- CVS Health (OH)
- …+ Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate ... and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards… more
- Elevance Health (Mason, OH)
- ** Behavioral Health Case Manager I**... Case Manager** is responsible for performing case management telephonically and/or by home visits within ... the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. **How you will make an impact:** + Uses… more
- Molina Healthcare (Dayton, OH)
- … health plan and/or market specific utilization management and care management behavioral health programs and chemical dependency services - working ... closely with regional medical directors to standardize behavioral health utilization management policies...in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management… more
- Elevance Health (Columbus, OH)
- **JR167272 Manager Behavioral Health Services** Responsible for overseeing Behavioral Health Utilization Management (BH UM), this position supports ... 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
- CVS Health (Columbus, OH)
- …approach consults with case managers, supervisors, Medical Directors and/or other health / behavioral health programs to overcome barriers to meeting goals ... The OhioRISE Program is designed to provide comprehensive and highly coordinated behavioral health services for children with serious/complex behavioral … more
- Elevance Health (Mason, OH)
- ** Behavioral Health Medical Director-Psychiatrist Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... Monday - Friday. Half day Saturday rotation, once a month.** The ** Behavioral Health Medical Director-Psychiatrist Appeals** is responsible for the… more
- Molina Healthcare (Cincinnati, OH)
- …Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health ... and substance use services and assists with implementing integrated Behavioral Health care management programs. **Job Duties** * Serves as liaison between… more
- Humana (Columbus, OH)
- …Substance Abuse Disorder (SUD) patients + Managed Care Experience + Case Management Certification (CCM) + Experience with behavioral change, health ... Horizons in Kentucky is seeking a Field Care Manager, Behavioral Health 2 who will assess and...independent determination of the appropriate courses of action. Care Management is an overall approach to managing enrollees' care… more
- Molina Healthcare (Cincinnati, OH)
- …Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs for mental health ... and chemical dependency services and assists with implementing integrated Behavioral Health care management programs....Provides Psychiatric leadership for utilization management and case management programs for mental health… more
- Bellefaire JCB (Lorain, OH)
- JOB SUMMARY : The Behavioral Health Respite Program Supervisor is responsible for overseeing all aspects of service delivery for clients of the Behavioral ... activities for youth of various ages. + Conduct data collection and case documentation. + Conduct ongoing youth/family support and progress tracking. + Represent… more