- 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
- CVS Health (OH)
- …schedules **Preferred Qualifications** + Utilization review experience strongly preferred + Behavioral health experience + Experience in a behavioral ... state of Ohio. The requirements is for candidates to hold a Licensed independent Behavioral Health clinician (LISW, LPCC, LMFT) or a Registered Nurse (RN) with… 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 ... ** 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
- 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
- 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)
- **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 (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 (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
- 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 (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
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