- Humana (Columbus, OH)
- …put health first** We're looking for a strategic and forward-thinking Lead Product Manager to shape and deliver impactful clinical solutions for our members and ... vision and strategy to execution and optimization. As a Lead Product Manager , you will work across multidisciplinary teams including design, engineering, clinical,… more
- Molina Healthcare (OH)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... 3 or more years in one or more of the following areas: utilization management, case management, care transition and/or disease management. + Minimum 2 years of… more
- Select Medical (Cleveland, OH)
- …preferred + Experience in ICD-10 coding preferred + Experience as a Case Manager in rehabilitation preferred **Additional Data** _Equal Opportunity Employer, ... Name:** Cleveland Clinic Rehabilitation Hospital - Fairhill **Position:** PPS Manager **Location:** Cleveland, OH **Hours:** 40 hours/week **Opening in October,… more
- CommonSpirit Health at Home (Cincinnati, OH)
- …embody our mission of delivering hope and healing to those we serve. As a Manager , Clinical Services you will contribute to the delivery of high quality care by ... of clinical care follows a physician's approved plan of treatment. The Manager , Clinical Services facilitates the completion of documentation to comply with… more
- Acxiom (Columbus, OH)
- The Expert Consultant - Solution Customer Success Manager for Adobe Workfront (Adobe Practice) will serve as the primary advocate for client success, ensuring ... reviews, health checks, and strategic planning sessions to ensure optimal platform utilization + Monitor client adoption metrics and engagement levels to predict and… more
- KeyBank (Brooklyn, OH)
- **Location:** 4900 Tiedeman Road - Brooklyn, Ohio 44144-2302 The Senior Quality Manager is a technical expert within the quality domain. This role drives the ... budget. This includes ability to understand and to promote automation, test case enhancements, performance and security testing, test data and test environment… more
- KPH Healthcare Services, Inc. (Maumee, OH)
- …to patients, nurses and physicians as required regarding the contents, utilization , therapeutic actions, possible adverse reactions, or interactions of drugs. + ... activities, educational programs, and departmental/branch meetings. + Drives the Primary Case Management Model (PCMM) in daily interactions through the delegation of… more
- Evolent (Columbus, OH)
- …Responsible for coordinating education and findings with matrixed Physician Business Manager . + Provides medical direction to the support services review process. ... Responsible for the quality of utilization review determinations, including appeals. + Provides input into...as needed for new hires and completes new hire case assessment working on any defined areas of opportunity.… more
- Bon Secours Mercy Health (Lorain, OH)
- …include discharge planning and coordination. Leads rehab team meetings when covering for case manager to discuss appropriateness of program and progress of ... to acute rehab unit. Maintains expertise in clinical field, utilization review and case management; communicates to...employees who serve in the admissions coordinator role or case manager role and provide shared coverage… more
- Bon Secours Mercy Health (Fairfield, OH)
- …as a Social Worker in state of practice (required, preferred in VA)Accredited Case Manager Certification (ACM) from American Case Management Association ... or Certified Case Manager (CCM) from Commission for Case Manager Certification (preferred)EducationBachelor of Social Work (required)Master's degree in… more