- Dayton Children's Hospital (Dayton, OH)
- Facility:Dayton Children's - Main CampusDepartment: Behavioral HealthSchedule:Full timeHours:36Job Details:The Clinical Team Leader (CTL) identifies the procedures, ... to safety, may serve as a de-escalation trainer, promotes utilization of Hospital Acquired Condition Prevention tools, and remains...for the selection or discharge of employees of the health care facility. Department Specific Job Details: + full… more
- Premier Health (Dayton, OH)
- Facility: Samaritan Behavioral Health , Inc The therapist plans and delivers outcome-effective clinical, case coordination, intervention, prevention, and/or ... consultation mental health services to pediatrics and their parents, and the...administration and reporting of outcome measures and documentation of utilization management of clinical care. . Demonstrate knowledge of… more
- Highmark Health (Columbus, OH)
- **Company :** Highmark Health **Job Description :** Entirely Remote Work From Anywhere Role! We are seeking an experienced Software Engineering Manager to lead our ... have budgetary responsibility and authority. + Understand budget and resource utilization across the product teams. Escalate any issues regarding product delivery… more
- Highmark Health (Columbus, OH)
- …Wholecare's pharmacy programs with a focus on medication adherence and optimizing member health outcomes. This role involves a high volume of daily contacts with ... address medication-related issues, promote adherence, and ensure appropriate medication utilization . **ESSENTIAL RESPONSIBILITIES** + Communicate effectively with physicians and… more
- Highmark Health (Columbus, OH)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role is responsible for designing, developing, implementing, supporting, and optimizing ... solutions, networks, and infrastructure. Ensure optimal technology selection, resource utilization , and seamless integration. + Utilize modeling tools to develop… more
- Highmark Health (Columbus, OH)
- …of AI-powered products, including a core administrative platform, modular utilization and care management solutions, patient-focused digital products, and clinical ... Enrollment, Billing, Benefits, Products and Services. Knowlege of Provider Health Systems like EMRs and RCM processes is a...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Premier Health (Eaton, OH)
- Case Manager FACILITY: SAMARITAN BEHAVIORAL HEALTH Case Manager functions as a member of a team to assist in the planning, development, and delivery of ... for administration and reporting of outcome measures and documentation of utilization management of clinical care. . Demonstrate knowledge of other regulatory… more
- Highmark Health (Columbus, OH)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job will manage small scale projects and enhancement packages with mentorship and leadership ... full and timely communication of project activities. Manage resource utilization on the project through matrixed delivery across the...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Columbus, OH)
- …as: Financial Services, Utilities, Property and Casualty Insurance + CRM utilization **Preferred** + Transactional print and mail and digital delivery experience ... position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- Molina Healthcare (Cincinnati, OH)
- …plan and coordinate an integrated delivery of care across the continuum, including physical health and behavioral health , for members with high need ... Active, unrestricted State Registered Nursing (RN) license in good standing. + Utilization Management Certification (CPHM) Certified Professional in Health Care… more