- Molina Healthcare (OH)
- …dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to ... -related regional medical necessity reviews and cross coverage. * Standardizes behavioral health -related utilization management, quality, and financial… more
- Molina Healthcare (Dayton, OH)
- …professionals in some or all of the following functions: care management, utilization management, behavioral health , care transitions, long-term services ... * Assists in implementing health management, care management, utilization management, behavioral health and other program activities in accordance with… more
- Elevance Health (OH)
- ** Behavioral Health Care Manager I - (Day Shift)** **Location** **- Virtual:** This role enables associates to work virtually full-time, with the exception of ... + Monday-Friday 9am-6pm EST + Monday-Friday 11am-8pm EST The ** Behavioral Health Care Manager I - (Day...or a NC License_** + Previous experience in case management/ utilization management with a broad range of experience with… more
- Centene Corporation (Columbus, OH)
- …certification in general psychiatry or child psychiatry. + 5+ years of experience working in behavioral health managed care or behavioral health clinical ... in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality. + Reviews claims involving complex,… 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 ... The **Medical Director** is responsible for the administration of behavioral health medical services, to ensure the...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
- CenterWell (Columbus, OH)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... **Become a part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers… more
- Bon Secours Mercy Health (Youngstown, OH)
- …Elizabeth Youngstown Hospital** **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse (RN) functions as a care ... Collects and records nursing assessment of the physical and behavioral health status of the patient. +...safety and privacy of all persons. + Understanding and utilization of office and clinical technologies. + Ability to… more
- Molina Healthcare (Dayton, OH)
- **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management ... and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides… more
- Bon Secours Mercy Health (Lima, OH)
- At Bon Secours Mercy Health , we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... clinicians are recognized for clinical and operational excellence. **Mercy Health ** Intro paragraph As a faith-based and patient-focused organization, Mercy … more
- Bon Secours Mercy Health (Lima, OH)
- At Bon Secours Mercy Health , we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... is accountable for quality patient care, efficient financial and resource utilization , staff development, and coordination of interdepartmental activities on an… more