- 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
- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral ... health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the… more
- Molina Healthcare (OH)
- …sections and reviews behavioral health portions of state contracts. * Assists behavioral health medical director lead trainers in the development ... SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and...and chemical dependency services - working closely with regional medical directors to standardize behavioral health… more
- Molina Healthcare (OH)
- …requests for proposals (RFPs). + Contributes to the development and implementation of behavioral health medical policies, peer review processes, provider ... the medical necessity, appropriateness, and quality of behavioral health services (mental health ...health and at least 3 years as a medical director in a managed care setting… more
- Cleveland Clinic (Cleveland, OH)
- …and a dietitian. Some clinical duties include: providing evaluations for behavioral health needs, individual and group-based interventions for patients ... **Clinical Health Psychologist: Advanced Endoscopy Behavioral Medicine**...cover letter can be addressed to: Stephen Lupe, Psy.D. Director of Behavioral Medicine, Department of Gastroenterology,… more
- Cleveland Clinic (Cleveland, OH)
- …MBBS, MPH Director , Sleep Disorders Center & Michelle Drerup, PsyD, DBSM Director , Behavioral Sleep Medicine **About Us** Cleveland Clinic's vision is to ... ** Behavioral Sleep Medicine Psychologist** The Cleveland Clinic Sleep...Accredited Sleep Technologist Education Program and on-site CME. Distance health capabilities offer tele-sleep evaluations, shared group therapy appointments… more
- OhioHealth (Columbus, OH)
- …external business challenges; and recommends best practices to improve system delivery of behavioral health care and Graduate Medical Education. FACULTY ROLE ... core faculty position is responsible for independently directing the ACGME required behavioral health education of Family Medicine residents to include:… more
- Highmark Health (Columbus, OH)
- …**JOB SUMMARY** This role supports the Medical Policy team by bringing medical director level expertise, experience and knowledge to the team. They support ... the full-cycle ownership of commercial and Medicare Advantage medical policies, both developed internally and by vendors. This...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Bellefaire JCB (Shaker Heights, OH)
- …Service (TBS) Specialist, under the administrative/clinical supervision of the Clinical Director of Clinical Services, provides Therapeutic Behavioral Services ... partners and pets. Our offerings include: Our offerings include: + Comprehensive health and Rx plans, including a zero-cost option. + Wellness program including… more
- Highmark Health (Columbus, OH)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
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