• Medical Director - Commercial

    Elevance Health (Cincinnati, OH)
    …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... East Coast time zone hours.** The **Medical Director** will be responsible for utilization review case management for Commercial business in the New England (CT, ME,… more
    Elevance Health (07/25/25)
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  • LTSS Service Coordinator - Clinician (Case…

    Elevance Health (Canton, OH)
    …informed, culturally competent, person‐centered coordination for all members that addresses physical health , behavioral health , long term services and ... evaluation, coordination and management of member's needs, including physical health , behavioral health , social services... care team, to ensure cost effective and efficient utilization of health benefits. + Decision making… more
    Elevance Health (07/15/25)
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  • Dental Network Service Representative

    Highmark Health (Columbus, OH)
    …agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees. ... designs, competitive position, product development, network options, strategic partnerships, utilization review, local/national client demographics and dentist distribution. Interpret… more
    Highmark Health (06/27/25)
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  • Business Information Consultant

    Elevance Health (Columbus, OH)
    …informed, culturally competent, person‐centered coordination for all members that addresses physical health , behavioral health , long term services and ... and analyzes business performance reports (eg for claims data, provider data, utilization data) to ensure operational performance objectives are met. + Creates and… more
    Elevance Health (07/25/25)
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  • Kinesiotherapist (Clinical Specialist)

    Veterans Affairs, Veterans Health Administration (Chillicothe, OH)
    …program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Qualifications Basic Requirements: United States Citizenship: ... from a program accredited by the Commission on Accreditation of Allied Health Education Program, with a concentration/emphasis in kinesiotherapy. OR (2) A bachelor's… more
    Veterans Affairs, Veterans Health Administration (07/24/25)
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  • Community Relations Consultant - Ohio MyCare

    Elevance Health (Columbus, OH)
    …informed, culturally competent, person‐centered coordination for all members that addresses physical health , behavioral health , long term services and ... and other community organizations in educational and outreach activities. + Tracks utilization of company contributions. + Serves as a representative at company… more
    Elevance Health (07/12/25)
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  • Hospital Liaison- Patient Health Advocate

    Somatus (Cleveland, OH)
    …Records) systems + Minimum three (3) years working with patients with chronic and/or behavioral health needs Ability to be credentialed in local hospital system. ... **Showing Up for You** We offer more than 25 Health , Growth, and Wealth Work Perks to help teammates...vision) + Accrual of 3 weeks' Vacation (PTO) + Professional Development, CEU, and Tuition Reimbursement + Curated Wellness… more
    Somatus (07/22/25)
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  • Child Psychologist

    ProMedica Health System (Toledo, OH)
    …mental health , medical, financial, and legal sources, represents outpatient behavioral health services in such networks. Assist clients in identifying ... established policies and procedures, provides outpatient and/or inpatient mental health therapy and psychological testing assessment. Using professional … more
    ProMedica Health System (07/18/25)
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  • Case Manager-Sbhi

    Premier Health (Eaton, OH)
    Case Manager FACILITY: SAMARITAN BEHAVIORAL HEALTH Case Manager functions as a member of a team to assist in the planning, development, and delivery of ... for administration and reporting of outcome measures and documentation of utilization management of clinical care. . Demonstrate knowledge of other regulatory… more
    Premier Health (06/05/25)
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  • Therapist LISW/PCC

    Premier Health (Dayton, OH)
    Facility: Samaritan Behavioral Health , Inc The therapist plans and delivers outcome-effective clinical, case coordination, intervention, prevention, and/or ... consultation mental health services to pediatrics and their parents, and the...administration and reporting of outcome measures and documentation of utilization management of clinical care. . Demonstrate knowledge of… more
    Premier Health (07/03/25)
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