• Manager Behavioral Health Services

    Elevance Health (Columbus, OH)
    **JR167272 Manager Behavioral Health Services** Responsible for overseeing Behavioral Health Utilization Management (BH UM), this position supports ... appropriateness of care for inpatient/outpatient BH services; ensures appropriate utilization of BH services through level of care determination,...UM: MS in social work, counseling, psychology or related behavioral health field or a degree in… more
    Elevance Health (09/30/25)
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  • Utilization Management Medical Director- NC…

    Elevance Health (Columbus, OH)
    …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... ** Utilization Management Medical Director- NC Medicaid** Location: This...directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. + Identifies and… more
    Elevance Health (09/26/25)
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  • Clinical Case Manager Behavioral…

    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
    CVS Health (09/05/25)
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  • Behavioral Health Medical…

    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
    Elevance Health (09/10/25)
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  • Medical Director, Behavioral Health…

    Molina Healthcare (Cincinnati, 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
    Molina Healthcare (09/13/25)
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  • Clinical Learning Facilitator - Utilization…

    Molina Healthcare (OH)
    …years in case, disease or utilization management; managed care; or medical/ behavioral health settings. + One year of training delivery experience, including ... or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in Health Care… more
    Molina Healthcare (09/17/25)
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  • Community Behavioral Health Liaison…

    Molina Healthcare (Cincinnati, OH)
    …**_Field travel in Detroit, MI_** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and ... health and substance use services and assists with implementing integrated Behavioral Health care management programs. **Job Duties** * Serves as liaison… more
    Molina Healthcare (09/25/25)
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  • National Accounts Medical Director

    Elevance Health (Cincinnati, OH)
    …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... vision and implementation to deliver an improvement in the health of the people we serve. The medical director...medical director provides clinical expertise in all aspects of utilization review and case management. Provides input on the… more
    Elevance Health (09/23/25)
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  • LTSS Transition Concierge Coordinator

    Elevance Health (Columbus, OH)
    …informed, culturally competent, person‐centered coordination for all members that addresses physical health , behavioral health , long term services and ... for member outreach, such as coordination and management of an individual's LTSS waiver, behavioral health or physical health needs. + Responsible for… more
    Elevance Health (09/27/25)
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  • Licensed Practical Nurse (LPN) Care Coordinator…

    Bon Secours Mercy Health (Cincinnati, OH)
    …coordinate access with primary care providers and other specialty providers including behavioral health ensuring necessary records and documentation of referrals ... At Bon Secours Mercy Health , we are dedicated to continually improving ...improve care, patient experience and reduce unnecessary cost and utilization : right care, right place, and right time. +… more
    Bon Secours Mercy Health (10/02/25)
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