- Molina Healthcare (Dayton, OH)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. **Preferred… more
- CenterWell (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... mail order pharmacy practice environment + Previous experience in utilization management + Education: BSN or Bachelor's degree in...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- Molina Healthcare (Akron, OH)
- …eligible members as well as Medication Adherence Programs for STAR, HEDIS and behavioral health medications. * Ensures that adequate staffing coverage is present ... manner. These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and state… more
- Applewood Centers (Cleveland, OH)
- …Summary: Applewood Centers is a private, nonprofit agency providing mental health services, social services and education to children, adolescents and families ... and Lorain counties. Dedicated to addressing a variety of behavioral , emotional and learning problems, we provide a continuum...addition, the Clinical Supervisor will guide staff in the utilization of a team based care. Responsibilities Include: +… more
- Molina Healthcare (OH)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. To all… more
- OhioHealth (Columbus, OH)
- **We are more than a health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use ... staff and regional level regarding maintenance, expense allocations, trends, utilization statistics, and alternative approaches for servicing equipment and… more
- CenterWell (Columbus, OH)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... **Become a part of our caring community and help us put health first** The Senior Strategy Advancement Professional provides data-based strategic direction to… more
- Sharecare (Columbus, OH)
- **Job Description:** Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all ... their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans,… more
- The Cigna Group (Columbus, OH)
- …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, ... programs, and solutions + Identify customer education opportunities to drive maximum utilization of available resources (all lines of benefit plans and programs) +… more
- Battelle Memorial Institute (Columbus, OH)
- …a culture of safety and risk management across all domains** , particularly in behavioral health and data privacy. + **Direct resource management and staffing ... Program Director for Human Performance Optimization (HPO)** within our Health Business to lead the execution of large-scale, globally...programs for equal treatment of all staff and full utilization of all qualified employees at all levels within… more