• Clinical Case Manager

    CVS Health (Columbus, OH)
    …treatment/services. + Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, ... such as ambulatory care or outpatient clinic/facility. + Active and unrestricted Independent Behavioral Health clinical license in the state of Ohio. ( Ex… more
    CVS Health (09/05/25)
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  • Clinical Case Manager

    CVS Health (Columbus, OH)
    …that empowers individuals to achieve better health outcomes. As a Behavioral Health Case Manager , you'll use your clinical expertise to support members ... Coordinate services across behavioral , physical, and psychosocial domains. + Apply clinical guidelines and case management best practices to ensure quality,… more
    CVS Health (10/29/25)
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  • Behavioral Health Case

    Elevance Health (Cincinnati, OH)
    …- Friday + 9:00am - 5:30pm Eastern Time + 10:00am - 6:30pm Eastern Time The ** Behavioral Case Manager ** is responsible for performing case management ... ** Behavioral Health Case Manager ...for this position. **Preferred Skills, Capabilities, and Experiences:** + Clinical experience in behavioral health preferred. +… more
    Elevance Health (10/28/25)
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  • Behavioral Health Case

    Elevance Health (OH)
    …is granted as required by law Work hours: Monday - Friday 10am - 630pm EST The ** Behavioral Health Case Manager I** is responsible for performing case ... management telephonically within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. Primary duties may… more
    Elevance Health (10/30/25)
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  • Behavioral Health - Care Manager II

    Elevance Health (Mason, OH)
    ** Behavioral Health - Care Manager II** **Location** : _Virtual:_ This role enables associate to work virtually full-time, with the exception of required ... an accommodation is granted as required by law. The ** Behavioral Health - Care Manager II** is...an impact:** + Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access… more
    Elevance Health (10/22/25)
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  • Sr. Clinical Consultant Social Worker…

    OhioHealth (Columbus, OH)
    …for individuals from at-risk populations from interdisciplinary team members (including physicians, Case Managers, staff nurses and other members of the care team). ... responsibilities for scheduling staff, daily assigning of cases, and assisting the manager with direct supervision of the social work staff and masters level… more
    OhioHealth (09/18/25)
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  • Telephonic Nurse Case Manager

    Humana (Columbus, OH)
    …a part of our caring community and help us put health first** The Telephonic Nurse Case Manager will be a member of the In-Home Case Management Team, ... case management throughout the continuum of care. The case manager will offer guidance, support, and...beneficiary's capacity for self- care, to cost-effectively achieve desired clinical outcomes and to enhance quality of medical care.… more
    Humana (10/23/25)
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  • Complex Case Manager RN - GI Nurse…

    Highmark Health (Columbus, OH)
    …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
    Highmark Health (10/28/25)
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  • Licensed Social Worker - Case

    Molina Healthcare (Columbus, OH)
    …services. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active and unrestricted Certified Case Manager (CCM) Active, unrestricted State Nursing license ... members on Waiver program. This position will have a case load and manage members enrolled in this program....an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high… more
    Molina Healthcare (08/14/25)
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  • Medical Director, Behavioral Health (NE)

    Molina Healthcare (OH)
    …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... to provide quality and cost-effective member care. Essential Job Duties * Provides behavioral health oversight and clinical leadership for health plan and/or… more
    Molina Healthcare (10/23/25)
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