- Elevance Health (Columbus, OH)
- …informed, culturally competent, person‐centered coordination for all members that addresses physical health , behavioral health , long term services and ... community. + Coordinates volunteer activities by planning, organizing and providing volunteer management for events. + Responds to requests for funding. + Conducts… more
- Somatus (Columbus, 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...leadership and/or provider engagement to build relationships with case management teams at strategic facilities in assigned area as… more
- Highmark Health (Columbus, OH)
- **Company :** Highmark Health **Job Description :** Entirely Remote Work From Anywhere Role! We are seeking an experienced Software Engineering Manager to lead our ... Join us and build the future of AI! **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, but are not limited to: involved in hiring and… more
- Highmark Health (Columbus, OH)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role is responsible for designing, developing, implementing, supporting, and optimizing ... solutions, networks, and infrastructure. Ensure optimal technology selection, resource utilization , and seamless integration. + Utilize modeling tools to develop… more
- Highmark Health (Columbus, OH)
- …portfolio of AI-powered products, including a core administrative platform, modular utilization and care management solutions, patient-focused digital products, ... Marketing qualified leads and sales qualified leads. + Opportunity Pipeline Management : Manage and forecast the sales pipeline, providing accurate revenue… more
- 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… more
- Highmark Health (Columbus, OH)
- …sales revenue and expanding market share through new client acquisition and relationship management . The ideal candidate will have a strong background in B2B sales, ... as: Financial Services, Utilities, Property and Casualty Insurance + CRM utilization **Preferred** + Transactional print and mail and digital delivery experience… more
- 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 ... administration and reporting of outcome measures and documentation of utilization management of clinical care. . Demonstrate...Minimum of two (2) years' experience in the mental health and/or drug and alcohol field. . Working knowledge… more
- Molina Healthcare (Cincinnati, OH)
- …State Registered Nursing (RN) license in good standing. + Utilization Management Certification (CPHM) Certified Professional in Health Care Quality (CPHQ), ... plan and coordinate an integrated delivery of care across the continuum, including physical health and behavioral health , for members with high need… more
- Molina Healthcare (Akron, OH)
- …comply with CMS guidelines. These staff may also be involved in providing utilization management /prior authorization services as needed. * Supervises the unit's ... eligible members as well as Medication Adherence Programs for STAR, HEDIS and behavioral health medications. * Ensures that adequate staffing coverage is present… more