• Field Care Manager

    Humana (Cleveland, OH)
    …the Care Coordination Portal to minimize duplication of efforts. **Position Responsibilities:** The Field Care Manager , Behavioral Health 2 employs a ... health first** Humana Health Horizons in Ohio is seeking Field Care Managers, Behavioral Health... Coordination Entity, the OhioRISE Plan, CPCs, and/or a Care Management Entity. Care Manager more
    Humana (05/09/25)
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  • Behavioral Health Outreach Care

    Elevance Health (Cleveland, OH)
    ** Behavioral Health Outreach Care Specialist** **Location** : This field -based role enables associates to primarily operate in the field , traveling to ... to 40% of the time will be in the field ). Candidates must reside in **Ohio** to be considered....: Monday - Friday 8:00am - 5:00pm EST The ** Behavioral Health** **Outreach Care Specialist** is responsible… more
    Elevance Health (06/05/25)
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  • Registered Nurse Care Manager Remote…

    Molina Healthcare (Cleveland, OH)
    …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term ... Suite and computer savvy is very helpful. The Case Manager must be able to work in a high-volume...management. + Promotes integration of services for members including behavioral health care and long term services… more
    Molina Healthcare (06/04/25)
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  • Medical Case Manager (Part-Time)

    Bellefaire JCB (Cleveland, OH)
    …related to presenting medical condition. + Seamlessly and in a timely fashion coordinate care across the behavioral and physical healthcare domains as well as ... JOB SUMMARY: The Medical Case Manager is responsible for providing medical case management... is responsible for providing medical case management and care coordination services to clients and families identified by… more
    Bellefaire JCB (05/31/25)
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  • Clinical Program Manager

    Applewood Centers (Cleveland, OH)
    …Summary: Our Residential Treatment program is currently hiring a Clinical Program Manager to provide dedicated leadership and supervision to our staff and clients. ... Specifically, the Clinical Program Manager 's primary function is to provide dynamic clinical management and oversight of client treatment, programming, and… more
    Applewood Centers (05/15/25)
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  • Provider Contracts Manager

    Molina Healthcare (Cleveland, OH)
    …SKILLS & ABILITIES** : * 5-7 years contract-related experience in the health care field including, but not limited to, provider's office, managed ... but not limited to, Hospitals, Independent Physician Association, and complex Behavioral Health arrangements. **Job Duties** This role negotiates contracts with the… more
    Molina Healthcare (05/17/25)
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  • Manager , Value-Based Provider Contracts

    Molina Healthcare (Cleveland, OH)
    …payments for Hospitals, Independent Practice Associations, and complex Behavioral Health arrangements. Manages VBP's through negotiation, implementation, and ... company guidelines with physicians, hospitals, MLTSS and other health care providers. * Utilizes established Reimbursement Tolerance Parameters (across multiple… more
    Molina Healthcare (04/12/25)
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  • LTSS Care Coordination (Dir GBD Special…

    Elevance Health (Independence, OH)
    …Health Care concentration strongly preferred. + Experience working as a field -based care coordinator is strongly preferred. + Experience managing field ... **LTSS Care Coordination (Dir GBD Special Programs)** _Preferred Location:..._‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial… more
    Elevance Health (06/05/25)
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  • Residential Treatment Clinical Services Intern

    Applewood Centers (Cleveland, OH)
    …you will work under the administrative/clinical supervision of the Program Manager / Field Instructor. The Residential Clinical Services Intern provides individual ... families living in Cuyahoga and Lorain counties. Dedicated to addressing a variety of behavioral , emotional and learning problems, we provide a continuum of care more
    Applewood Centers (04/06/25)
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  • Case Management Social Worker - Cancer Center

    Cleveland Clinic (Cleveland, OH)
    …LSW, LISW or LISW- Preferred qualifications for the ideal future caregiver include: + Care Management Department: Certification as a Case Manager within one year ... Hospital where research and surgery are advanced, technology is leading-edge, patient care is world-class, and caregivers are family. Fairview Hospital has been… more
    Cleveland Clinic (04/09/25)
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  • Case Management Social Worker

    Cleveland Clinic (Cleveland, OH)
    …or LISW-S. + Care Management Department : Certification as a Case Manager within one year of eligibility from an approved professional organization preferred + ... Campus where research and surgery are advanced, technology is leading-edge, patient care is world-class, and caregivers are family. Cleveland Clinic is recognized as… more
    Cleveland Clinic (04/29/25)
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  • Perinatal Social Worker-NICU

    Cleveland Clinic (Mayfield Heights, OH)
    …or LISW-S. + Care Management Department : Certification as a Case Manager within one year of eligibility from an approved professional organization preferred + ... Coordinates the care and services of select patients. Intervenes with...plan by reducing or eliminating the social, psychological, financial, behavioral and regulatory barriers to successful medical outcomes. +… more
    Cleveland Clinic (04/29/25)
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  • Wellness & Recovery Specialist

    Elevance Health (Independence, OH)
    …+ Requires AA/AS and minimum of 2 years of experience in health services or behavioral health field or in a peer support services role; or any combination ... The **Wellness & Recovery Specialist** will be responsible for care coordination and/or care management activities focused...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (05/03/25)
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  • Director of LTSS Provider Relations

    Elevance Health (Independence, OH)
    …person_ _‐_ _centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs._ The ... the resources, tools, and supports necessary to deliver high-quality care to members. + Participates and supports network development...Requires a BA/BS degree in business or related health field and a minimum of 7 years' experience; or… more
    Elevance Health (06/05/25)
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