• Network Relations Consultant Senior (Value-Based…

    Elevance Health (Mason, OH)
    …_‐_ _centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs._ **Network ... support the design and modification of Anthem VBP, based on stakeholder feedback and utilization . **How You Will Make an Impact** Primary duties may include, but are… more
    Elevance Health (09/26/25)
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  • Clinical UM Nurse 2

    CenterWell (Columbus, OH)
    …a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent ... volume and fast paced environment + Previous experience in utilization management + Education: BSN or Bachelor's...go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients'… more
    CenterWell (09/26/25)
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  • LTSS Service Coordinator - Clinician (LSW, LCSW,…

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

    Bon Secours Mercy Health (Cincinnati, OH)
    …department policies. + Identify, enroll and/or refer patients to Ambulatory Care Manager for Transitions of Care/Complex Case Management /Chronic Disease ... care coordination services for eligible patients, supporting the ambulatory care management team to address barriers, facilitate access to clinical services,… more
    Bon Secours Mercy Health (10/02/25)
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  • Senior Product Owner - EMR

    CenterWell (Columbus, OH)
    …Product Owner to lead strategy and execution for our referral management and specialist network solutions, including prior authorization and related EMR-integrated ... the strategy, roadmap, and delivery of external specialist referral management solutions, including specialist network optimization, authorization processes, and… more
    CenterWell (09/13/25)
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  • Senior Architect - Cloud

    Highmark Health (Columbus, OH)
    …solutions, networks, and infrastructure. Ensure optimal technology selection, resource utilization , and seamless integration. + Utilize modeling tools to develop ... + Provide leadership and mentorship in cloud architecture to peers, developers, management , and business users through expertise, coaching, and training. + other… more
    Highmark Health (07/22/25)
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  • Medical Director-PSCCR

    Elevance Health (Mason, OH)
    …The **Medical Director-PSCCR** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost ... to Medical Director Associates. + Works independently with oversight from immediate manager . + May be responsible for an entire clinical program and/or independently… more
    Elevance Health (09/10/25)
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  • Community Relations Consultant - MyCare Ohio…

    Elevance Health (Dayton, OH)
    …competent, person‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs._ ... community. + Coordinates volunteer activities by planning, organizing and providing volunteer management for events. + Responds to requests for funding. + Conducts… more
    Elevance Health (09/24/25)
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