• Behavioral Health Clinical

    Guardian Life (Columbus, OH)
    As the ** Behavioral Health Clinical Consultant ** resource in disability claims, you will be responsible for reviewing and analyzing a wide range of ... in determining claim liability and ensuring appropriate claim outcomes. The Behavioral Health Clinical Consultant collaborates with treating providers… more
    Guardian Life (09/20/25)
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  • Sr. Clinical Consultant Social…

    OhioHealth (Columbus, OH)
    **We are more than a health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use ... in high stress situations. **Responsibilities And Duties:** 30% Advanced Clinical Assessment Conducts patient/family/significant other interviews, chart reviews, and… more
    OhioHealth (09/18/25)
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  • Utilization Management Clinical

    CVS Health (OH)
    …to a fast-paced changing environment **Education** + Masters Level Education resulting in a Behavioral Health Clinical License OR Minimum of a Diploma RN ... thinking and is knowledgeable in clinically appropriate treatment, evidence based care and clinical practice guidelines for Behavioral Health and/or medical… more
    CVS Health (10/02/25)
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  • Clinical Consultant Social Worker…

    OhioHealth (Columbus, OH)
    **We are more than a health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use ... or eliminating, to the extent possible, the social, psychological, financial, behavioral , and regulatory barriers to successful medical outcomes. Deal with families… more
    OhioHealth (08/16/25)
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  • Behavioral Health Medical…

    Elevance Health (Mason, OH)
    ** Behavioral Health Medical Director-Psychiatrist Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... Monday - Friday. Half day Saturday rotation, once a month.** The ** Behavioral Health Medical Director-Psychiatrist Appeals** is responsible for the… more
    Elevance Health (09/10/25)
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  • Pharmacy Benefit Consultant

    Highmark Health (Columbus, OH)
    …**Job Description :** **JOB SUMMARY** Dynamic and results-oriented Pharmacy Benefit Consultant , serving as the client-facing expert, driving growth and retention of ... Consultation: Provide in-depth pharmacy benefit expertise, offering strategic guidance, clinical recommendations, and solutions tailored to individual client needs.… more
    Highmark Health (08/26/25)
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  • PMHNP -- ED & IP Behavioral Health

    Premier Health (Dayton, OH)
    **Part-Time / Tele- Behavioral Health ** **/ NIGHTS / 48 hours per pay** **General Summary/Responsibilities:** The NP - TELEBH (APRN) is practitioner, educator, ... consultant and researcher who collaborates with inter-disciplinary team and...versatile role that serves as a central contact for behavioral health intake and provides overnight … more
    Premier Health (08/08/25)
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  • Clinical Supervisor - Community Based…

    Applewood Centers (Cleveland, OH)
    …Summary: Applewood Centers is a private, nonprofit agency providing mental health services, social services and education to children, adolescents and families ... living in Cuyahoga and Lorain counties. Dedicated to addressing a variety of behavioral , emotional and learning problems, we provide a continuum of care from… more
    Applewood Centers (10/01/25)
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  • Clinical Councelor - VIP/Voca-Trauma…

    MetroHealth (Cleveland, OH)
    …review.** Qualifications: Required: Master's degree in Social Work, Counseling, or other Behavioral Health -related field of study from an institution accredited ... **Biweekly Hours:** **80.00** **Shift:** **8A-4:30P** **The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations… more
    MetroHealth (08/08/25)
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  • Medical Director-Dermatology Appeals

    Elevance Health (Mason, OH)
    …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... discuss review determinations + Serve as a resource and consultant to other areas of the company. + May...lead, develop, direct, and implement clinical and non- clinical activities that impact health care quality… more
    Elevance Health (10/01/25)
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