- 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
- Highmark Health (Columbus, OH)
- …This role supports the full application product lifecycle for **clinical and utilization management software** , with a specific focus on driving key technical ... They function as a pivotal bridge, translating high-level **clinical and utilization management software** business needs into detailed technical requirements for… more
- Battelle Memorial Institute (Columbus, OH)
- …working in a dynamic, mission-driven environment. This position supports outpatient behavioral health activities by conducting intake interviews, assisting with ... + Assist with the management and treatment of outpatient behavioral health activities + Under the supervision...programs for equal treatment of all staff and full utilization of all qualified employees at all levels within… more
- Elevance Health (OH)
- …informed, culturally competent, person‐centered coordination for all members that addresses physical health , behavioral health , long term services and ... plan. Engage the individual's support network and oversee management of their physical health , behavioral health , and long-term services and supports,… more
- Bon Secours Mercy Health (Youngstown, OH)
- At Bon Secours Mercy Health , we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... directs patient teaching activities and coordinates the care provided by health team members. **Essential Job Functions** In collaboration with the interdisciplinary… more
- Elevance Health (Marietta, OH)
- …informed, culturally competent, person‐centered coordination for all members that addresses physical health , behavioral health , long term services and ... the identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long term… more
- Highmark Health (Columbus, OH)
- …business relationships, the impact of Highmark's business decisions on Informatics, personnel utilization , and the use and planning of technology. The role involves ... nature for profiling providers, assessing patient outcomes, studying cost and utilization trends and quantitative projections of industry and competitor performance,… more
- Elevance Health (Columbus, OH)
- …informed, culturally competent, person‐centered coordination for all members that addresses physical health , behavioral health , long term services and ... evaluation, coordination and management of member's needs, including physical health , behavioral health , social services... care team, to ensure cost effective and efficient utilization of health benefits. + Decision making… more
- Highmark Health (Columbus, OH)
- …**JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most ... URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team… more