- Elevance Health (Columbus, OH)
- … Manager Behavioral Health Services** Responsible for overseeing Behavioral Health Utilization Management (BH UM), this position supports the Medicaid line ... cost of care initiatives. + May attend meetings to review UM and/or CM process and discusses facility issues....and/or outpatient psychiatric and chemical dependency treatment and prior utilization management experience; or any combination of… more
- OhioHealth (Columbus, OH)
- …and coordination of services through proactive collaboration and communications with utilization management and care coordination team. 5. Monitor commercial ... addition of diagnosis allowances and authorization numbers 6. Refer utilization management /clinical decisions beyond level of authority...beyond level of authority to care coordination/UM team and Manager /Director of UM team for review and… more
- Nestle (Solon, OH)
- …training initiatives through data-driven reporting and storytelling. + Support the POKA utilization strategy at all sites, including change management and ... **POSITION SUMMARY** As a direct report to the Sr. Manager , Training, the Field Training Manager is...+ Develop and Maintain POKA work instructions, drive tool utilization for capability building and leverage skills endorsements to… more
- Burns & McDonnell (Columbus, OH)
- …and project status reports. + Present reports to Project Manager , Program Manager , and internal and external executive management as required. + Collaborate ... **Description** The Construction Project Manager supports the Engineer Procure Construct (EPC) Project Manager or Program Manager to oversee day-to-day… more
- CVS Health (Columbus, OH)
- …Qualifications** + Crisis intervention skills preferred. + Managed care/ utilization review experience preferred. + Case management and discharge planning ... and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. **Position… more
- CVS Health (OH)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health....lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC… more
- Robert Half (Cincinnati, OH)
- …global consulting firm. Where We Need You Protiviti is looking for a Senior Talent Manager to join our growing Talent Management team. Protiviti works in a ... JOB REQUISITION Senior Talent Manager LOCATION AMERICAS DELIVERY CENTER ADDITIONAL LOCATION(S) JOB...for a respective business area and manage key metrics ( utilization /chargeability/forecasting) . You will play a key role in… more
- Cardinal Health (Columbus, OH)
- …analytical methods across multiple laboratories. This includes protocol development, data review , and troubleshooting. + **Budget Management :** Develop and ... manage the budget for stability testing activities, ensuring cost-effective utilization of resources. + **Risk Management :** Conduct risk assessments related to… more
- Fifth Third Bank, NA (Cincinnati, OH)
- …services and technologies, as well as governance, oversight and monitoring functions of management and support functions. The Audit Project Manager I, conducts ... implementation and ongoing delivery of products, processes and services; and/or review of the technology, infrastructure and/or governance related to the business… more
- EMCOR Group (Cincinnati, OH)
- …transportation, and government sectors. **Job Title:** Quality and Compliance Manager **Job Summary:** Assumes the overall responsibility for the quality ... and compliance management of the client account portfolio. The Quality & Compliance Manager is responsible for working with the EMCOR departments, account teams… more
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