prime Therapeutics (Columbus, OH)
- …and drives every decision we make. **Job Posting Title** Medication Therapy Management Specialist **Job Description** The Medication Therapy Management (MTM) ... Receive inbound and make outbound calls to eligible beneficiaries to schedule MTM clinician interventions in a manner that meets the specialized needs of the… more
- ChenMed (Columbus, OH)
- …people to join our team. The Care Promoter 1 is an unlicensed medical professional cross-trained to perform routine administrative and clinical tasks to keep the ... medical centers running smoothly. The duties of Care Promoter...+ Catalogs and communicates patient needs to the PCP, Clinician , Specialist and/or other clinical personnel. + Prepares patients… more
- OptiMindHealth (Columbus, OH)
- …Work/life balance! Leadership and advancement opportunities! Join a leading clinician -led behavioral health company today! OptiMindHealth (OMH) is expanding and ... to our clinicians. Packages can be customized towards every clinician 's needs. Packages can include some combination of: ....can include some combination of: . Competitive Salary . Medical benefits . Paid malpractice policy . CEU reimbursement… more
- Sedgwick (Columbus, OH)
- …service requirements and assure efficient, cost effective, quality program delivery for medical and disability management . + Coordinating and evaluating the ... Best Workplaces in Financial Services & Insurance Sr. VP Medical Director **PRIMARY PURPOSE** **:** To evaluate medical...criteria; to provide leadership within the dedicated team of clinician and claim professionals in support of the dedicated… more
- ChenMed (Columbus, OH)
- …people to join our team. The Care Promoter 1 is an unlicensed medical professional cross-trained to perform routine administrative and clinical tasks to keep the ... medical centers running smoothly. The duties of Care Promoter...+ Catalogs and communicates patient needs to the PCP, Clinician , Specialist and/or other clinical personnel. + Prepares patients… more
- Otsuka America Pharmaceutical Inc. (Columbus, OH)
- …medicine and/or clinical pharmacology and associated disciplines (eg biostatistics, data management , medical writing). + An advanced understanding of clinical ... drug development programs, including: + Understanding pharmacology of drugs and unmet medical needs. + Formulating a rationale to develop the drug in accordance… more
- Datavant (Columbus, OH)
- …or concurrent review vendors. + Clinical experience or deep engagement with clinician stakeholders. + Familiarity with audit requirements, medical record ... combines strategic thinking, clinical product development expertise, and people management responsibilities. You'll be accountable for ensuring our products deliver… more
- Molina Healthcare (Columbus, OH)
- …or public health setting. * Experience in home health as a licensed clinician , especially in management of chronic conditions. * Experience with underserved ... JOB DESCRIPTION Job Summary Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel… more
- OhioHealth (Columbus, OH)
- …Behavioral Health: experience working with acutely ill psychiatric patients. - Medical terminology knowledge and an understanding of disease process. This position ... responsibilities that advance the mission of the department and organization. The clinician can practice independently and without supervision as permitted by the… more
- Molina Healthcare (Columbus, OH)
- …public health setting + Previous experience in home health as a licensed clinician , especially in management of chronic conditions + Experience with underserved ... Practitioner will be required to work primarily in non-clinical settings and provide medical care to all levels of patients. Some programs may focus on specific… more
- ChenMed (Columbus, OH)
- …model execution, including improving clinical quality, efficiency, outcomes, and clinician /patient satisfaction. In addition to being accountable for the overall ... for ChenMed or not). + Responsible for assessment, diagnosis, treatment, management , education, health promotion and care coordination and documentation for patients… more