- Molina Healthcare (OH)
- …dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to ... -related regional medical necessity reviews and cross coverage. * Standardizes behavioral health -related utilization management, quality, and financial… more
- Elevance Health (OH)
- ** Behavioral Health Care Manager I - (Day...laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in ... + Monday-Friday 9am-6pm EST + Monday-Friday 11am-8pm EST The ** Behavioral Health Care Manager I - (Day...substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or… more
- CVS Health (Columbus, OH)
- …using Motivational Interviewing and good technological skills + Valid unrestricted independent professional behavioral health clinical license to practice ... + Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate… more
- Centene Corporation (Columbus, OH)
- …certification in general psychiatry or child psychiatry. + 5+ years of experience working in behavioral health managed care or behavioral health clinical ... everything for our 28 million members as a clinical professional on our Medical Management/ Health Services team....facilitate implementation of recommendations to providers that would improve utilization and health care quality. + Reviews… more
- Elevance Health (Mason, OH)
- ** Behavioral Health Medical** **Director-Psychiatrist** **Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... The **Medical Director** is responsible for the administration of behavioral health medical services, to ensure the...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
- Bon Secours Mercy Health (Youngstown, OH)
- …Elizabeth Youngstown Hospital** **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse (RN) functions as a care ... Collects and records nursing assessment of the physical and behavioral health status of the patient. +...the core concepts and intention of the BSMH Nursing Professional Practice Model. _This document is not an exhaustive… more
- CenterWell (Columbus, OH)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... **Become a part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care givers… more
- Molina Healthcare (Dayton, OH)
- …professionals in some or all of the following functions: care management, utilization management, behavioral health , care transitions, long-term services ... Assists in implementing health management, care management, utilization management, behavioral health and...state of practice. * Certified Case Manager (CCM), Certified Professional in Health Care Management certification (CPHM),… more
- Bon Secours Mercy Health (Lima, OH)
- At Bon Secours Mercy Health , we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... clinicians are recognized for clinical and operational excellence. **Mercy Health ** Intro paragraph As a faith-based and patient-focused organization, Mercy … more
- Bon Secours Mercy Health (Lima, OH)
- At Bon Secours Mercy Health , we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... is accountable for quality patient care, efficient financial and resource utilization , staff development, and coordination of interdepartmental activities on an… more