- 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
- 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 (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
- 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
- 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
- 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
- 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 (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
- Elara Caring (Akron, OH)
- …+ Previous experience with Homecare HomeBase is preferred You will report to the Clinical Manager or Clinical Supervisor _This is not a comprehensive ... our success in the following ways: + Assesses assigned case load of behavioral health care patients...and environmental needs of patients as evidenced by documentation, clinical records, Interdisciplinary Team reports, after hours reports, and… more
- CVS Health (Columbus, OH)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more