- Battelle Memorial Institute (Columbus, OH)
- …measures to mitigate risks. Works closely with internal teams, including Emergency Management , Health Services, Battelle Aviation, Insider Threat, and Security ... alignment of executive protection strategies with internal teams, including Emergency Management , Health Services, Battelle Aviation, Insider Threat, and… more
- Battelle Memorial Institute (Columbus, OH)
- …a culture of safety and risk management across all domains, particularly in behavioral health and data privacy. + Direct resource management and staffing ... a **Senior Program Director for Human Performance Optimization (HPO)** within our Health Business to lead the execution of large-scale, globally distributed military… more
- Humana (Columbus, OH)
- …us put health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional who utilizes ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional… more
- Molina Healthcare (Columbus, OH)
- …chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and ... and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and… more
- Molina Healthcare (Columbus, OH)
- …licensing mandate. + At least 2 years in case, disease or utilization management ; managed care; or medical/ behavioral health settings. + One year of ... Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in Health Care Quality,… more
- Molina Healthcare (Columbus, OH)
- …implementation and training delivery for utilization management , care management , long-term services (LTSS), behavioral health , and other applicable ... systems analysis, and 1 year experience in a care management , utilization management , behavioral health , medical, or managed care setting, or… more
- Lincoln Financial (Columbus, OH)
- …including 1 year in claims, disability management (STD/LTD), worker's compensation, utilization review, and or behavioral health case management ... **The Role at a Glance** We are excited to bring on a knowledgeable and motivated Behavioral Health Consultant to our Clinical Organization. As a Behavioral … more
- Molina Healthcare (Columbus, OH)
- …program(s) proficiency. Preferred Qualifications * Utilization management , care management , behavioral health and/or long-term services and supports ... * At least 2 years health care experience, preferably in utilization management , care management , and/or managed care, or equivalent combination of… more
- CVS Health (Columbus, OH)
- …utilization /benefit management function **Required Qualifications** + Licensed independent Behavioral Health clinician (LISW, LPCC, LMFT) or a Registered ... with heart, each and every day. **Position Summary** The Behavioral Health UM Clinician position is designed...to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking… more
- Elevance Health (Columbus, OH)
- ** Behavioral Health Care Manager II** A proud member of the Elevance Health family of companies, **Carelon Behavioral Health ** , offers superior ... (EST) business hours with** **some weekends based upon organizational/business needs.** The ** Behavioral Health Care Manager II** is responsible for managing… more
- CVS Health (Columbus, OH)
- …+ Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate ... care issues through established channels + Ability to speak to medical and behavioral health professionals to influence appropriate member care. + Utilizes… more
- Molina Healthcare (Columbus, OH)
- …with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization ... **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and... Health function provides leadership and guidance for utilization management and case management … more
- Molina Healthcare (Columbus, OH)
- …**_Field travel in Detroit, MI_** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management ... health and substance use services and assists with implementing integrated Behavioral Health care management programs. **Job Duties** * Serves as liaison… more
- Molina Healthcare (Columbus, OH)
- …or more of the following areas: utilization management , care management , care transitions, behavioral health , or equivalent combination of relevant ... Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care or management certification. + Leadership experience. +… more
- Highmark Health (Columbus, OH)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... (DO) **Substitutions** + None **Preferred** + Master's Degree in Business Administration/ Management or Public Health **EXPERIENCE** **Required** + 5 years… more
- Elevance Health (Columbus, OH)
- …to day clinical responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case reviews for ... medical director provides clinical expertise in all aspects of utilization review and case management . Provides input...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Elevance Health (Columbus, OH)
- …outreach, such as coordination and management of an individual's LTSS waiver, behavioral health or physical health needs. + Responsible for in-person ... informed, culturally competent, person‐centered coordination for all members that addresses physical health , behavioral health , long term services 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, ... and psychosocial needs._ **Medical Management Clinician** **Location:** This role enables associates to work...a minimum of 4 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted… more
- Highmark Health (Columbus, OH)
- …of clinical, case/ utilization management and/or disease/condition management experience, or provider operations and/or health insurance experience ... health status/severity and clinical needs; and assesses health management needs of the assigned member...first 6 months of employment. **Preferred** + Certification in utilization management or a related field +… more
- Highmark Health (Columbus, OH)
- …timeframes and notification requirements are met. + Communicate effectively with Utilization Management Staff, providers, other internal and external customers ... processing of pre-certification requests for authorization of medically necessary health care services, at the appropriate level of care,...and management . + Route Cases Based on Established Guidelines. +… more
