• 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 ... facility-based and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience; or any combination of education and… more
    Elevance Health (09/30/25)
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  • Utilization Management Medical…

    Elevance Health (Columbus, OH)
    ** Utilization Management Medical Director- NC Medicaid** Location: This role enables associates to work virtually full-time, with the exception of required ... Alternate locations may be considered. The **Medical Director** will be responsible for utilization review case management for North Carolina Medicaid. May be… more
    Elevance Health (09/26/25)
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  • Clinical Case Manager Behavioral…

    CVS Health (Columbus, OH)
    …required. **Preferred Qualifications** + Crisis intervention skills preferred. + Managed care/ utilization review experience preferred. + Case management and ... thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider… more
    CVS Health (09/05/25)
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  • Clinical Learning Facilitator - Utilization…

    Molina Healthcare (OH)
    …or state board licensing mandate. + At least 2 years in case, disease or utilization management ; managed care; or medical/ behavioral health settings. + One ... unrestricted State RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified… more
    Molina Healthcare (09/17/25)
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  • Behavioral Health Medical…

    Elevance Health (Mason, OH)
    …and Experiences:** + Child and Adolescent experience strongly preferred. + Utilization Management experience. + Applied Behavior Analysis (ABA) experience. ... ** Behavioral Health Medical Director-Psychiatrist Appeals** **Location:** This role...Director Associates. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical… more
    Elevance Health (09/10/25)
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  • Manager , Healthcare Services

    Molina Healthcare (OH)
    …performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and...years in one or more of the following areas: utilization management , case management , care… more
    Molina Healthcare (09/27/25)
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  • LTSS Service Coordinator (Case Manager )

    Elevance Health (Worthington, OH)
    …associates, and may be involved in process improvement initiatives. + Submits utilization /authorization requests to utilization management with documentation ... **LTSS Service Coordinator (Case Manager )** **Hiring statewide across Ohio** **Location** : This...care plan. Engage the individual's support network and oversee management of their physical health, behavioral health,… more
    Elevance Health (09/11/25)
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  • LTSS Service Coordinator - RN Clinician (RN Case…

    Elevance Health (Toledo, OH)
    …and face-to-face functional assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral ... **LTSS Service Coordinator - RN Clinician (Case Manager )** **Hiring statewide across Ohio** **Location** : This field-based role enables associates to primarily… more
    Elevance Health (09/12/25)
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  • Care Manager

    AmeriHealth Caritas (Dublin, OH)
    …complete, and accurate documentation of Member interactions in ACFC electronic care management platforms where applicable. + Monitor appropriate utilization and ... **Role Overview:** ;The Care Manager is responsible for managing and coordinating care,...health for members with acute, chronic, medically complex, and/or behavioral health conditions and other health needs. Serves as… more
    AmeriHealth Caritas (10/02/25)
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  • Manager , Workforce Planning Solutions

    BioLife Plasma Services (Columbus, OH)
    …+ Proven capacity to innovate workforce systems and streamline labor management processes. Behavioral Competencies + Team-oriented collaborator with a ... Drive continuous system improvements and innovative solutions to streamline labor management workflows and replace manual processes. **ACCOUNTABILITIES** + Serve as… more
    BioLife Plasma Services (10/01/25)
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