- Applewood Centers (Cleveland, OH)
- …our Youth Residential Program Applewood Centers is a premier provider of community-based behavioral health services in Northeast Ohio. We are currently looking ... Psychiatric Nurse interested in providing and enhancing their skills in a residential behavioral health setting. As the Registered Nurse for our Residential… more
- Highmark Health (Columbus, OH)
- …of the requested treatment of service. Depending on the nature of the case , telephonic peer to peer discussions may be required. The incumbent ensures compliance ... incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases,… more
- Highmark Health (Columbus, OH)
- …a review of a special project, potential fraud, waste and abuse case , conducting the initial investigations and coordinating the recovery/savings of money related ... law enforcement entities and work with those agencies through closure of the case . Conduct audits for proactive and investigative purposes to comply with internal… more
- Veterans Affairs, Veterans Health Administration (Dayton, OH)
- …a master's degree or higher in drug and alcohol studies or related behavioral health field from an accredited college or university. Licensure/Certification. ... Hold a master's degree or higher in drug and alcohol studies or related behavioral health field from an accredited college or university. Licensure. Individuals… more
- Premier Health (Dayton, OH)
- Facility: Samaritan Behavioral Health , Inc The therapist plans and delivers outcome-effective clinical, case coordination, intervention, prevention, and/or ... Therapist may provide clinical supervision to non-independently licensed mental health staff upon obtaining "Supervisor" status for licensure. JOB DUTIES:… more
- Molina Healthcare (OH)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... case management, disease management, managed care or medical or behavioral health settings. **Required License, Certification, Association** If licensed,… more
- Molina Healthcare (OH)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long-term services and supports, home and… more
- National Youth Advocate Program (Lima, OH)
- …Ohio Medicaid's OhioRise program serving children with complex needs across behavioral health , juvenile justice, child welfare, developmental disabilities, ... Excellence, is Ohio's first highly integrated care program for youth with complex behavioral health and multi-system needs. National Youth Advocate Program is… more
- Highmark Health (Columbus, OH)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** + As a Senior AI Consultant at Highmark, you will play a pivotal role in shaping and executing ... and stakeholders to drive timely decision making and business case design. + Implementation:Facilitate the process to translate proof...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Elevance Health (Columbus, OH)
- …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... be considered. The **Medical Director** will be responsible for utilization review case management for North Carolina Medicaid. May be responsible for developing and… more