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Director of field coordination full time jobs

- 18 jobs
  • Director Case Management / Utilization Management / CDI

    Butler Recruitment Group

    Buckeye Lake, OH

    Job Description TITLE: Director Case Management / Utilization Management / CDI Now is your chance to join a Forbes magazine top 100 hospital where career growth and opportunity await you. They are committed to building healthcare teams whose care exceeds the expectations of their patients and community and are looking for quality talent who share the same values. They're nestled in a beautiful rural setting but close enough to the big city to enjoy that too! If that sounds like the change you are looking for, please read on... What they're looking for: -Master's degree in nursing, Healthcare Administration, or Business Administration required. -Current Ohio RN licensure (or active multi-state licensure). -Certified Case Manager(CSM). -At least three (3) years of management or demonstrated leadership experience required. -Knowledge of prospective payment systems, managed care, infection control surveillance, patient care, disease processes, discharge planning, and continuum of services offered within Genesis and externally. Knowledge of coding, mid-revenue cycle, CDI, physician advisor and payor relations. -Ability to perform data analysis and to utilize computer systems to record and communicate information to other services. -The ability to lead collaboration with other leaders in the organization, especially about the delivery of high-quality, timely, and right site of care. -Excellent leadership, verbal and organizational skills to order to steer the case management process. Hours and compensation potential: -The position is full time. -The range starts at $62.50hr($130K)-$75hr($156K) depends on years of experience. -Full benefits package being offered. What you'll be doing: -Responsible for developing, planning, evaluating, and coordinating comprehensive patient care across the continuum, to enhance quality patient care while simultaneously promoting cost-effective resource utilization. Provides director-level oversight of Inpatient and ED Case Management, Utilization Management and Clinical Documentation Integrity programs, ensuring alignment with organizational goals and regulatory requirements. Monitors patient care, including utilization, quality assurance, discharge planning, continuity of care, and case management activities, and ensures that these functions are integrated into overall hospital operations. Coordinate and monitors activities with appropriate members of the health care team to promote efficient use of hospital resources, facilitate timely discharges, prevent and control infections, promote quality patient care, and reduce risk and liability. Collaborates closely with coders and revenue cycle teams to optimize clinical documentation and support accurate coding, reimbursement, and compliance initiatives. -Responsible for identifying tracking mechanisms in order to evaluate and achieve optimal financial outcomes, to enhance quality patient care, and promote cost-effective resource utilization. -Uses data to drive decisions, plan, and implement performance improvement strategies for case management, utilization management, and clinical documentation integrity -Coordinates daily activities of the Case Management, UM, and CDI Department in order to promote quality patient care, efficient use of hospital resources, facilitate timely and adequate discharges, and reduce risk and liability. -Investigates and initiates follow-up on utilization denials, contract negotiations, and external regulatory agencies' requirements. -Directs operations of our Physician Advisor Program, including analysis of performance through reporting and committee involvement and oversight. -Actively serves on hospital committees and teams and facilitates opportunities for employees to do the same. -Develops, performs, and improves personal and departmental knowledge of computer software and reporting functions. -Organizes and oversees the maintenance of denial and appeal activity. Follows up with physicians and others when indicated. -Prepares or coordinates the preparation of periodic and special reports required by various agencies, insurance contracts, and for hospital committees. -Analyzes and trends data results in order to incorporate efforts and information results with existing systems to optimize the efficiency of operational systems through strategic quality lead
    $130k yearly 20d ago
  • Chief of Employer Services (Administrative Staff) PN 20066060

    Dasstateoh

    Columbus, OH

    Chief of Employer Services (Administrative Staff) PN 20066060 (250008TH) Organization: Workers' CompensationAgency Contact Name and Information: BWC Human Resources, ********************** Unposting Date: OngoingWork Location: William Green Building 30 West Spring Street Columbus 43215-2256Primary Location: United States of America-OHIO-Franklin County-Columbus Compensation: Based on experience, not to exceed $72.60/Hr.Schedule: Full-time Work Hours: 8:00 - 5:00Classified Indicator: UnclassifiedUnion: Exempt from Union Primary Job Skill: BusinessTechnical Skills: Budgeting, Executive Leadership, Policy DirectionProfessional Skills: Attention to Detail, Decision Making, Organizing and Planning, Verbal Communication, Written Communication Agency OverviewA Little About Us:With roughly 1,500 employees in 7 offices across Ohio, BWC is the state agency that cares for Ohio workers by promoting a culture of safety at work and at home and ensuring quality medical and pharmacy care is provided to injured workers. For Ohio employers, we provide insurance policies to cover workplace injuries and safety and wellness services to prevent injuries. Our Culture:BWC is a dynamic organization that offers career opportunities across many different disciplines. BWC employees strive to maintain an inclusive workplace. We begin by being an equal opportunity employer. Employees can participate in and lead employee resource groups, participate in online forums discussing society's impact on our services and workplace, and learn about how different perspectives can improve leadership skills. Our Vision:To transform BWC into an agile organization driven by customer success.Our Mission:To deliver consistently excellent experiences for each BWC customer every day.Our Core Values:One Agency, Personal Connection, Innovative Leadership, Relentless Excellence.What our employees have to say:BWC conducts an internal engagement survey on an annual basis. Some comments from our employees include:BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work.I have worked at several state agencies and BWC is the best place to work.Best place to work in the state and with a sense of family and support.I love the work culture, helpfulness, and acceptance I've been embraced with at BWC.I continue to be impressed with the career longevity of our employees, their level of dedication to service, pride in their work, and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC.Job DescriptionBWC's core hours of operation are Monday-Friday from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWC's seven offices across the state. BWC offers flex-time work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval.What You'll Be Doing:Lead the creation and implementation of policies for multiple units, including Business Consulting, Underwriting, Premium Audit, Employer Programs, Outreach, Compliance, Self-Insured, and Systems Support.Develop and manage both short and long term business plans to ensure services meet the needs of Ohio's injured workers and employers.Oversee budgeting activities to ensure financial efficiency and compliance across Employer Management Services.Represent BWC positively by building strong relationships with industry groups and the public; deliver presentations to stakeholders, legislators, and community members.Directly supervise department directors, assess staffing needs, and make key personnel decisions including hiring, promotions, and disciplinary actions.Coordinate and implement employer related programs, ensuring alignment with field staff and the Division of Safety & Hygiene.Handle sensitive documents with discretion, determining appropriate access to confidential information.Major Worker Characteristics:Knowledge of: Agency, Division & Departmental policies & standard operating procedures*; supervisory principle & techniques; employee training & development business administration; applicable state & federal laws, rules, procedures & standards governing fiscal & budgetary operations*; interviewing; counseling; human & public relations; State & federal laws related to governing Workers' Compensation*, management, manpower planning, strategic planning, government structure & processes, labor laws, budgeting, public relations, customer service. Skill in: innovative measures, creative & analytical thinking, high level communication, policy development & implementation, software (e.g. MS Office Suite, MS Project) *; use of field management & tracking tools; operation & updating BWC Systems (e.g. CoreSuite, UDS) *. Ability to: function in fiduciary capacity (i.e. pursuant to OAC 123:1-5-01 Unclassified service) **; identify problems in complex sets of variables, adapt professionally to unexpected demands, speak & present complex & sensitive issues to large groups & portray positive image, remain abreast of current business trends, gather critical data & draft reports, address sensitive inquiries. build & maintain a positive working atmosphere of growth & participation; define problems, collect data, establish facts & draw valid conclusions; read & record figures accurately; maintain accurate records. (*) developed after employment Why Work for the State of OhioAt the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes: Medical Coverage Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period Paid time off, including vacation, personal, sick leave and 11 paid holidays per year Childbirth, Adoption, and Foster Care leave Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more) Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation) *Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.QualificationsPreferred Qualifications:5+ years of experience in policy development and implementation within large organizations, with strong knowledge of agency, division, and departmental procedures.3+ years of experience in strategic business planning, including the development of both short and long term plans that address stakeholder needs.4+ years of experience in budget oversight, ensuring financial efficiency and compliance with fiscal policies.3+ years of experience engaging with stakeholders, maintaining positive relationships with industry groups and the public, and representing the organization effectively.5+ years of supervisory experience, including responsibility for staffing decisions such as hiring, promotion, discipline, and performance management. Unusual Working Conditions:This position is overtime exempt.THIS POSITION IS UNCLASSIFIED PERSUANT TO ORC 124.11(A)(9).Position requires travel; therefore, persons occupying this position must provide their own transportation and/or legally operate a state owned vehicle.The final external applicant selected for this position will be required to submit to urinalysis prior to appointment to test for illegal drug use. An applicant with a positive test result will NOT be offered employment.The final applicant for this position must submit to and pass an extensive background check by the Ohio State Patrol prior to appointment.WEATHER ESSENTIAL EMERGENCY EMPLOYEESupplemental InformationEEO & ADA Statement:The State of Ohio is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees due to protected classes as defined in applicable federal law, state law, and any effective executive order.The Ohio Bureau of Workers' Compensation is committed to providing access and reasonable accommodation in its employment opportunities pursuant to the Americans with Disabilities Act and other applicable laws. To request a reasonable accommodation due to disability, pregnancy, or religion, please contact the ADA mailbox at: BWCADA@bwc.ohio.gov.Educational Transcripts:For any educational achievements to be considered during the screening process, you must at least attach an unofficial transcript that details the coursework you have completed.All applicants must submit an Ohio Civil Service Application using the online Ohio Hiring Management System. Paper applications will not be accepted.Background Check:Prior to an offer of employment, the final applicant will be required to sign a background check authorization form and undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position.ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.
    $72.6 hourly Auto-Apply 20h ago
  • Director of Home Care & Residential Services - RN

    Visiting Angels 4.4company rating

    Columbus, OH

    Classification: Full-Time | Exempt Are you a proven leader with a passion for senior care and operational excellence? Join Visiting Angels Columbus West, a top-rated home care agency, as our Director of Home Care & Residential Services. This is a high-impact leadership opportunity to oversee agency operations and play a key role in launching a new 16-bed residential assisted living facility in 2025. We are seeking a strategic, compassionate professional who can lead a high-performing team, ensure compliance and quality care, and drive the growth of both our home care services and new residential program. Why Join Visiting Angels Columbus West Purpose-Driven Work Make a difference in the lives of seniors and their families by overseeing the delivery of personalized, high-quality care. Leadership Opportunity Lead a growing team across two care models-home care and residential assisted living-shaping the culture and systems from the ground up. Collaborative Culture Join a tenured and mission-aligned leadership team that values accountability, innovation, and relationship-based care. Room to Grow Contribute to long-term strategy, drive operational improvements, and be a key player in our next chapter of expansion. Key Responsibilities Oversee all aspects of home care operations: staffing, scheduling, compliance, client intake, care management, and client satisfaction Lead the development, implementation, and continuous improvement of caregiver training, onboarding, and retention strategies Manage and coach office staff, Client Care Managers, and caregivers; conduct performance evaluations and provide ongoing feedback Lead the planning, licensing, and operational launch of a new 16-bed residential assisted living home in 2025 Monitor and report on Key Performance Indicators (KPIs) to ensure service quality, financial performance, and team engagement Ensure regulatory compliance across all services (home care and residential), including licensure, inspections, and standards of care Maintain strong relationships with clients, families, caregivers, and community partners Manage financial performance including budget oversight, billing, payroll, and vendor coordination Respond to on-call evening and weekend demands as part of a shared leadership rotation Qualifications Bachelor's degree in Business Administration, Healthcare Management, or a related field required Minimum 5 years of leadership experience in home care, senior living, hospice, or a healthcare operations setting Proven track record in staff development, compliance oversight, and financial management Experience with scheduling platforms, CRM/EMR systems, and Microsoft Office Strong leadership presence, high emotional intelligence, and ability to manage change Clear and professional communication skills, both written and verbal Ability to problem-solve, think critically, and make informed decisions Must have reliable transportation and be available to support the business outside standard office hours when needed We Offer Competitive salary with performance-based bonus potential 401(k) retirement plan Paid time off and holidays Supportive leadership team and positive workplace culture A meaningful opportunity to lead a mission-driven organization and expand your impact in senior care
    $52k-87k yearly est. Auto-Apply 60d+ ago
  • Director of Employer Outreach & Consulting (Administrative Staff) PN 20078541

    State of Ohio 4.5company rating

    Columbus, OH

    Director of Employer Outreach & Consulting (Administrative Staff) PN 20078541 (250008U6) Organization: Workers' CompensationAgency Contact Name and Information: BWC Human Resources, ********************** Unposting Date: OngoingWork Location: William Green Building 30 West Spring Street Columbus 43215-2256Primary Location: United States of America-OHIO-Franklin County-Columbus Compensation: Based on experience, not to exceed $68.50/HrSchedule: Full-time Work Hours: 8:00 - 5:00Classified Indicator: UnclassifiedUnion: Exempt from Union Primary Job Skill: BusinessTechnical Skills: Insurance, Project Management, Policy DirectionProfessional Skills: Attention to Detail, Decision Making, Organizing and Planning, Verbal Communication, Written Communication Agency OverviewA Little About Us:With roughly 1,500 employees in 7 offices across Ohio, BWC is the state agency that cares for Ohio workers by promoting a culture of safety at work and at home and ensuring quality medical and pharmacy care is provided to injured workers. For Ohio employers, we provide insurance policies to cover workplace injuries and safety and wellness services to prevent injuries. Our Culture:BWC is a dynamic organization that offers career opportunities across many different disciplines. BWC employees strive to maintain an inclusive workplace. We begin by being an equal opportunity employer. Employees can participate in and lead employee resource groups, participate in online forums discussing society's impact on our services and workplace, and learn about how different perspectives can improve leadership skills. Our Vision:To transform BWC into an agile organization driven by customer success.Our Mission:To deliver consistently excellent experiences for each BWC customer every day.Our Core Values:One Agency, Personal Connection, Innovative Leadership, Relentless Excellence.What our employees have to say:BWC conducts an internal engagement survey on an annual basis. Some comments from our employees include:BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work.I have worked at several state agencies and BWC is the best place to work.Best place to work in the state and with a sense of family and support.I love the work culture, helpfulness, and acceptance I've been embraced with at BWC.I continue to be impressed with the career longevity of our employees, their level of dedication to service, pride in their work, and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC.Job DescriptionBWC's core hours of operation are Monday-Friday from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWC's seven offices across the state. BWC offers flex-time work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval.What You'll Be Doing:Manage statewide operations of the Employer Management Service and Employer Outreach & Consulting Programs, including policy and program development, evaluation, and oversight.Serve as a liaison between employers, BWC leadership, stakeholders, and the public to communicate and share critical information.Lead and contribute to short and long term strategic planning efforts aimed at increasing productivity, reducing service costs, and generating premium for the State Insurance Fund.Coordinate program operations across divisions and departments, and establish both annual and long range goals for the agency.Develop and implement policies, procedures, and laws related to underwriting, ensuring staff are trained and compliant.Evaluate and recommend updates to the Ohio Administrative Code to support strategic initiatives and the development of new programs.Represent the division on agency-wide issues, including employer fraud prevention, training seminars, and employer focused programs.Major Worker Characteristics:Knowledge of budgeting, accounting, management, work force planning, employee training & development, supervision, public relation, human relations, BWC policies & Procedures*; counseling; interviewing; business; WC Law*; Federal State tax*. Skill in operating personal computer. Ability to deal with many variables & determine specific action; read & record figures accurately comprehend & record figures accurately, add, subtract, multiply & divide whole number; complete routine forms; maintain accurate records; interview job applicants effectively; understand manual & verbal instructions, technical in nature; prepare meaningful, concise & accurate reports; proofread technical materials, recognize errors & make corrections; use proper research methods in gathering data; gather, collate & classify information about data, people or things; work alone on most tasks; handle sensitive inquiries from & contacts with officials & general public; resolve complaints from angry citizens & government officials. (*) developed after employment Why Work for the State of OhioAt the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes: Medical Coverage Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period Paid time off, including vacation, personal, sick leave and 11 paid holidays per year Childbirth, Adoption, and Foster Care leave Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more) Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation) *Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.QualificationsPreferred Qualifications:Education Bachelor's degree in a relevant field such as Business Administration, Public Administration, Law, Communications, or a related discipline.Experience5+ years of experience in operations management, strategic planning, and policy development, preferably in a public sector, insurance, or regulatory environment.4+ years of experience coordinating programs, setting organizational goals, and collaborating across departments to achieve strategic objectives.3+ years of experience in stakeholder engagement, public speaking, and representing an organization to external audiences, including advocacy and liaison roles.Skills Proven ability to develop and implement policies and procedures, interpret laws and regulations, and lead cross-functional initiatives.Strong analytical, problem solving, and data analysis skills, with experience using performance metrics to drive decision making.Excellent verbal and written communication skills, with the ability to build relationships with diverse stakeholders and communicate complex information clearly.Demonstrated leadership and supervisory experience, with strong organizational and project management abilities. Unusual Working Conditions:This position is overtime exempt.THIS POSITION IS UNCLASSIFIED PERSUANT TO ORC 124.11(A)(9).Position requires travel; therefore, persons occupying this position must provide their own transportation and/or legally operate a state owned vehicle.The final external applicant selected for this position will be required to submit to urinalysis prior to appointment to test for illegal drug use. An applicant with a positive test result will NOT be offered employment.The final applicant for this position must submit to and pass an extensive background check by the Ohio State Patrol prior to appointment. Supplemental InformationEEO & ADA Statement:The State of Ohio is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees due to protected classes as defined in applicable federal law, state law, and any effective executive order.The Ohio Bureau of Workers' Compensation is committed to providing access and reasonable accommodation in its employment opportunities pursuant to the Americans with Disabilities Act and other applicable laws. To request a reasonable accommodation due to disability, pregnancy, or religion, please contact the ADA mailbox at: BWCADA@bwc.ohio.gov.Educational Transcripts:For any educational achievements to be considered during the screening process, you must at least attach an unofficial transcript that details the coursework you have completed.All applicants must submit an Ohio Civil Service Application using the online Ohio Hiring Management System. Paper applications will not be accepted.Background Check:Prior to an offer of employment, the final applicant will be required to sign a background check authorization form and undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position.ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.
    $68.5 hourly Auto-Apply 18h ago
  • Community Director

    Dietz Property Group 3.7company rating

    Columbus, OH

    Dietz Property Group is looking to hire a full-time, Community Director to help lead one of our residential multifamily properties in the Columbus, OH area. This Community Director position earns a competitive base wage, plus bonuses. We offer a competitive base wage, commissions, and a great benefits package including: Medical/Dental/Vision, Heath (HSA) and Flexible (FSA) Spending Accounts, Disability and Life Insurance, 401k (with Company match), and generous paid time off program including Paid Sick Leave, 12 Paid Holidays, Charitable Time Off, Paid Jury Duty, Bereavement Leave, and more! OVERVIEW: As a Community Director for Dietz Property Group, you will lead staff to provide excellent customer service and property management with the goal of creating a desirable place to reside thereby maximizing the property's performance. Daily duties include guiding and encouraging staff members, showing apartments to potential residents, collecting rent, and professionally addressing resident questions/needs. In addition to residents and coworkers, you and your Maintenance Supervisor communicate and coordinate with vendors and outside contractors on a regular basis, keeping great resident relations with resident events. Though some duties are daily/weekly, each day will be something different. You love that you are never bored! And, most of all, you feel great about the important part you play in our success as the face of our property management company! At Dietz Property Group (DPG), we are committed to doing The Right Thing The Right Way, Doing What We Say We Are Going To Do, Saying and Listening to What Needs to Be Said, being Driven and showing we Care. Our purpose is to learn and grow together while purposely creating value for our residents, team members and clients. DUTIES: The specific duties include, but are not limited to, the following: * Assess, monitor and supervise the needs of the staff and ensure completion of assigned duties. * Complete required property inspections and ensure that follow-up work is completed as scheduled. * Provide quality, professional service to the resident. * Monitor the financial status of the property ensuring that the budget objectives are met. * Initiate and oversee all marketing activities to meet or exceed the owner's objectives. * Oversee the maintenance operations to ensure that work is completed in a timely and quality manner. * Follow all company procedures for documenting and reporting property activities. * Maintain a "teamwork" atmosphere within the work force. * Assist with the organization and implementation of on-site social. * Maintain annual operating budget. * Other duties as assigned. These items are considered to be essential functions of this position. (Notes: These essential functions may vary from site to site due to site specific issues) KNOWLEDGE/SKILLS: Communication skills must be utilized in order to develop on-site employees, ensure service to residents, and establish and coordinate the work of staff and vendors. Ability to analyze the financial position of the property, ability to utilize information to make decisions and solve problems. Ability to delegate assignments and ensure completion. THE SUCCESSFUL CANDIDATE WILL HAVE: At least 3 years of experience in managing apartment communities/properties. 2+ years' experience managing property teams (maintenance and support staff). Experience with Word, Excel, Publisher, Outlook and internet. Experience with Multifamily software (ex. Real Page, MRI, Yardi, Knock, etc.) PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position requires standing, sitting, walking. The employee must frequently lift and/or move items up to 20 pounds. Driving a vehicle. CORE VALUES: * The Right Thing. The Right Way. * Do what you say you are going to do. * Say and listen to what needs to be said. * Entreprenurial. * Care. ACCOUNTABILITIES: * Lead, Manage, Accountability * Site Integrator * Process Integration * P & L * Business Plan * Remove Obstacles/Barriers * Marketing Plans * MRI Compliance & Reporting * Customer Satisfaction WORK SCHEDULE This is a full-time Community Director position for which the hours vary depending on the property needs but mostly is an M-F 9 to 6. READY TO JOIN OUR RESIDENTIAL PROPERTY MANAGEMENT TEAM? Are you the right leader for this job leading a residential apartment community? If yes, please complete our initial 3-minute, mobile-friendly application. We look forward to meeting you! Dietz Property Group is an Equal Opportunity Employer.
    $30k-37k yearly est. 23d ago
  • Program Director - Core Services

    Central Clinic Behavioral Health 3.8company rating

    Cincinnati, OH

    Join our Mission-Driven, 5-time Top Workplace Award Winning Organization POSITION: Program Director - Core Services LOCATION: 311 Albert Sabin Way, Cincinnati, OH 45229 PROGRAM/DEPARTMENT: Central Connection EMPLOYMENT TYPE: Full Time; 40 Hours Per Week; Monday - Friday ABOUT US At Central Clinic Behavioral Health, our mission is to inspire meaningful change by creating options and choices through compassionate approaches to behavioral health services that foster recovery and resiliency for children, adults, families and communities. Our goal is to connect the right people to the right behavioral health service at the right time. One person's healing has a cascading effect that not only helps one, but also the wellness of the family and ultimately the community. We serve all communities with dignity and dedication and believe everyone deserves access to high-qualiity, compassionate care. Our employees are the heart of that mission. WHY WORK WITH US? Award-Winning Culture: As a 5-time Top Workplace Award Winner, our employees are at the core of everything we do, and we are committed to fostering a culture rooted in teamwork, open mindedness, and accountability where everyone feels supported and empowered to grow-both professionally and personally. We prioritize employee wellness, ongoing training, and a collaborative environment where everyone's voice matters. You will find a community of professionals who support each other-and our clients-with compassion and respect. Competitive Benefits Package: Competitve salary with annual increases based on merit/performance Salary increases with new licensures Full health, dental & vision insurance with employer contribution Clinical supervision and licensure support provided Generous paid time off-Year 1 of employment-4 weeks of PTO and 11 paid holidays Service delivery bonuses, for applicable roles Short-term disability-offered at no cost to all employees 401(k) available after one year of employment Employee wellness programs Ongoing training and CEU opportunities Flexible scheduling for many roles PROGRAM SUMMARY As the front door to the Hamilton County public behavioral health system, Central Connection provides standaridized entry into a system of care that ensures that services are available, accessible, and high quality. Central Connection staff are available 24/7 365 to answer calls and connect consumers to appropriate services. Our primary function is to access, authorize and connect individuals and families to the appropriate behavioral health services. Clinicians can provide assessments, transitional case management and transitional medication services, coordinate referrals,, provide housing assessments, and application assistance for Medicaid and Social Security enrollment. PROGRAM SUMMARY Reporting to the Division Director, Cenntral Connection - responsible for program oversight for Central Connection Core Services which includes the Hamilton County Crisis Center, ensuring alignment with Central Clinic's organizational mission, vision, and values. Lead and inspire a multidisciplinary team, promoting teamwork, accountability, wellness, and commitment to community. Oversee day-to-day program operations to ensure efficient, effective, and compliant delivery of servicees. Build and maintain strong relatiionships with referral partners, community agencies, funders, and internal stakeholders. Represent the organization at cocmmunity meetings, advisory boards, and outreach events. Collaborate with cross-functional teams to improve access, reduce barriers, and expand services. Ensure timely documentation and adherence to clinical, operational, and billing standards. Hire, train, supervise, and develop program staff, including clinicians and support roles. Conduct regular coaching and performance reviews. Support employee engagement, recognition, and retention through consistent communication and clear expectations. Promote a positive culture where staff feel valued, supported, and empowered. WHAT WE VALUE IN OUR NEXT FAIR & HOPE PROGRAM DIRECTOR Master's Degree plus independent licensure in mental health field or social work required. Minimum ten years clinical/supervisory/management/administrative experience preferred. Experience in Medicaid, managed care and/or care coordination setting. Experience in the Hamilton County behavioral health service system. Preferred experience with Jobs and Family Services, Developmental Disabilities, and Juvenile Court. Ready to Make a Difference? At Central Clinic Behavioral Health, you will not just find a job, you will find a calling, a community, and a place to grow. If you are passionate about behavioral health care and want to be a part of an organization where your efforts truly make a difference, we encourage you to submit your resume today. Apply at: ********************* Notice of Accommodation Central Clinic Behavioral Health is committed to complying with the Americans Disabilities Act (ADA) and ensuriing equal employment opportunities for all qualified individuals, including individuals with disabilties. If you require a reasonable accommodation to complete the application process, participate in the interview process, or otherwise engage in the recruitment process, please contact Human Resources at ********************************. All requests for accommodation will be handled in a confidential manner and will be considered in accordance with applicable laws and regulations.
    $54k-81k yearly est. 41d ago
  • Director Case Management / Utilization Management / CDI Location: Buckey

    Knowhirematch

    Buckeye Lake, OH

    Job Description TITLE: Director Case Management / Utilization Management / CDI Now is your chance to join a Forbes magazine top 100 hospital where career growth and opportunity await you. They are committed to building healthcare teams whose care exceeds the expectations of their patients and community and are looking for quality talent who share the same values. They're nestled in a beautiful rural setting but close enough to the big city to enjoy that too! If that sounds like the change you are looking for, please read on… What you'll be doing: •Responsible for developing, planning, evaluating, and coordinating comprehensive patient care across the continuum, to enhance quality patient care while simultaneously promoting cost-effective resource utilization. Provides director-level oversight of Inpatient and ED Case Management, Utilization Management and Clinical Documentation Integrity programs, ensuring alignment with organizational goals and regulatory requirements. Monitors patient care, including utilization, quality assurance, discharge planning, continuity of care, and case management activities, and ensures that these functions are integrated into overall hospital operations. Coordinate and monitors activities with appropriate members of the health care team to promote efficient use of hospital resources, facilitate timely discharges, prevent and control infections, promote quality patient care, and reduce risk and liability. Collaborates closely with coders and revenue cycle teams to optimize clinical documentation and support accurate coding, reimbursement, and compliance initiatives. •Responsible for identifying tracking mechanisms in order to evaluate and achieve optimal financial outcomes, to enhance quality patient care, and promote cost-effective resource utilization. •Uses data to drive decisions, plan, and implement performance improvement strategies for case management, utilization management, and clinical documentation integrity •Coordinates daily activities of the Case Management, UM, and CDI Department in order to promote quality patient care, efficient use of hospital resources, facilitate timely and adequate discharges, and reduce risk and liability. •Investigates and initiates follow-up on utilization denials, contract negotiations, and external regulatory agencies' requirements. •Directs operations of our Physician Advisor Program, including analysis of performance through reporting and committee involvement and oversight. •Actively serves on hospital committees and teams and facilitates opportunities for employees to do the same. •Develops, performs, and improves personal and departmental knowledge of computer software and reporting functions. •Organizes and oversees the maintenance of denial and appeal activity. Follows up with physicians and others when indicated. •Prepares or coordinates the preparation of periodic and special reports required by various agencies, insurance contracts, and for hospital committees. •Analyzes and trends data results in order to incorporate efforts and information results with existing systems to optimize the efficiency of operational systems through strategic quality leadership. •Facilitates growth and development of the case management program, utilization management ( including physician advisor program and clinical documentation integrity (CDI), in response to the dynamic nature of the health care environment through benchmarking for best practices, networking, quality management, and other activities, as needed. •Develop new resources where gaps exist in the system as identified through research and data analysis to meet and enhance the quality/efficiency of comprehensive patient care and/or basic human needs for the community. •Interact with Corporate Consulting and Business office on issues such as contracting, billing, reimbursement, denials, and physician reports cards, and collaboratively initiate improvements related to these areas. •Maintains hospital compliance with the Quality Improvement Organization (QIO) and CMS guidelines. •Maintains professional knowledge by participating in educational seminars and opportunities. •Participates in Population Health work at an organizational level, including active involvement with the System-Wide Care Management Team and Value-Based Care Delivery. Additional info: •Position will report to a Manager that is well respected in the organization. Position is open as the person is retiring. They use EPIC(EMR) and the facility has a lot of technology. Person would be over about 50-60 people between CM/UM/CDI. Great team to work with. •If you're a passionate Pharmacist and seeking a rewarding career in a collaborative healthcare setting, this is the opportunity you've been waiting for. Join us in east central Ohio, and become part of our exceptional team dedicated to delivering high-quality care to our community. Apply now and embark on a fulfilling career journey with us. Requirements What they're looking for: •Master's degree in nursing, Healthcare Administration, or Business Administration required. •Current Ohio RN licensure (or active multi-state licensure). •Certified Case Manager(CSM). •At least three (3) years of management or demonstrated leadership experience required. •Knowledge of prospective payment systems, managed care, infection control surveillance, patient care, disease processes, discharge planning, and continuum of services offered within Genesis and externally. Knowledge of coding, mid-revenue cycle, CDI, physician advisor and payor relations. •Ability to perform data analysis and to utilize computer systems to record and communicate information to other services. •The ability to lead collaboration with other leaders in the organization, especially about the delivery of high-quality, timely, and right site of care. •Excellent leadership, verbal and organizational skills to order to steer the case management process. Benefits Hours and compensation potential: •The position is full time. •The range starts at $62.50hr($130K)-$75hr($156K) depends on years of experience. •Full benefits package being offered.
    $130k yearly 27d ago
  • Chief of Employer Services (Administrative Staff) PN 20066060

    State of Ohio 4.5company rating

    Columbus, OH

    Chief of Employer Services (Administrative Staff) PN 20066060 (250008TH) Organization: Workers' CompensationAgency Contact Name and Information: BWC Human Resources, ********************** Unposting Date: OngoingWork Location: William Green Building 30 West Spring Street Columbus 43215-2256Primary Location: United States of America-OHIO-Franklin County-Columbus Compensation: Based on experience, not to exceed $72.60/Hr.Schedule: Full-time Work Hours: 8:00 - 5:00Classified Indicator: UnclassifiedUnion: Exempt from Union Primary Job Skill: BusinessTechnical Skills: Budgeting, Executive Leadership, Policy DirectionProfessional Skills: Attention to Detail, Decision Making, Organizing and Planning, Verbal Communication, Written Communication Agency OverviewA Little About Us:With roughly 1,500 employees in 7 offices across Ohio, BWC is the state agency that cares for Ohio workers by promoting a culture of safety at work and at home and ensuring quality medical and pharmacy care is provided to injured workers. For Ohio employers, we provide insurance policies to cover workplace injuries and safety and wellness services to prevent injuries. Our Culture:BWC is a dynamic organization that offers career opportunities across many different disciplines. BWC employees strive to maintain an inclusive workplace. We begin by being an equal opportunity employer. Employees can participate in and lead employee resource groups, participate in online forums discussing society's impact on our services and workplace, and learn about how different perspectives can improve leadership skills. Our Vision:To transform BWC into an agile organization driven by customer success.Our Mission:To deliver consistently excellent experiences for each BWC customer every day.Our Core Values:One Agency, Personal Connection, Innovative Leadership, Relentless Excellence.What our employees have to say:BWC conducts an internal engagement survey on an annual basis. Some comments from our employees include:BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work.I have worked at several state agencies and BWC is the best place to work.Best place to work in the state and with a sense of family and support.I love the work culture, helpfulness, and acceptance I've been embraced with at BWC.I continue to be impressed with the career longevity of our employees, their level of dedication to service, pride in their work, and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC.Job DescriptionBWC's core hours of operation are Monday-Friday from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWC's seven offices across the state. BWC offers flex-time work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval.What You'll Be Doing:Lead the creation and implementation of policies for multiple units, including Business Consulting, Underwriting, Premium Audit, Employer Programs, Outreach, Compliance, Self-Insured, and Systems Support.Develop and manage both short and long term business plans to ensure services meet the needs of Ohio's injured workers and employers.Oversee budgeting activities to ensure financial efficiency and compliance across Employer Management Services.Represent BWC positively by building strong relationships with industry groups and the public; deliver presentations to stakeholders, legislators, and community members.Directly supervise department directors, assess staffing needs, and make key personnel decisions including hiring, promotions, and disciplinary actions.Coordinate and implement employer related programs, ensuring alignment with field staff and the Division of Safety & Hygiene.Handle sensitive documents with discretion, determining appropriate access to confidential information.Major Worker Characteristics:Knowledge of: Agency, Division & Departmental policies & standard operating procedures*; supervisory principle & techniques; employee training & development business administration; applicable state & federal laws, rules, procedures & standards governing fiscal & budgetary operations*; interviewing; counseling; human & public relations; State & federal laws related to governing Workers' Compensation*, management, manpower planning, strategic planning, government structure & processes, labor laws, budgeting, public relations, customer service. Skill in: innovative measures, creative & analytical thinking, high level communication, policy development & implementation, software (e.g. MS Office Suite, MS Project) *; use of field management & tracking tools; operation & updating BWC Systems (e.g. CoreSuite, UDS) *. Ability to: function in fiduciary capacity (i.e. pursuant to OAC 123:1-5-01 Unclassified service) **; identify problems in complex sets of variables, adapt professionally to unexpected demands, speak & present complex & sensitive issues to large groups & portray positive image, remain abreast of current business trends, gather critical data & draft reports, address sensitive inquiries. build & maintain a positive working atmosphere of growth & participation; define problems, collect data, establish facts & draw valid conclusions; read & record figures accurately; maintain accurate records. (*) developed after employment Why Work for the State of OhioAt the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes: Medical Coverage Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period Paid time off, including vacation, personal, sick leave and 11 paid holidays per year Childbirth, Adoption, and Foster Care leave Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more) Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation) *Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.QualificationsPreferred Qualifications:5+ years of experience in policy development and implementation within large organizations, with strong knowledge of agency, division, and departmental procedures.3+ years of experience in strategic business planning, including the development of both short and long term plans that address stakeholder needs.4+ years of experience in budget oversight, ensuring financial efficiency and compliance with fiscal policies.3+ years of experience engaging with stakeholders, maintaining positive relationships with industry groups and the public, and representing the organization effectively.5+ years of supervisory experience, including responsibility for staffing decisions such as hiring, promotion, discipline, and performance management. Unusual Working Conditions:This position is overtime exempt.THIS POSITION IS UNCLASSIFIED PERSUANT TO ORC 124.11(A)(9).Position requires travel; therefore, persons occupying this position must provide their own transportation and/or legally operate a state owned vehicle.The final external applicant selected for this position will be required to submit to urinalysis prior to appointment to test for illegal drug use. An applicant with a positive test result will NOT be offered employment.The final applicant for this position must submit to and pass an extensive background check by the Ohio State Patrol prior to appointment.WEATHER ESSENTIAL EMERGENCY EMPLOYEESupplemental InformationEEO & ADA Statement:The State of Ohio is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees due to protected classes as defined in applicable federal law, state law, and any effective executive order.The Ohio Bureau of Workers' Compensation is committed to providing access and reasonable accommodation in its employment opportunities pursuant to the Americans with Disabilities Act and other applicable laws. To request a reasonable accommodation due to disability, pregnancy, or religion, please contact the ADA mailbox at: BWCADA@bwc.ohio.gov.Educational Transcripts:For any educational achievements to be considered during the screening process, you must at least attach an unofficial transcript that details the coursework you have completed.All applicants must submit an Ohio Civil Service Application using the online Ohio Hiring Management System. Paper applications will not be accepted.Background Check:Prior to an offer of employment, the final applicant will be required to sign a background check authorization form and undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position.ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.
    $72.6 hourly Auto-Apply 18h ago
  • Director of Employer Outreach & Consulting (Administrative Staff) PN 20078541

    Dasstateoh

    Columbus, OH

    Director of Employer Outreach & Consulting (Administrative Staff) PN 20078541 (250008U6) Organization: Workers' CompensationAgency Contact Name and Information: BWC Human Resources, ********************** Unposting Date: OngoingWork Location: William Green Building 30 West Spring Street Columbus 43215-2256Primary Location: United States of America-OHIO-Franklin County-Columbus Compensation: Based on experience, not to exceed $68.50/HrSchedule: Full-time Work Hours: 8:00 - 5:00Classified Indicator: UnclassifiedUnion: Exempt from Union Primary Job Skill: BusinessTechnical Skills: Insurance, Project Management, Policy DirectionProfessional Skills: Attention to Detail, Decision Making, Organizing and Planning, Verbal Communication, Written Communication Agency OverviewA Little About Us:With roughly 1,500 employees in 7 offices across Ohio, BWC is the state agency that cares for Ohio workers by promoting a culture of safety at work and at home and ensuring quality medical and pharmacy care is provided to injured workers. For Ohio employers, we provide insurance policies to cover workplace injuries and safety and wellness services to prevent injuries. Our Culture:BWC is a dynamic organization that offers career opportunities across many different disciplines. BWC employees strive to maintain an inclusive workplace. We begin by being an equal opportunity employer. Employees can participate in and lead employee resource groups, participate in online forums discussing society's impact on our services and workplace, and learn about how different perspectives can improve leadership skills. Our Vision:To transform BWC into an agile organization driven by customer success.Our Mission:To deliver consistently excellent experiences for each BWC customer every day.Our Core Values:One Agency, Personal Connection, Innovative Leadership, Relentless Excellence.What our employees have to say:BWC conducts an internal engagement survey on an annual basis. Some comments from our employees include:BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work.I have worked at several state agencies and BWC is the best place to work.Best place to work in the state and with a sense of family and support.I love the work culture, helpfulness, and acceptance I've been embraced with at BWC.I continue to be impressed with the career longevity of our employees, their level of dedication to service, pride in their work, and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC.Job DescriptionBWC's core hours of operation are Monday-Friday from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWC's seven offices across the state. BWC offers flex-time work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval.What You'll Be Doing:Manage statewide operations of the Employer Management Service and Employer Outreach & Consulting Programs, including policy and program development, evaluation, and oversight.Serve as a liaison between employers, BWC leadership, stakeholders, and the public to communicate and share critical information.Lead and contribute to short and long term strategic planning efforts aimed at increasing productivity, reducing service costs, and generating premium for the State Insurance Fund.Coordinate program operations across divisions and departments, and establish both annual and long range goals for the agency.Develop and implement policies, procedures, and laws related to underwriting, ensuring staff are trained and compliant.Evaluate and recommend updates to the Ohio Administrative Code to support strategic initiatives and the development of new programs.Represent the division on agency-wide issues, including employer fraud prevention, training seminars, and employer focused programs.Major Worker Characteristics:Knowledge of budgeting, accounting, management, work force planning, employee training & development, supervision, public relation, human relations, BWC policies & Procedures*; counseling; interviewing; business; WC Law*; Federal State tax*. Skill in operating personal computer. Ability to deal with many variables & determine specific action; read & record figures accurately comprehend & record figures accurately, add, subtract, multiply & divide whole number; complete routine forms; maintain accurate records; interview job applicants effectively; understand manual & verbal instructions, technical in nature; prepare meaningful, concise & accurate reports; proofread technical materials, recognize errors & make corrections; use proper research methods in gathering data; gather, collate & classify information about data, people or things; work alone on most tasks; handle sensitive inquiries from & contacts with officials & general public; resolve complaints from angry citizens & government officials. (*) developed after employment Why Work for the State of OhioAt the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes: Medical Coverage Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period Paid time off, including vacation, personal, sick leave and 11 paid holidays per year Childbirth, Adoption, and Foster Care leave Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more) Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation) *Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.QualificationsPreferred Qualifications:Education Bachelor's degree in a relevant field such as Business Administration, Public Administration, Law, Communications, or a related discipline.Experience5+ years of experience in operations management, strategic planning, and policy development, preferably in a public sector, insurance, or regulatory environment.4+ years of experience coordinating programs, setting organizational goals, and collaborating across departments to achieve strategic objectives.3+ years of experience in stakeholder engagement, public speaking, and representing an organization to external audiences, including advocacy and liaison roles.Skills Proven ability to develop and implement policies and procedures, interpret laws and regulations, and lead cross-functional initiatives.Strong analytical, problem solving, and data analysis skills, with experience using performance metrics to drive decision making.Excellent verbal and written communication skills, with the ability to build relationships with diverse stakeholders and communicate complex information clearly.Demonstrated leadership and supervisory experience, with strong organizational and project management abilities. Unusual Working Conditions:This position is overtime exempt.THIS POSITION IS UNCLASSIFIED PERSUANT TO ORC 124.11(A)(9).Position requires travel; therefore, persons occupying this position must provide their own transportation and/or legally operate a state owned vehicle.The final external applicant selected for this position will be required to submit to urinalysis prior to appointment to test for illegal drug use. An applicant with a positive test result will NOT be offered employment.The final applicant for this position must submit to and pass an extensive background check by the Ohio State Patrol prior to appointment. Supplemental InformationEEO & ADA Statement:The State of Ohio is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees due to protected classes as defined in applicable federal law, state law, and any effective executive order.The Ohio Bureau of Workers' Compensation is committed to providing access and reasonable accommodation in its employment opportunities pursuant to the Americans with Disabilities Act and other applicable laws. To request a reasonable accommodation due to disability, pregnancy, or religion, please contact the ADA mailbox at: BWCADA@bwc.ohio.gov.Educational Transcripts:For any educational achievements to be considered during the screening process, you must at least attach an unofficial transcript that details the coursework you have completed.All applicants must submit an Ohio Civil Service Application using the online Ohio Hiring Management System. Paper applications will not be accepted.Background Check:Prior to an offer of employment, the final applicant will be required to sign a background check authorization form and undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position.ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.
    $68.5 hourly Auto-Apply 20h ago
  • Medical Director- Long Term Support and Service (LTSS)

    Carebridge 3.8company rating

    Lima, OH

    Medical Director -Long Term Support and Services Preferred Location: Ohio. Please note that per our policy this role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. MyCare Ohio Plan program is to deliver high‐quality, trauma informed, culturally competent, person‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs. The Medical Director -Long Term Support and Services is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. How will you make an impact: * Oversee all primary and physical health services provided to individuals of the health plan, including those receiving LTSS, ensuring the appropriate level of medical care is received. Identifies potential issues, project change, and scope data. * Ensure services align with LTSS clinical and service coordination requirements as defined by state and federal contracts/rules. * Conduct targeted LTSS Case Management training sessions, emphasizing the most prevalent medical diagnoses affecting the key LTSS populations. * Assist with resource development and drive Health Plan collaborations to support LTSS/HCBS populations. * Supports clinicians to ensure timely and consistent responses to members and providers. * Provides guidance for clinical operational aspects of a program. * Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians. * May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations. Minimum Requirements: * Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). * Must possess an active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. * A minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * For Health Solutions and Carelon organizations (including behavioral health) only, a minimum of 5 years of experience providing health care is required. * * Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.* Preferred Skills, Capabilities and Experiences: * Minimum of ten years of clinical experience, including at least five years of experience directing healthcare services for target populations strongly preferred. * 1-2 years Utilization Management experience strongly preferred. * Strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $36k-69k yearly est. Auto-Apply 60d+ ago
  • Chief of Employer Services (Administrative Staff) PN 20066060

    Dasstateoh

    Ohio

    Chief of Employer Services (Administrative Staff) PN 20066060 (250008TH) Organization: Workers' CompensationAgency Contact Name and Information: BWC Human Resources, ********************** Unposting Date: OngoingWork Location: William Green Building 30 West Spring Street Columbus 43215-2256Primary Location: United States of America-OHIO-Franklin County Compensation: Based on experience, not to exceed $72.60/Hr.Schedule: Full-time Work Hours: 8:00 - 5:00Classified Indicator: UnclassifiedUnion: Exempt from Union Primary Job Skill: BusinessTechnical Skills: Budgeting, Executive Leadership, Policy DirectionProfessional Skills: Attention to Detail, Decision Making, Organizing and Planning, Verbal Communication, Written Communication Agency OverviewA Little About Us:With roughly 1,500 employees in 7 offices across Ohio, BWC is the state agency that cares for Ohio workers by promoting a culture of safety at work and at home and ensuring quality medical and pharmacy care is provided to injured workers. For Ohio employers, we provide insurance policies to cover workplace injuries and safety and wellness services to prevent injuries. Our Culture:BWC is a dynamic organization that offers career opportunities across many different disciplines. BWC employees strive to maintain an inclusive workplace. We begin by being an equal opportunity employer. Employees can participate in and lead employee resource groups, participate in online forums discussing society's impact on our services and workplace, and learn about how different perspectives can improve leadership skills. Our Vision:To transform BWC into an agile organization driven by customer success.Our Mission:To deliver consistently excellent experiences for each BWC customer every day.Our Core Values:One Agency, Personal Connection, Innovative Leadership, Relentless Excellence.What our employees have to say:BWC conducts an internal engagement survey on an annual basis. Some comments from our employees include:BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work.I have worked at several state agencies and BWC is the best place to work.Best place to work in the state and with a sense of family and support.I love the work culture, helpfulness, and acceptance I've been embraced with at BWC.I continue to be impressed with the career longevity of our employees, their level of dedication to service, pride in their work, and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC.Job DutiesBWC's core hours of operation are Monday-Friday from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWC's seven offices across the state. BWC offers flex-time work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval.What You'll Be Doing:Lead the creation and implementation of policies for multiple units, including Business Consulting, Underwriting, Premium Audit, Employer Programs, Outreach, Compliance, Self-Insured, and Systems Support.Develop and manage both short and long term business plans to ensure services meet the needs of Ohio's injured workers and employers.Oversee budgeting activities to ensure financial efficiency and compliance across Employer Management Services.Represent BWC positively by building strong relationships with industry groups and the public; deliver presentations to stakeholders, legislators, and community members.Directly supervise department directors, assess staffing needs, and make key personnel decisions including hiring, promotions, and disciplinary actions.Coordinate and implement employer related programs, ensuring alignment with field staff and the Division of Safety & Hygiene.Handle sensitive documents with discretion, determining appropriate access to confidential information.Major Worker Characteristics:Knowledge of: Agency, Division & Departmental policies & standard operating procedures*; supervisory principle & techniques; employee training & development business administration; applicable state & federal laws, rules, procedures & standards governing fiscal & budgetary operations*; interviewing; counseling; human & public relations; State & federal laws related to governing Workers' Compensation*, management, manpower planning, strategic planning, government structure & processes, labor laws, budgeting, public relations, customer service. Skill in: innovative measures, creative & analytical thinking, high level communication, policy development & implementation, software (e.g. MS Office Suite, MS Project) *; use of field management & tracking tools; operation & updating BWC Systems (e.g. CoreSuite, UDS) *. Ability to: function in fiduciary capacity (i.e. pursuant to OAC 123:1-5-01 Unclassified service) **; identify problems in complex sets of variables, adapt professionally to unexpected demands, speak & present complex & sensitive issues to large groups & portray positive image, remain abreast of current business trends, gather critical data & draft reports, address sensitive inquiries. build & maintain a positive working atmosphere of growth & participation; define problems, collect data, establish facts & draw valid conclusions; read & record figures accurately; maintain accurate records. (*) developed after employment Why Work for the State of OhioAt the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes: Medical Coverage Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period Paid time off, including vacation, personal, sick leave and 11 paid holidays per year Childbirth, Adoption, and Foster Care leave Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more) Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation) *Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.QualificationsPreferred Qualifications:5+ years of experience in policy development and implementation within large organizations, with strong knowledge of agency, division, and departmental procedures.3+ years of experience in strategic business planning, including the development of both short and long term plans that address stakeholder needs.4+ years of experience in budget oversight, ensuring financial efficiency and compliance with fiscal policies.3+ years of experience engaging with stakeholders, maintaining positive relationships with industry groups and the public, and representing the organization effectively.5+ years of supervisory experience, including responsibility for staffing decisions such as hiring, promotion, discipline, and performance management. Unusual Working Conditions:This position is overtime exempt.THIS POSITION IS UNCLASSIFIED PERSUANT TO ORC 124.11(A)(9).Position requires travel; therefore, persons occupying this position must provide their own transportation and/or legally operate a state owned vehicle.The final external applicant selected for this position will be required to submit to urinalysis prior to appointment to test for illegal drug use. An applicant with a positive test result will NOT be offered employment.The final applicant for this position must submit to and pass an extensive background check by the Ohio State Patrol prior to appointment.WEATHER ESSENTIAL EMERGENCY EMPLOYEESupplemental InformationEEO & ADA Statement:The State of Ohio is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees due to protected classes as defined in applicable federal law, state law, and any effective executive order.The Ohio Bureau of Workers' Compensation is committed to providing access and reasonable accommodation in its employment opportunities pursuant to the Americans with Disabilities Act and other applicable laws. To request a reasonable accommodation due to disability, pregnancy, or religion, please contact the ADA mailbox at: BWCADA@bwc.ohio.gov.Educational Transcripts:For any educational achievements to be considered during the screening process, you must at least attach an unofficial transcript that details the coursework you have completed.All applicants must submit an Ohio Civil Service Application using the online Ohio Hiring Management System. Paper applications will not be accepted.Background Check:Prior to an offer of employment, the final applicant will be required to sign a background check authorization form and undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position.ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.
    $72.6 hourly Auto-Apply 20h ago
  • Social Work, Director of Field Education, MSW Program

    Mount St. Joseph University 3.6company rating

    Cincinnati, OH

    Job Details Mount St Joseph University - Cincinnati, OH Full Time Graduate Degree EducationDescription Department of Social Work Director of Field Education, MSW Program - Faculty of Social Work Type: Full-time, 12-month faculty appointment Since 1920, Mount St. Joseph University has provided an education that is based on interdisciplinary liberal arts and professional curricula emphasizing mission, values, integrity, and social responsibility. Faculty and staff deliver high-quality academics, hands-on experiential learning, and personalized attention to support student success. Join our award-winning team, recognized as a 'Best College to Work for,' and be part of a vibrant culture that places a premium on collaboration and belonging. The Department of Social Work at Mount St. Joseph University invites applications for a Director of Field Education for the MSW Program, position beginning August 1 st , 2026. This is a full-time, 12-month faculty position; rank commensurate with education and experience. The role includes 50% instructional responsibilities and 50% field education administration, responsible for coordinating all aspects of the MSW Field Education Program. Position Responsibilities The Director of Field Education, MSW Program administers the graduate Social Work Field Education Program in alignment with CSWE Educational Policy and Accreditation Standards (EPAS). This includes: Oversight of field placements for traditional MSW students (students with bachelor's degree in non-social work area) and advanced standing (students with BSW degree) in areas of specialization (advanced generalist and behavioral health), student supervision, and agency partnerships Compliance with CSWE standards for field education Development of and collaboration with community partners and site supervisors, including providing field instructor training and supervision Advising and mentoring students Teaching graduate social work courses, which may be offered in evening, weekend, and online formats Departmental, divisional, and university service contributions Other duties as assigned Qualifications Required: MSW from a CSWE-accredited program Minimum of five (5) years of post-MSW social work practice experience Experience in program administration or program development Prior college-level teaching experience Availability to teach on a flexible schedule (evenings, weekends, online) Preferred: Social work licensure Terminal degree (Ph.D, DSW, Ed.D, in social work or related field) Familiarity with Cincinnati tri-state area social service agencies Commitment to student-centered pedagogy, engaged learning, and social justice Experience working with first-generation college students Application Requirements Applicants must submit the following materials: Cover Letter Curriculum Vitae Statement of Pedagogical Approach to teaching in graduate social work education About Mount St. Joseph University Mount St. Joseph University is a mission-driven institution grounded in the values of the Sisters of Charity, committed to academic excellence, student success, service, and social responsibility. We welcome applications from individuals who embrace excellence and share a commitment to the transformative power of education. Benefits Mount St. Joseph University offers a wide array of benefit options, to meet the financial, educational, health, and wellness needs of you and your family. Eligibility varies by position and FTE. Tuition Remission for you and your family. 403b Retirement Excellent benefits including medical, employer HSA contributions, dental, vision, life, parental leave. Generous PTO. 16 paid holidays. Competitive salaries. Opportunity to work in a dynamic and collaborative educational environment. Professional development opportunities. A review of resumes will begin immediately and continue until the position is filled. Please click here to review the University's policies on E-Verify, Equal Opportunity, and Non-Discrimination. Mount St. Joseph University is an Equal Opportunity Employer
    $50k-57k yearly est. 60d+ ago
  • Medical Director- Long Term Support and Service (LTSS)

    Elevance Health

    Zanesville, OH

    Medical Director -Long Term Support and Services Preferred Location: Ohio. Please note that per our policy t his role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. MyCare Ohio Plan program is to deliver high ‐quality, trauma informed, culturally competent, person ‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs. The Medical Director -Long Term Support and Services is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. How will you make an impact: Oversee all primary and physical health services provided to individuals of the health plan, including those receiving LTSS, ensuring the appropriate level of medical care is received. Identifies potential issues, project change, and scope data. Ensure services align with LTSS clinical and service coordination requirements as defined by state and federal contracts/rules. Conduct targeted LTSS Case Management training sessions, emphasizing the most prevalent medical diagnoses affecting the key LTSS populations. Assist with resource development and drive Health Plan collaborations to support LTSS/HCBS populations. Supports clinicians to ensure timely and consistent responses to members and providers. Provides guidance for clinical operational aspects of a program. Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians. May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations. Minimum Requirements: Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). Must possess an active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. A minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * For Health Solutions and Carelon organizations (including behavioral health) only, a minimum of 5 years of experience providing health care is required. * *Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.* Preferred Skills, Capabilities and Experiences: Minimum of ten years of clinical experience, including at least five years of experience directing healthcare services for target populations strongly preferred. 1-2 years Utilization Management experience strongly preferred. Strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Job Level: Director Equivalent Workshift: 1st Shift (United States of America) Job Family: MED > Licensed Physician/Doctor/Dentist Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $51k-120k yearly est. Auto-Apply 60d+ ago
  • Director of Employer Outreach & Consulting (Administrative Staff) PN 20078541

    Dasstateoh

    Ohio

    Director of Employer Outreach & Consulting (Administrative Staff) PN 20078541 (250008U6) Organization: Workers' CompensationAgency Contact Name and Information: BWC Human Resources, ********************** Unposting Date: OngoingWork Location: William Green Building 30 West Spring Street Columbus 43215-2256Primary Location: United States of America-OHIO-Franklin County Compensation: Based on experience, not to exceed $68.50/HrSchedule: Full-time Work Hours: 8:00 - 5:00Classified Indicator: UnclassifiedUnion: Exempt from Union Primary Job Skill: BusinessTechnical Skills: Insurance, Project Management, Policy DirectionProfessional Skills: Attention to Detail, Decision Making, Organizing and Planning, Verbal Communication, Written Communication Agency OverviewA Little About Us:With roughly 1,500 employees in 7 offices across Ohio, BWC is the state agency that cares for Ohio workers by promoting a culture of safety at work and at home and ensuring quality medical and pharmacy care is provided to injured workers. For Ohio employers, we provide insurance policies to cover workplace injuries and safety and wellness services to prevent injuries. Our Culture:BWC is a dynamic organization that offers career opportunities across many different disciplines. BWC employees strive to maintain an inclusive workplace. We begin by being an equal opportunity employer. Employees can participate in and lead employee resource groups, participate in online forums discussing society's impact on our services and workplace, and learn about how different perspectives can improve leadership skills. Our Vision:To transform BWC into an agile organization driven by customer success.Our Mission:To deliver consistently excellent experiences for each BWC customer every day.Our Core Values:One Agency, Personal Connection, Innovative Leadership, Relentless Excellence.What our employees have to say:BWC conducts an internal engagement survey on an annual basis. Some comments from our employees include:BWC has been a great place to work as it has provided opportunities for growth that were lacking in my previous place of work.I have worked at several state agencies and BWC is the best place to work.Best place to work in the state and with a sense of family and support.I love the work culture, helpfulness, and acceptance I've been embraced with at BWC.I continue to be impressed with the career longevity of our employees, their level of dedication to service, pride in their work, and vast experience. It really speaks to our mission and why people join BWC and then retire from BWC.Job DutiesBWC's core hours of operation are Monday-Friday from 8:00am to 5:00pm, however, daily start/end times may vary based on operational need across BWC departments. Most positions perform work on-site at one of BWC's seven offices across the state. BWC offers flex-time work schedules that allow an employee to start the day as early as 7:00am or as late as 8:30am. Flex-time schedules are based on operational need and require supervisor approval.What You'll Be Doing:Manage statewide operations of the Employer Management Service and Employer Outreach & Consulting Programs, including policy and program development, evaluation, and oversight.Serve as a liaison between employers, BWC leadership, stakeholders, and the public to communicate and share critical information.Lead and contribute to short and long term strategic planning efforts aimed at increasing productivity, reducing service costs, and generating premium for the State Insurance Fund.Coordinate program operations across divisions and departments, and establish both annual and long range goals for the agency.Develop and implement policies, procedures, and laws related to underwriting, ensuring staff are trained and compliant.Evaluate and recommend updates to the Ohio Administrative Code to support strategic initiatives and the development of new programs.Represent the division on agency-wide issues, including employer fraud prevention, training seminars, and employer focused programs.Major Worker Characteristics:Knowledge of budgeting, accounting, management, work force planning, employee training & development, supervision, public relation, human relations, BWC policies & Procedures*; counseling; interviewing; business; WC Law*; Federal State tax*. Skill in operating personal computer. Ability to deal with many variables & determine specific action; read & record figures accurately comprehend & record figures accurately, add, subtract, multiply & divide whole number; complete routine forms; maintain accurate records; interview job applicants effectively; understand manual & verbal instructions, technical in nature; prepare meaningful, concise & accurate reports; proofread technical materials, recognize errors & make corrections; use proper research methods in gathering data; gather, collate & classify information about data, people or things; work alone on most tasks; handle sensitive inquiries from & contacts with officials & general public; resolve complaints from angry citizens & government officials. (*) developed after employment Why Work for the State of OhioAt the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes: Medical Coverage Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period Paid time off, including vacation, personal, sick leave and 11 paid holidays per year Childbirth, Adoption, and Foster Care leave Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more) Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation) *Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.QualificationsPreferred Qualifications:Education Bachelor's degree in a relevant field such as Business Administration, Public Administration, Law, Communications, or a related discipline.Experience5+ years of experience in operations management, strategic planning, and policy development, preferably in a public sector, insurance, or regulatory environment.4+ years of experience coordinating programs, setting organizational goals, and collaborating across departments to achieve strategic objectives.3+ years of experience in stakeholder engagement, public speaking, and representing an organization to external audiences, including advocacy and liaison roles.Skills Proven ability to develop and implement policies and procedures, interpret laws and regulations, and lead cross-functional initiatives.Strong analytical, problem solving, and data analysis skills, with experience using performance metrics to drive decision making.Excellent verbal and written communication skills, with the ability to build relationships with diverse stakeholders and communicate complex information clearly.Demonstrated leadership and supervisory experience, with strong organizational and project management abilities. Unusual Working Conditions:This position is overtime exempt.THIS POSITION IS UNCLASSIFIED PERSUANT TO ORC 124.11(A)(9).Position requires travel; therefore, persons occupying this position must provide their own transportation and/or legally operate a state owned vehicle.The final external applicant selected for this position will be required to submit to urinalysis prior to appointment to test for illegal drug use. An applicant with a positive test result will NOT be offered employment.The final applicant for this position must submit to and pass an extensive background check by the Ohio State Patrol prior to appointment. Supplemental InformationEEO & ADA Statement:The State of Ohio is an Equal Employment Opportunity Employer and prohibits discrimination and harassment of applicants or employees due to protected classes as defined in applicable federal law, state law, and any effective executive order.The Ohio Bureau of Workers' Compensation is committed to providing access and reasonable accommodation in its employment opportunities pursuant to the Americans with Disabilities Act and other applicable laws. To request a reasonable accommodation due to disability, pregnancy, or religion, please contact the ADA mailbox at: BWCADA@bwc.ohio.gov.Educational Transcripts:For any educational achievements to be considered during the screening process, you must at least attach an unofficial transcript that details the coursework you have completed.All applicants must submit an Ohio Civil Service Application using the online Ohio Hiring Management System. Paper applications will not be accepted.Background Check:Prior to an offer of employment, the final applicant will be required to sign a background check authorization form and undergo a criminal background check. Criminal convictions do not necessarily preclude an applicant from consideration for a position.ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.
    $68.5 hourly Auto-Apply 20h ago
  • Medical Director- Long Term Support and Service (LTSS)

    Carebridge 3.8company rating

    Akron, OH

    Medical Director -Long Term Support and Services Preferred Location: Ohio. Please note that per our policy this role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. MyCare Ohio Plan program is to deliver high‐quality, trauma informed, culturally competent, person‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs. The Medical Director -Long Term Support and Services is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. How will you make an impact: * Oversee all primary and physical health services provided to individuals of the health plan, including those receiving LTSS, ensuring the appropriate level of medical care is received. Identifies potential issues, project change, and scope data. * Ensure services align with LTSS clinical and service coordination requirements as defined by state and federal contracts/rules. * Conduct targeted LTSS Case Management training sessions, emphasizing the most prevalent medical diagnoses affecting the key LTSS populations. * Assist with resource development and drive Health Plan collaborations to support LTSS/HCBS populations. * Supports clinicians to ensure timely and consistent responses to members and providers. * Provides guidance for clinical operational aspects of a program. * Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians. * May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations. Minimum Requirements: * Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). * Must possess an active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. * A minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * For Health Solutions and Carelon organizations (including behavioral health) only, a minimum of 5 years of experience providing health care is required. * * Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.* Preferred Skills, Capabilities and Experiences: * Minimum of ten years of clinical experience, including at least five years of experience directing healthcare services for target populations strongly preferred. * 1-2 years Utilization Management experience strongly preferred. * Strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $37k-75k yearly est. Auto-Apply 60d+ ago
  • Social Work, Director of Field Education, MSW Program

    Mount Saint Joseph University 3.6company rating

    Cincinnati, OH

    Department of Social Work Director of Field Education, MSW Program - Faculty of Social Work Type: Full-time, 12-month faculty appointment Since 1920, Mount St. Joseph University has provided an education that is based on interdisciplinary liberal arts and professional curricula emphasizing mission, values, integrity, and social responsibility. Faculty and staff deliver high-quality academics, hands-on experiential learning, and personalized attention to support student success. Join our award-winning team, recognized as a 'Best College to Work for,' and be part of a vibrant culture that places a premium on collaboration and belonging. The Department of Social Work at Mount St. Joseph University invites applications for a Director of Field Education for the MSW Program, position beginning August 1st, 2026. This is a full-time, 12-month faculty position; rank commensurate with education and experience. The role includes 50% instructional responsibilities and 50% field education administration, responsible for coordinating all aspects of the MSW Field Education Program. Position Responsibilities The Director of Field Education, MSW Program administers the graduate Social Work Field Education Program in alignment with CSWE Educational Policy and Accreditation Standards (EPAS). This includes: * Oversight of field placements for traditional MSW students (students with bachelor's degree in non-social work area) and advanced standing (students with BSW degree) in areas of specialization (advanced generalist and behavioral health), student supervision, and agency partnerships * Compliance with CSWE standards for field education * Development of and collaboration with community partners and site supervisors, including providing field instructor training and supervision * Advising and mentoring students * Teaching graduate social work courses, which may be offered in evening, weekend, and online formats * Departmental, divisional, and university service contributions * Other duties as assigned
    $50k-57k yearly est. 2d ago
  • Medical Director- Long Term Support and Service (LTSS)

    Carebridge 3.8company rating

    Steubenville, OH

    Medical Director -Long Term Support and Services Preferred Location: Ohio. Please note that per our policy this role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. MyCare Ohio Plan program is to deliver high‐quality, trauma informed, culturally competent, person‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs. The Medical Director -Long Term Support and Services is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. How will you make an impact: * Oversee all primary and physical health services provided to individuals of the health plan, including those receiving LTSS, ensuring the appropriate level of medical care is received. Identifies potential issues, project change, and scope data. * Ensure services align with LTSS clinical and service coordination requirements as defined by state and federal contracts/rules. * Conduct targeted LTSS Case Management training sessions, emphasizing the most prevalent medical diagnoses affecting the key LTSS populations. * Assist with resource development and drive Health Plan collaborations to support LTSS/HCBS populations. * Supports clinicians to ensure timely and consistent responses to members and providers. * Provides guidance for clinical operational aspects of a program. * Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians. * May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations. Minimum Requirements: * Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). * Must possess an active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. * A minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * For Health Solutions and Carelon organizations (including behavioral health) only, a minimum of 5 years of experience providing health care is required. * * Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.* Preferred Skills, Capabilities and Experiences: * Minimum of ten years of clinical experience, including at least five years of experience directing healthcare services for target populations strongly preferred. * 1-2 years Utilization Management experience strongly preferred. * Strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $38k-78k yearly est. Auto-Apply 60d+ ago
  • Medical Director- Long Term Support and Service (LTSS)

    Carebridge 3.8company rating

    Cincinnati, OH

    Medical Director -Long Term Support and Services Preferred Location: Ohio. Please note that per our policy this role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. MyCare Ohio Plan program is to deliver high‐quality, trauma informed, culturally competent, person‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs. The Medical Director -Long Term Support and Services is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. How will you make an impact: * Oversee all primary and physical health services provided to individuals of the health plan, including those receiving LTSS, ensuring the appropriate level of medical care is received. Identifies potential issues, project change, and scope data. * Ensure services align with LTSS clinical and service coordination requirements as defined by state and federal contracts/rules. * Conduct targeted LTSS Case Management training sessions, emphasizing the most prevalent medical diagnoses affecting the key LTSS populations. * Assist with resource development and drive Health Plan collaborations to support LTSS/HCBS populations. * Supports clinicians to ensure timely and consistent responses to members and providers. * Provides guidance for clinical operational aspects of a program. * Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians. * May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations. Minimum Requirements: * Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). * Must possess an active unrestricted medical license to practice medicine or a health profession. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. * A minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * For Health Solutions and Carelon organizations (including behavioral health) only, a minimum of 5 years of experience providing health care is required. * * Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.* Preferred Skills, Capabilities and Experiences: * Minimum of ten years of clinical experience, including at least five years of experience directing healthcare services for target populations strongly preferred. * 1-2 years Utilization Management experience strongly preferred. * Strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
    $36k-67k yearly est. Auto-Apply 60d+ ago

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