- Humana (Columbus, OH)
- …us put health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional who utilizes ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional… more
- Molina Healthcare (Columbus, OH)
- …chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and ... and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and… more
- Molina Healthcare (Dayton, OH)
- …chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and ... and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and… more
- Molina Healthcare (OH)
- …licensing mandate. + At least 2 years in case, disease or utilization management ; managed care; or medical/ behavioral health settings. + One year of ... Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional in Health Care Quality,… more
- Molina Healthcare (Cincinnati, OH)
- …implementation and training delivery for utilization management , care management , long-term services (LTSS), behavioral health , and other applicable ... systems analysis, and 1 year experience in a care management , utilization management , behavioral health , medical, or managed care setting, or… more
- Molina Healthcare (Columbus, OH)
- …program(s) proficiency. Preferred Qualifications * Utilization management , care management , behavioral health and/or long-term services and supports ... * At least 2 years health care experience, preferably in utilization management , care management , and/or managed care, or equivalent combination of… more
- CVS Health (Columbus, OH)
- …utilization /benefit management function **Required Qualifications** + Licensed independent Behavioral Health clinician (LISW, LPCC, LMFT) or a Registered ... with heart, each and every day. **Position Summary** The Behavioral Health UM Clinician position is designed...to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking… more
- Elevance Health (Columbus, OH)
- ** Behavioral Health Care Manager II** A proud member of the Elevance Health family of companies, **Carelon Behavioral Health ** , offers superior ... (EST) business hours with** **some weekends based upon organizational/business needs.** The ** Behavioral Health Care Manager II** is responsible for managing… more
- CVS Health (Columbus, OH)
- …+ Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate ... care issues through established channels + Ability to speak to medical and behavioral health professionals to influence appropriate member care. + Utilizes… more
- Bon Secours Mercy Health (Youngstown, OH)
- …**_* PRN position_** **Summary of Primary Function/General Purpose of Position** The Behavioral Health Registered Nurse (RN) functions as a care provider ... Collects and records nursing assessment of the physical and behavioral health status of the patient. *...patient outcomes are met. * Participates in the safe management of the milieu, intervening effectively with patients who… more
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