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Medical care administrator full time jobs

- 25 jobs
  • Critical Care Medic

    Medflight 3.7company rating

    Columbus, OH

    Full-time Description PARAMEDIC II PARTNERS FOR LIFE. Partners - not employees. Our partners are woven together for the same purpose and have chosen to embark on a lifelong partnership of respecting each other and the patients we serve. Encompassing the principles of Servant Leadership , our partners follow the core values of Safety, Integrity, Excellence, Accountability, and Compassion in our pursuit to provide premier medical transportation services. Through our acclaimed in-house education program, our partners are given opportunities for career and personal growth with an emphasis on work/life balance. All positions are provided with industry competitive compensation and benefits. Join our journey - we are going places and you are an integral part of that future. Summary Provides advanced life support in a prompt, resourceful, and efficient manner to all patients transported by MedFlight regardless of the mode of transport. Collaborates with Nurse in compliance with established protocol and regulatory requirements to provide support services and transport. Responsible for maintaining compliance with CAMTS requirements and all associated documentation. Actively participates in external education / marketing initiatives in order to protect and maintain MedFlight's market base. Competitive Pay and Benefits with the following Shift Differentials Monday-Thursday: 7:00 p.m. - 7:00 a.m. $2.00 per hour Friday, Saturday & Sunday: 7:00 p.m. - 7:00 a.m. $3.00 per hour Saturday & Sunday: 7:00 a.m. - 7:00 p.m. $2.00 per hour Minimum Qualifications Certifications and licensures required upon hire and throughout employment: Current Ohio certification as a Paramedic. (Additional state licensures may be required depending on the location of the MedFlight Region). Advanced Cardiac Life Support (ACLS) and Basic Life Support (BLS). Valid Driver's License and maintenance of an acceptable driving record as determined by insurance carrier for coverage. Training required upon successful completion of orientation, and annually throughout employment: Emergency Vehicle Operations Course (EVOC) Rotor Wing Safety (if in the RW Division) Certifications required within six (6) months of hire and throughout employment: Pediatric Advanced Life Support (PALS) Advanced Stroke Life Support (ASLS) Certifications required within twelve (12) months of hire and throughout employment: International Trauma Life Support (ITLS) PHTLS and TNCC also accepted trauma certifications Neonatal Resuscitation Program (NRP) Certifications required within twenty-four (24) months of hire and throughout employment: Advanced Practice Certification: FP-C, CCP-C Paramedics must maintain all other licensures as deemed necessary by management. Three (3) years active experience as Paramedic in an active EMS Department and/or Paramedic role. Advanced airway management skills strongly desired. Work requires comprehensive knowledge of emergency transportation procedures and a thorough understanding of their application in the medical transportation environment. Work requires the skills necessary to quickly and safely transport patient using available resources, prioritize requests, and assists with patient care as directed. Work requires the skills necessary to assess and prioritize patient needs, formulate treatment plans, and alter treatment as necessary. Manages and copes effectively with stress related to the care of patients, families, and unpredictable situations within various care settings. Work requires interpersonal skills necessary to interact effectively with internal and external personnel in stressful situations and to act as a representative of MedCare to the public. Must be able to sit driving for long periods of time. Must demonstrate alertness at all times. Ability to assist in the loading and unloading of patients, on cots, up to 300+lbs. Pulling and pushing the cot in and out of the mode of transportation of the patient, maintaining the cot in a horizontal position. Performs work exposed to heat, wind, rain, altitudes and in rough terrain such as hills, in ice/snow, climb fences, etc. Exposure to infectious diseases and chemical contaminants. May be exposed to hazards involved with exposure to aircraft and mobile vehicles. May be exposed to bruises, superficial lacerations, back, ankle or muscle strain and/or needle punctures while on duty. Required to bend, stoop and carry equipment over rough terrain without any limitations in range of motion and use proper body mechanics. Must be able to withstand high amounts of stress in uncontrolled environments. Must maintain competency on assigned and alternate modes of transport. MedFlight and MedCare provide equal employment opportunities to all applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. The information provided in this description has been designed to indicate the general nature and level of work performed by incumbents within this job. It is not designed to be interpreted as a comprehensive inventory of all duties, responsibilities, qualifications and working conditions required of employees assigned to this job. Management has sole discretion to add or modify duties of the job and to designate other functions as essential at any time. This job description is not an employment agreement or contract.
    $59k-106k yearly est. 35d ago
  • Mental Health Administrator 6 - Assistant Superintendent (PN 20042925)

    Dasstateoh

    Columbus, OH

    Mental Health Administrator 6 - Assistant Superintendent (PN 20042925) (2500083V) Organization: Developmental Disabilities - Central OfficeAgency Contact Name and Information: Erica Darthard; **************************** Unposting Date: Jan 5, 2026, 4:59:00 AMWork Location: Columbus Developmental Center 1601 West Broad Street Columbus 43222-1087Primary Location: United States of America-OHIO-Franklin County-Columbus Compensation: $45.45 per/hour Schedule: Full-time Work Hours: 8:00 AM - 5:00 PMClassified Indicator: UnclassifiedUnion: Exempt from Union Primary Job Skill: Mental HealthTechnical Skills: Executive LeadershipProfessional Skills: Teamwork Agency OverviewJoin our team at the Columbus Developmental Center!Accepting applications for the Mental Health Administrator 6 (Assistant Superintendent) Who Are We?The Ohio Department of Developmental Disabilities (DODD) mission is to partner with people and communities to support Ohioans with developmental disabilities and their families in realizing their version of a good life.Ohio is the heart of opportunity, and we envision Ohio as the best place in the nation for people with developmental disabilities to thrive. Our core values reflect our focus on the experience of each person we support: Inclusion Partnership RespectJob DescriptionUnder the direction of the Superintendent, the Assistant Superintendent serves as a senior leader at the Developmental Center, providing strategic vision, clinical oversight, and executive-level direction to ensure the delivery of person-centered, trauma-informed, and developmentally appropriate supports across all programs.What You'll Do:Leadership & Strategic PlanningLead strategic planning and continuous improvement efforts for adult services, aligning operations with current regulatory requirements (ICF/IID, CMS, DODD) and evidence-based practices.Maintain a regular and visible presence on residential units to assess program implementation, model trauma-informed practices, and reinforce a culture of dignity, safety, and positive behavior support.Lead efforts in onboarding, retaining, mentoring, and ongoing development for programmatic staff, emphasizing performance excellence, accountability, person-centered thinking, and compliance with best practices and regulatory mandates. Act as a key communication conduit between programmatic staff and executive leadership to ensure clarity of expectations, transparency of decisions, and follow-through on initiatives and directives.Serve in place of the Superintendent as needed to ensure continuity of leadership and operational stability.Program Oversight & Fiscal ManagementProvide executive oversight of programs including Programming, Psychology, Social Work, and Recreation Therapy.Monitor service integration into daily routines to ensure all services contribute to positive outcomes and regulatory compliance.Facilitate cross-departmental collaboration to ensure interdisciplinary coordination of clinical, behavioral, medical, and habilitative services that meet the holistic needs of individuals served.Assist with budget preparation and monitor fiscal operations to ensure duties are completed accurately and timely.Quality Assurance & Risk MitigationDirect and support quality assurance and risk mitigation activities, including the review and high-level analysis of Major Unusual Incidents (MUIs) and Unusual Incidents (UIs) to identify systemic trends and inform service improvements.Participate in investigations and audits to ensure timely resolution and regulatory compliance.Oversee the development, implementation, and review of Individual Support Plans (ISPs) and Habilitation Plans in coordination with the Program Director, Assistant Program Director, Qualified Intellectual Disabilities Professionals (QIDPs), and interdisciplinary teams, ensuring person-centered goals, trauma-informed supports, and individualized skill-building interventions are consistently embedded and actively promoted throughout all operations.Perform other duties as assigned. Knowledge of:State and federal regulations governing ICF/IID facilities (e; g., DODD, CMS, Medicaid) HR functions Scheduling for large organization Person-centered and trauma-informed treatment models Developmental disabilities, behavioral supports, and interdisciplinary care Budget development, policy implementation, and performance management Skill in:Strategic leadership and program planning Staff supervision, training, and development Conflict resolution, communication, and team collaboration Quality improvement and data-driven decision making Ability to:Interpret and apply regulatory guidelines and clinical best practices Promote safety, dignity, and respect in all service environments Drive accountability, performance excellence, and cultural alignment Foster effective communication between departments and leadership What's in it for you:At 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 CoverageQuality, affordable, and competitive medical benefits are offered through the available Ohio Med plans. Dental, Vision and Basic Life InsuranceDental, vision, and basic life insurance premiums are free after completed eligibility period. Length of eligibility period is dependent on union representation.Time Away From Work and Work/Life BalancePaid time off, including vacation, personal, and sick leave 11 paid holidays per year Childbirth/Adoption leave Employee Development FundsThe State of Ohio offers a variety of educational and professional development funding that varies based on whether you are a union-exempt employee or a union-represented employee.Ohio Public Employees Retirement SystemOPERS is the retirement system for State of Ohio employees. The employee contributes 10% of their salary towards their retirement. The employer contributes an amount equal to 14% of the employee's salary. Visit the OPERS website for more information.Deferred CompensationThe Ohio Deferred Compensation program is a 457(b) voluntary retirement savings plan. Visit the Ohio Deferred Compensation website for more information. Ohio 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. To request a reasonable accommodation due to a disability, please contact the ADA Coordinator, Terry Penn, at ************ or by email at ********************************** 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.QualificationsFor all “programmatic” positions, completion of undergraduate core program in mental health & developmental disabilities technology, or social work or comparable field (e.g., child & family services), special education, psychology or rehabilitation or 24 mos. exp. in assessing consumers'/residents' needs & abilities as part of interdisciplinary team & in development of habilitation/treatment plans or programs for persons who are mentally ill or developmentally disabled; 12 mos. trg. or 12 mos. exp. in federal & state regulations governing care, custody, treatment, programming & environment of consumers/residents in state facilities & serviced by community programs; 6 mos. trg. in budgeting & spending or 6 mos. exp. determining budget & spending for operational unit or program of agency or firm. For all “administrative staff” positions, completion of undergraduate core program in business administration/management sciences or 12 mos. exp. in program & policy development for operational unit or program of firm or agency & monitoring implementation; 12 mos. trg. in budgeting & spending or 12 mos. exp. determining budgetary needs & spending for operational unit or program of agency or firm. In addition to one of preceding categories (i.e., programmatic positions or administrative staff), 6 mos. trg. in manpower planning or 6 mos. exp. scheduling personnel for adequate coverage & making staff projections; 3 mos. trg. in employee training & development or 3 mos. exp. writing training materials or conducting training. -Or 6 mos. exp. as Mental Health Administrator 5, 65225. -Or equivalent of Minimum Class Qualifications for Employment noted above. Job Skills: Mental HealthSupplemental InformationHourly wage will be paid at step 1, unless otherwise specified by collective bargaining agreement or rules outlined in the ORC/OAC.The final candidate selected for the position will be required to undergo a criminal background check. Rule 5123-2-02, “Background Investigations for Employment,” outlines disqualifying offenses that will preclude an applicant from being employed by the Department of Developmental Disabilities.The final applicant selected for this position will be required to submit to urinalysis prior to the appointment to test for illegal drug use. An applicant with a positive test result will not be offered employment. No additional materials will be accepted after the closing date; in addition, you must clearly demonstrate how you meet minimum qualifications.Requires travel throughout State of Ohio & may require overnight stay. Must be willing & able to secure a Driver License OR supply your own transportation.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.
    $45.5 hourly Auto-Apply 12m ago
  • Mortgage Mailroom Administrator, Home Lending

    Upstart Services 4.0company rating

    Columbus, OH

    About Upstart Upstart is the leading AI lending marketplace partnering with banks and credit unions to expand access to affordable credit. By leveraging Upstart's AI marketplace, Upstart-powered banks and credit unions can have higher approval rates and lower loss rates across races, ages, and genders, while simultaneously delivering the exceptional digital-first lending experience their customers demand. More than 80% of borrowers are approved instantly, with zero documentation to upload. Upstart is a digital-first company, which means that most Upstarters live and work anywhere in the United States. However, we also have offices in San Mateo, California; Columbus, Ohio; Austin, Texas; and New York City, NY (opening Summer 2026). Most Upstarters join us because they connect with our mission of enabling access to effortless credit based on true risk. If you are energized by the impact you can make at Upstart, we'd love to hear from you! The Team: Upstart's Mortgage Mailroom team is dedicated to supporting the efficient handling and review of mortgage documents and loan sales. The team ensures the timely and accurate management of documents and files for investor review, contributing to the smooth operation of loan sales and compliance with investor guidelines. This role is essential to maintaining a lean, scalable workflow in our growing mortgage operations. As the Mortgage Mailroom Administrator at Upstart, you will be responsible for managing mail, reviewing closed loans and preparing mortgage documents for loan sales. How you'll make an impact Sort and organize incoming and outgoing mortgage documents to ensure timely processing and routing. Scan and digitize paper files, uploading them to the appropriate document management system. Validate loan files for accuracy and completeness, cross-checking compliance with investor guidelines before submission for loan sale. Communicate discrepancies to loan processing and underwriting teams, ensuring issues are resolved in a timely manner. Securely archive physical copies of documents, ensuring compliance with document retention policies. Manage both mailroom tasks and loan review duties, allocating 60% of your time to mailroom operations and 40% to loan review, adjusting based on operational demands. Minimum Qualifications 1+ years of experience in mortgage loan processing or administrative support roles in a highly regulated industry. Strong attention to detail and ability to maintain high levels of accuracy in document handling. Familiarity with mortgage compliance guidelines and investor requirements. Preferred Qualifications Experience with mortgage loan sales and reviewing loan files for investor submission. Strong organizational skills and the ability to handle multiple tasks simultaneously. Ability to work independently and manage time efficiently in a fast-paced environment. High school diploma or equivalent work experience. Position location In-Office requirements This role is available in the following locations: Columbus, Ohio. The position requires you to work in the office Monday through Friday 9-5:30pm ET. Time zone requirements The team operates on the East/West coast time zones. Travel requirements As a digital first company, the majority of your work can be accomplished remotely. The majority of our employees can live and work anywhere in the U.S but are encouraged to to still spend high quality time in-person collaborating via regular onsites. The in-person sessions' cadence varies depending on the team and role; most teams meet once or twice per quarter for 2-4 consecutive days at a time. What you'll love: Competitive Compensation (base + bonus & equity) Comprehensive medical, dental, and vision coverage with Health Savings Account contributions from Upstart 401(k) with 100% company match up to $4,500 and immediate vesting and after-tax savings Employee Stock Purchase Plan (ESPP) Life and disability insurance Generous holiday, vacation, sick and safety leave Supportive parental, family care, and military leave programs Annual wellness, technology & ergonomic reimbursement programs Social activities including team events and onsites, all-company updates, employee resource groups (ERGs), and other interest groups such as book clubs, fitness, investing, and volunteering Catered lunches + snacks & drinks when working in offices This is a Non-Exempt position. Employees in this position are paid an hourly pay rate, on a bi-weekly basis, and are eligible to receive overtime pay for any hours worked over 40 in a work week, or over 8 in a work day if required by state law. Columbus, OH - Anticipated Hourly Rate Range$25.48-$25.48 USD Upstart is a proud Equal Opportunity Employer. Just as we are dedicated to improving access to affordable credit for all, we are committed to inclusive and fair hiring practices. If you require reasonable accommodation in completing an application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please email candidate_accommodations@upstart.com ************************************************
    $25.5-25.5 hourly Auto-Apply 1d ago
  • Practice Manager - Polaris

    Banfield Pet Hospital 3.8company rating

    Columbus, OH

    Veterinary Practice Manager at Banfield Pet Hospital Practice Managers play a pivotal role in our hospitals. Your medical practice management skills will be put to use to drive business results, and your people leadership skills will come into play as you develop associates and foster an engaging team environment. Along with a team of knowledgeable pet health care experts, you'll ensure that clients and patients have a positive experience when they visit the hospital. Through a professional relationship with other stakeholders, including the veterinary medical team, field leadership, our corporate headquarters and PetSmart associates (if applicable), you'll be helping optimize the growth of both businesses. And since we are committed to your growth, you'll be able to take advantage of a variety of educational opportunities and resources that support your career path. Job Description Summary: In partnership with the chief of staff, the Practice Manager plays a vital role in the hospital, managing day-to-day operations so the medical team can devote their time to delivering the highest quality veterinary care. Employment Type: Full-Time Required Education/Licenses: Bachelor's degree in business or related discipline preferred, or the equivalent combination of education, training and experience that provides the required knowledge, skills and abilities. Required Experience: Three years related experience required (health care, veterinary profession, service industry, etc.), including direct supervisory experience (includes hiring, associate development, etc.). A Day in the Life of a Banfield Practice Manager The position of Practice Manager requires a fair amount of versatility. Duties involve everything from interviewing, hiring and developing associates, to evaluating the hospital's processes, progress and productivity. Our Practice Managers also train associates on how to educate clients about our Optimum Wellness Plans , preventive care, pet health needs and hospital services. You will also be responsible for: + Educating associates on Banfield guidelines/practices + Budgeting and planning for the hospital + Dealing with daily operations + Scheduling associates, coordinating time off and managing continuing education needs Commitment Beyond Qualifications The foundation of our culture and approach to business is known as The Five Principles. They include Quality, Responsibility, Mutuality, Efficiency and Freedom. These are special values we all share at Banfield and hope to integrate into our daily decisions and processes at work. Additionally, our Practice Managers have: + Strong organizational, communication and interpersonal skills + A knack for problem solving + Conflict management experience + Leadership and analytical know-how Caring for Those Who Care: Benefits for a Banfield Practice Manager We have the resources and programs to help you stay fit, ensure the wellness of your family and pets, and offer a workplace where your professional development is important too. Personal Health, Savings, and Wellness Benefits We offer a competitive benefits package with components such as 401(k) participation, paid time off and Optimum Wellness Plans for your pets. In addition, medical, vision, dental, life and disability insurance is offered to associates (based on eligibility). Potential as Big as Your Passion We help our Practice Managers take charge of their professional development with the continuing education you'll want to excel in your career. We also offer a collection of programs geared toward improving competencies by providing: + Connections to learning experiences + Networking opportunities + Ways to give back to your community through volunteerism A Support Structure That Helps You Thrive As a practice manager you, along with the Chief of Staff, will serve as the leaders within the hospital, but you'll have the support of field leaders, medical leaders and our corporate headquarters behind you to help you excel. Our collaborative team environment helps us inspire the delivery of pet health care in hospitals, communities and the veterinary medicine field in general. Start your Banfield Career as a Practice Manager Learn more about the impact you can make as part of a Banfield hospital team and see how we support the wellness of our people and profession. BENEFITS & COMPENSATION + Salary range for this role is $63,822.10 - $85,187.47. Specific pay rates are dependent on experience, skill level, and education of the candidate, as well as geographic location. Pay rates for salaried positions may differ based on schedule worked. + Banfield offers an industry competitive benefits package and continues to invest in and evolve benefits programs that meet the health, wellness, and financial needs of our associates. Our benefits package includes: + Medical, Dental, Vision + Basic Life (company paid) & Supplemental Life + Short- and Long-Term Disability (company paid) + Flexible Spending Accounts + Commuter Benefits* + Legal Plan* + Health Savings Account with company funding + 401(k) with generous company match* + Paid Time Off & Holidays* + Paid Parental Leave + Student Debt Program (for FT DVMs) + Continuing Education allowance for eligible positions* + Free Optimum Wellness Plans for your pets' preventive and general care* *Benefits eligibility is based on employment status. FT associates are eligible for all benefits programs (Student Debt Program available for FT DVMs only); PT associates are eligible for those benefits highlighted with an asterisk*. WE ARE A DRUG-FREE, SMOKE-FREE, EQUAL OPPORTUNITY EMPLOYER.Banfield Pet Hospital strongly supports and values the uniqueness of all individuals and promotes a work environment where diversity is embraced. Banfield Pet Hospital is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, genetic information, status as a protected veteran, or status as a qualified individual with disability. Banfield Pet Hospital complies with all applicable federal, state and local laws governing nondiscrimination in employment in every Banfield location. #FT
    $63.8k-85.2k yearly 60d+ ago
  • Mental Health Administrator 5 (PN 20035304)

    State of Ohio 4.5company rating

    Columbus, OH

    Join Our Team! Accepting applications for a Mental Health Administrator 5 The Ohio Department of Developmental Disabilities (DODD) mission is to partner with people and communities to support Ohioans with developmental disabilities and their families in realizing their version of a good life. Ohio is the heart of opportunity, and we envision Ohio as the best place in the nation for people with developmental disabilities to thrive. Our core values reflect our focus on the experience of each person we support: Inclusion Partnership Respect What You'll Do: Serves as administrator for regional state programs for all counties assigned to region, is responsible for administrative direction, development, planning & coordination of service area, designs, develops, implements & expands community development; Initiates & implements administrative rule development, directs review of county board & provider compliance, develops & interprets compliance standards; Reviews & initiates statewide policy development & program protocols; Resolves most difficult program problems/issues; Develops & assists with overall annual budget, monitors expenditures & fiscal responsibilities, analyzes reports & statistics related to services delivered, identifies trends & issues affecting quality of service offered & provides needed resolutions. Manages monitoring & survey system to assure services provided by licensed &/or Medicaid certified & non-Medicaid certified providers achieve continuing quality improvement of outcomes for individuals being served & meeting established licensure & certification standards. Manages survey & follow-up systems to assure county boards of DD meet accreditation standards & achieve continuing quality improvement of outcomes for individuals receiving county board services. Supervises survey staff in scheduling surveys; reviews, edits & tracks survey reports & plans of compliance. Recommends to supervisor response to appeals of citations from providers & county boards. Participates in on-site surveys to assure appropriate implementation of survey process. Recommends to supervisor when suspension or revocation of license or certification or sanctions related to accreditation are warranted due to failure of provider or the county board to meet applicable standards. Corroborates with Legal Services in preparation of notices of suspension, revocation, termination & non-renewal of license or certification & sanctions related to accreditation. With supervisor, develops/revises & implements office policies & procedures. Coordinates survey information with Division of Information Technology Services to maintain database. Reviews requests of waivers of applicable rules, development applications & makes recommendations to supervisor for appropriate action. Reviews certification surveys by the Ohio Department of Health, conducts appropriate follow-up as indicated. Reviews MUIs, complaints & coordinates surveys, responses & reports with other department units, divisions & state agencies as appropriate. Supervises & performs special reviews as indicated. Enters data as appropriate into database systems. Manages system to track individuals who leave state operated developmental centers as a result of closure of a center and to track individuals who leave a licensed facility to live in a non-licensed setting. Supervises assigned staff (e.g., Interviews job applicants and recommends their hire; trains new staff in their positions; conduct performance evaluations & monitor subordinates' (staff) job performance; Addresses disciplinary issues, review & approve staff schedules & timekeeping, Reviews/approves leave requests, reviews/approves travel expenses related to surveys, coordinates staff issues with developmental centers); Reviews & updates unit goals, enters inspection data, responds to public information requests, completes weekly, monthly, quarterly & annual reports, responds & completes requests for special reports, conducts monthly internal quality control reviews of survey processes, develops & monitors IACP & office budget; Performs general office duties as needed. Attends & participates in internal department meetings as required, including, but not limited to\: intra-unit, division & department meetings Provides training and technical assistance to providers, county boards, individuals & families. Coordinates activities with other department offices & state agencies. Participates in external workgroups to develop rules, policies & procedures to implement duties of the office. Performs other related duties as assigned. What's in it for you: At 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 Quality, affordable, and competitive medical benefits are offered through the available Ohio Med plans. Dental, Vision and Basic Life Insurance Dental, vision, and basic life insurance premiums are free after completed eligibility period. Length of eligibility period is dependent on union representation. Time Away From Work and Work/Life Balance Paid time off, including vacation, personal, and sick leave 11 paid holidays per year Childbirth/Adoption leave Employee Development Funds The State of Ohio offers a variety of educational and professional development funding that varies based on whether you are a union-exempt employee or a union-represented employee. Ohio Public Employees Retirement System OPERS is the retirement system for State of Ohio employees. The employee contributes 10% of their salary towards their retirement. The employer contributes an amount equal to 14% of the employee's salary. Visit the OPERS website for more information. Deferred Compensation The Ohio Deferred Compensation program is a 457(b) voluntary retirement savings plan. Visit the Ohio Deferred Compensation website for more information. Ohio 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. To request a reasonable accommodation due to a disability, please contact ADA Coordinator Terry Penn at ************ or by email at **********************************. At 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. Completion of undergraduate core program in business administration or mental health technology (e.g., psychology, rehabilitation, social work); 12 mos. exp. in area to be assigned. -Or completion of graduate core program in public administration or business administration. -Or 12 mos. exp. as Mental Health Administration 4, 65224, in Department of Mental Health. Note\: prior training &/or experience must be directly related to area to be assigned. -Or equivalent of Minimum Class Qualifications for Employment noted above. Job Skills: Mental Health Ohio 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. The 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. Hourly wage will be paid at step 1, unless otherwise specified by collective bargaining agreement or rules outlined in the ORC/OAC. The final candidate selected for the position will be required to undergo a criminal background check. Rule 5123-2-02, “Background Investigations for Employment,” outlines disqualifying offenses that will preclude an applicant from being employed by the Department of Developmental Disabilities. The final applicant selected for this position will be required to submit to urinalysis prior to the appointment to test for illegal drug use. An applicant with a positive test result will not be offered employment. No additional materials will be accepted after the closing date; in addition, you must clearly demonstrate how you meet minimum qualifications.
    $48k-71k yearly est. Auto-Apply 11d ago
  • Manager of Practice Transformation

    CVS Health 4.6company rating

    Columbus, OH

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. The Manager of Practice Transformation plays a critical role in supporting the highest standards of practice performance and quality within our organization's network of healthcare providers. The primary focus is to identify areas for quality improvement, partner with provider practices to implement quality strategies that improve quality and cost of care, member, and clinician experience, and drive positive outcomes in the delivery of patient care. **Responsibilities include:** + Provider Engagement: Establish and maintain engagement with large provider groups that have a membership of 1,000 or greater. + Performance Analysis: Conduct comprehensive analysis of provider performance metrics as well as clinical operations for VBC readiness and risk assessment. This includes clinical quality indicators, patient and provider satisfaction ratings and operational efficiency measures. Identify areas of improvement and develop data-driven strategies to improve provider performance and financial rewards. + Provider Education and Practice Transformation: Collaborate with cross-functional teams to assess practice operations against industry best practices in primary care. Design and deliver training programs, workshops, and educational materials for primary care and specialty providers and their staff in key operational domains to achieve improved health outcomes. Facilitate sessions on clinic operations, quality standards, regulatory compliance, member experience and patient-centered care to enhance provider skills and knowledge. + Performance Improvement Initiatives: Lead initiatives aimed at improving provider performance. Develop and implement performance improvement plans, monitor progress, and evaluate the effectiveness of interventions in collaboration with practice partners. + Quality Assurance: Conduct regular audits, reviews, and assessments of provider practices, documentation, and compliance. Provide feedback and recommendations for improvement. + Stakeholder Collaboration: Collaborate closely with internal teams, including clinical and operational leadership, value-based care, quality management teams and provider relations teams to align provider performance objectives with organizational goals. Foster effective working relationships with providers, offering guidance, feedback, and support to facilitate their success. + Data Management and Reporting: Utilize data management systems and analytics tools to collect, analyze, and report provider performance data. Prepare comprehensive reports, dashboards, and presentations for senior leadership, highlighting key performance indicators, trends, and improvement opportunities. + Industry Knowledge and Research: Stay abreast of industry trends, best practices, and regulatory changes related to provider performance and healthcare quality. Support population health and health equity initiatives to improve care gap closure rates and health outcomes. Conduct research and benchmarking activities to identify innovative approaches and opportunities for improvement. **Location/Travel** + This is a work-from-home position, but does require travel to visit providers offices throughout the state of Ohio approximately 35% of the time. + Candidate may live anywhere in the state of OH. **Requirements:** + 5+ years of experience in healthcare quality improvement, provider relations, or a related role. + In-depth knowledge of healthcare regulations, clinical operations, quality standards, and performance metrics. + Strong analytical and problem-solving skills, with the ability to interpret complex data sets and identify improvement opportunities. + Excellent communication, presentation and interpersonal skills to collaborate with and effectively influence provider groups and executives, team members, and stakeholders at all levels. + 3+ years experience in designing and delivering training programs or educational initiatives. + Proficiency in data management and analysis tools, such as Excel or data visualization software. + Familiarity with electronic health record systems and healthcare information technology. + Detail-oriented, organized, and able to manage multiple projects simultaneously. + Ability to work independently, demonstrate initiative, and drive results in a fast-paced environment. + Secure home network required and familiar with Microsoft Office products and VPN. **Preferred Requirements:** + Registered Nurse in state of OH + Mental Health related coding experience, or Sales background + Certified Six Sigma Green Belt + Certified Professional in Healthcare Quality (CPHQ) or equivalent + Certified NCQA PCMH Content Expert **Education** : + Bachelor's degree or commensurate work experience in healthcare administration, public health, or a related field **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $54,300.00 - $119,340.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 01/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
    $54.3k-119.3k yearly 60d ago
  • Behavioral Health - Care Manager II

    Elevance Health

    Columbus, OH

    **Location:** _Virtual:_ This role enables associate 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. The **Behavioral Health - Care Manager II** is responsible for managing psychiatric or autism facility-based and outpatient professional treatment health benefits through telephonic or written review. **How you will make an impact:** + Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to Peer Reviewers as appropriate. + Performs psychiatric and autism assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to optimize member health benefits and to promote effective use of health benefits and community resources. + Will serve as a resource to other BH Care Managers. + Assists with more complex cases and may participate in inter and intradepartmental teams projects and initiatives. **Minimum Requirements:** + Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 years of experience with facility-based and/or outpatient psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background. + Current active unrestricted license such as LCSW LMSW LMHC LPC LBA (as allowed by applicable state laws) LMFT RN or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required. Licensure is a requirement for this position. However, for states that do not require licensure a Board Certified Behavioral Analyst (BCBA) is also acceptable if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff supervision. + Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases required. + Prior managed care experience required. **Preferred Skills, Capabilities, and Experiences:** + BCBA and LBA is STRONGLY PREFERRED For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $68,400 to $123,100. Locations: ( _note: only include the actual jurisdiction(s) where the job is posted)_ California, Illinois In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws _._ *The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. 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.
    $68.4k-123.1k yearly 2d ago
  • Care Coordinator

    The Advent School 3.8company rating

    Columbus, OH

    Rediscover Purpose with ADVENT At ADVENT, we do healthcare differently. We focus on innovative solutions and patient-first care. If you're driven, creative, and ready to make an impact, join us. Now Hiring: Care Coordinator Location: Miamisburg clinic (ability to help at nearby clinics when needed) At ADVENT, our Care Coordinators are the heart of the patient experience - connecting patients, providers, and teams to deliver care that's both seamless and compassionate. This role blends empathy with action, balancing communication, problem-solving, and precision. Care Coordinators are experts in guiding patients through their treatment journey, helping them understand their options, navigate insurance, and experience ADVENT's unique approach to better breathing and better living. Great position for someone with experience working in a similar position in dermatology, plastic surgery, optical, chiropractic, wellness, weight loss clinic or spa environment. What You'll Do: Serve as the primary point of contact for patients and families, building trust and rapport, demonstrating empathy, and providing education to support the treatment plan as directed by the clinic's MD. Identify and resolve care barriers, confidently addressing patient questions, concerns, or objections, and guiding patients toward successful completion of their care journey. Balance compassion with efficiency, ensuring patients feel supported without impacting clinic workflow. Advocate for patients on financial matters, including insurance coverage, estimates/deposits, authorization status, out-of-pocket costs, and pre/post-operative instructions. Own the patient journey end-to-end, using strong listening, communication, influencing, and problem-solving skills to keep patients motivated and focused on treatment outcomes. Coordinate scheduling, follow-ups, procedures, and documentation, partnering with staff and surgeons to ensure accurate and timely completion of care. Monitor patient adherence to care plans, identify gaps in treatment, and proactively engage patients using ADVENT's value proposition and outcomes. Confidently discuss costs and payments, providing guidance and recommending next steps in the patient journey with a value-driven approach. What You Bring: Proven success in customer engagement within a sales-driven or care coordination environment (inside sales experience preferred) Bachelor's degree in healthcare, social work, or related field - or equivalent experience Skilled in managing insurance, benefits, and cost-of-care discussions with patients Strong influencer with a passion for guiding patients toward their goals and treatment outcomes Proficient in medical terminology and comfortable collaborating with providers Highly organized with exceptional attention to detail and accuracy Excellent time management; able to work independently, anticipate needs, and plan proactively Proficient in Microsoft Office Suite (Outlook, Word, PowerPoint, Excel) Willingness to support at other nearby clinics as needed Why Choose ADVENT: 16+ days PTO (prorated first year) + paid holidays Health, dental, and vision coverage with employer-paid HRA 401k match & life insurance Regular business hours - no nights or weekends A culture that values solutions and encourages growth Convenient Monday-Friday schedule, Enjoy weekends and evenings for yourself! This is a full time 32-40 hr/week flex position Explore more at: ADVENT Careers Website Salary Description $21.01 - $26.26 per hour
    $21-26.3 hourly 5d ago
  • Physician Practice Manager

    Ohio Health 3.3company rating

    Westerville, OH

    We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: Directs, coordinates, and manages all practice functions. Responsible for practice operations, financial accounting activities, operating and capital budgets, implements and supports MSF policies and procedures. Works effectively with physicians and other care providers to assure timely and thorough communication and practice efficiencies. Provides education and coaching support to staff and acts as a role model in support of the OhioHealth Mission Statement. Responsibilities And Duties: 60% Daily Operational Management Human Resource responsibilities to include but not limited to hiring, evaluating and providing annual performance evaluations to staff, including promotion, dismissal, coaching, counseling, conflict resolution, and growth and development Responsible for the determination of appropriate staffing levels and maintaining employee schedules to assure appropriate coverage while maintaining fiscal responsibility with overtime Manage staff payroll and individual staff HR records Create, oversee, train and implement patient services policies and procedures Resolve and manage patient complaints and requests for service immediately and courteously Engage staff in adjusting clinical workflows to ensure highly efficient patient care Manage monthly financials including accounts payable and accounts receivable Manage inventory and purchasing in accordance to budget Prepare preliminary capital and human resources budgets for review and approval Assure timely capture and input of all billing information Manage practice equipment maintenance needs Oversee and approve maintenance agreements and service contracts in conjunction with the director Assist the director in managing contractual agreements Provide on-site IT support and/or order and oversee IT work required of outside vendors; apply and implement upgrades Coordinate safety, security, customer service, HIPAA, risk management, compliance and code training; assure understanding and enforce regulations Oversee building repairs and practice construction projects Review and enforce regulatory compliance, building safety and code regulations In coordination with the practice providers, assess the need for physician services at practice locations; manage physician schedule of professional and ancillary services accordingly Serve as a point of contact for physician paperwork, meeting requests, billing reconciliation Serves as a liaison between physicians, associates and organizational leaders 30% Performance Management Monitor patient satisfaction data and make appropriate improvements to increase ratings Investigate financial variances to budget and make recommendations on improving monthly variances Assist Director with practice specific long range financial and business planning, capital and operating budgets Meet annual goal deployment metrics as assigned Develop and execute plans to improve outcomes Provide and review monthly physician and practice performance data with all providers Work with director, marketing and business development to market and grow practice 10% Organizational Transformation Translate and educate staff on organizational strategy and vision Communicate and execute organizational change initiatives within the practice Serve on committees to optimize performance Pilot, implement and champion new programs, services and processes Enhance operational effectiveness and cost containment through continued innovation without compromising quality of care Minimum Qualifications: Bachelor's Degree (Required) Additional Job Description: Healthcare or Business Administration or related field required; Master's Degree strongly preferred. A minimum of 7 years of related health care Experience preferably in an ambulatory care setting including 5 years of supervision or management Experience . A minimum of 10 years of health care management Experience , preferably in an ambulatory setting, may be substituted in lieu of requirements in certain circumstances. Work Shift: Day Scheduled Weekly Hours : 40 Department HVP Westerville Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment
    $72k-133k yearly est. Auto-Apply 8d ago
  • Managed Care Resource

    Ensign Services 4.0company rating

    Columbus, OH

    About the Company ESI currently serves over 350 health care operations that employ over 48,000 employees across 14 states. These operations have no corporate headquarters or traditional management hierarchy. Instead, they operate independently with support from the “Service Center” - a team of accounting, legal, human resources, benefits, compliance, payroll, construction, training and information technology resources. Service Center human resources employees are dedicated subject matter consultants who guide and advise field personnel. This structure allows on-site leaders and caregivers to focus on day-to-day issues in their individual operations. What sets ESI apart from other companies is the quality of our most valuable resource - our people. About the Opportunity The Managed Care Consultant supports the Skilled Nursing Facility leaders in managed care contracting and revenue enhancement strategies for all healthcare payers and preparation for changes in the healthcare industry. The Consultant will provide guidance regarding development of managed care relationships and rate negotiation, ensuring timeliness and rate appropriateness. Additionally, the Consultant will negotiate contracts for new locations, assist with ensuring that contracts are updated for new services and help with contract cancellations, denials and appeals. Essential Functions and Responsibilities Establish, implement and evaluate the strategic plan(s) that will ensure each local operation the ability to optimize financial performance through rates and increased census. Engage in complex levels of contract development and negotiation, including risk agreements using utilization, claims and market data with health plans and direct service agreements with physicians, physician organizations and hospitals and ancillary providers. Identify, develop and maintain an effective relationship with contracted health plans and managed care regulatory agencies. Manage complex and high-profile health plan negotiations. Actively draft and negotiate contracts in the health care operations and health care plan functional areas. Assist in analysis and coordination of amendments, reimbursement, and language changes. Assess resource utilization, cost management and negotiate effectively. Monitor industry changes, trends and events to proactively identify opportunities to increase market penetration and performance improvement. Understands the competitive pricing levels in the local market and improves the company's cost position through unit costs strategies. Strategizes for facility census growth and retention. Teach, Train and Instruct facility level personnel on how to operationalize the contract. Interact with facility personnel on utilization, clinical results and managed care census. Qualifications: Knowledge of managed care contracting language, requirements, and methods to support the development and maintenance of contract compliance, contract language review and contract analysis. Must be knowledgeable about the managed care environment, including capitation, PPO, HMO, IPA, ACO and POS. Knowledge of CPT-4, HCPCS, Revenue and ICD coding. Expert in Skilled Nursing Managed care plans. Experience in successful operationalizing managed care contracts in the skilled nursing environment. Knowledge of contracts and contractual interpretations for payment and benefit issues. Working knowledge of medical terminology, claims payment, contract negotiations, and problem resolution; ability to work collaboratively in a team setting. Communicate effectively at all organizational levels and in situations requiring instructing, persuading, negotiating, consulting, and advising. Ability to deal with responsibility with confidential matters. Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). Strong analytical mind, with problem solving skills, an aptitude for accuracy, and attention to detail. Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously. Excellent verbal and written communication skills, as well as excellent critical thinking skills. Computer savvy (Contract Logix, MS Word, MS Outlook & Excel). Ability to be flexible, be readily adaptable, and work in a rapidly and constantly changing environment. Present in facilities on a weekly basis, (currently as deemed appropriate). Desired Qualifications Must live in Ohio, preferably in the Columbus area. Preference for bachelor's degree in business administration, management or health care administration. Willing to travel up to 80% of the time (as deemed appropriate) Highly desire at least 2 years' experience with Managed Care contracting. Additional Information Wage Rate: Depending on Experience Position Type: Full-time, exempt employee Benefits: Medical, dental, vision, life & AD&D insurance plans, 401(k) with matching contribution, vacation, sick and holiday pay Location: Candidate must reside in the Columbus, Ohio area. Ensign Services, Inc. is an Equal Opportunity Employer. Pre-employment criminal background screening required.
    $69k-92k yearly est. 60d ago
  • Hospice Director of Clinical Services

    Compassus 4.2company rating

    Columbus, OH

    Company: OhioHealth at Home At OhioHealth Hospice together with Compassus, we know that caring for our teammates is the first step in caring for our patients. We are committed to providing Care for Who You Are and What You Need to balance work and life including flexible scheduling, a supportive family-focused culture and first-class compensation and benefits. Your position perks as a Hospice Director Clinical Services (Registered Nurse/RN) * Supportive and welcoming team * Competitive pay and bonus structure * Health, dental, vision for part & full-time positions * Generous Paid Time Off plan that increases with tenure * Wellness reimbursements for physicals and gym memberships * Pre-tax FSA and HSA plans (HSA w/company contributions) * 401(k) with company matching contributions * Free Continuing Education Units * Tuition reimbursement * Company paid life and long-term disability insurance * Company paid parental leave with tenure for birth, adoption, and foster parents * Voluntary long-term care, critical illness, and accident insurance * Local and national award programs * Referral bonus program * Mileage reimbursement * Corporate discount program w/access to >300,000 businesses * Company assistance program supporting teammates in times of need How you'll make an impact as a Hospice Director Clinical Services (Registered Nurse/RN) * Supervise patient and family care as specified by the plan of care, assessing appropriateness, continuity, service, and quality of care * Support and manage Interdisciplinary Team (IDT) including scheduling, productivity, mentoring and monitoring, 1x1's, pay practices and timekeeping * Oversee the consultative process between the Medical Director and the members of the Interdisciplinary Team (IDT) * Ensure adherence to the rules and regulations of state and federal regulatory agencies * Attend/Lead Interdisciplinary Team (IDT) meetings * Process EMR documentation workflow as needed Hospice Director Clinical Services (Registered Nurse/RN) Requirements * Registered Nurse with minimum of three years in healthcare required, preferably in Nursing Facility, Home Health or Hospice setting. Bachelor's degree strongly preferred. BSN a plus. * Experience in leadership or management strongly preferred. * Experience with Electronic Medical Record systems a strong plus. * Strong leadership, organizational and interpersonal skills. Hospice Director Clinical Services (Registered Nurse/RN) Certifications, Licenses and Registrations * Must be a Registered Nurse licensed in the state of employment. * Certification in Hospice and Palliative Nursing a plus but not required. * Must have a valid driver's license and auto liability insurance. Care for Who I Am is Caring for Who We Are. Together We Are: Welcoming everyone. Empowering belonging. Allying for inclusivity. Removing barriers. Engaging community. WE ARE fostering an inclusive environment where every teammate matters and can be their best selves. WE ARE becoming a reflection of our patients, families, and partners. WE ARE transforming care at home for every community serve. State Specific Requirements Estimated salary range $53315 - $108487 / year. Actual salary will vary by geographic location and experience. #LI-TC1 Build a Rewarding Career with Compassus At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others. Your Career Journey Matters We're dedicated to helping you grow and succeed. Whether you're pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive. The Compassus Advantage * Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter. * Career Development: Access leadership pathways, mentorship, and personalized professional development. * Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care. * Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being. * Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication. * A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion. Ready to Join? At Compassus, your career is more than a job-it's an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.
    $53.3k-108.5k yearly Auto-Apply 5d ago
  • Part-Time Mental Health Administrator 4 (PN 20080971)

    Dasstateoh

    Columbus, OH

    Part-Time Mental Health Administrator 4 (PN 20080971) (250009EA) Organization: Developmental Disabilities - Central OfficeAgency Contact Name and Information: Erica Darthard, **************************** Unposting Date: Dec 29, 2025, 4:59:00 AMWork Location: James A Rhodes Office Tower 12 30 East Broad Street 12th Floor Columbus 43215Primary Location: United States of America-OHIO-Franklin County-ColumbusOther Locations: United States of America-OHIO-Seneca County-Tiffin, United States of America-OHIO-Cuyahoga County-Highland Hills, United States of America-OHIO-Clermont County-Batavia, United States of America-OHIO-Guernsey County-Cambridge, United States of America-OHIO-Gallia County-Gallipolis, United States of America-OHIO-Knox County-Mount Vernon, United States of America-OHIO-Franklin County-Columbus, United States of America-OHIO-Lucas County-Toledo Compensation: $39.22/ per hour Schedule: Part-time Work Hours: 8:00 AM - 5:00 PMClassified Indicator: UnclassifiedUnion: Exempt from Union Primary Job Skill: Mental HealthTechnical Skills: Planning and DevelopmentProfessional Skills: Attention to Detail, Organizing and Planning Agency OverviewJoin Our Team!Accepting applications for a Part-Time Mental Health Administrator 4Who Are We?The Ohio Department of Developmental Disabilities (DODD) mission is to partner with people and communities to support Ohioans with developmental disabilities and their families in realizing their version of a good life.Ohio is the heart of opportunity, and we envision Ohio as the best place in the nation for people with developmental disabilities to thrive. Our core values reflect our focus on the experience of each person we support: Inclusion Partnership RespectJob DescriptionThe Division of Residential Resources is responsible for the oversight of Ohio's eight Developmental Centers and the Community Capital Assistance program to help individuals with developmental disabilities have access to affordable and accessible housing in the community. What will you do?As the Mental Health Administrator 4 at DODD, you will:Coordinate and manage all Developmental Center (DC) admission requests, including tracking application status, maintaining records, and ensuring complete and accurate documentation.Lead and participate in interdisciplinary admissions review teams to evaluate applications and make admission recommendations.Collaborate with county boards, prospective residents, families, and providers throughout the assessment, admission, and discharge planning processes.Create, maintain, and update case records within the electronic health system; monitor admissions documentation and related data.Track and analyze admissions, length of stay, and discharge readiness data; ensure comprehensive discharge plans are in place prior to discharge.Represent the department at meetings, conferences, and stakeholder engagements to explain DC services and the admissions process.Monitor statewide Developmental Center programs for compliance with federal and state Medicaid regulations, licensure, and ICF/DD standards.Provide consultation, technical assistance, and training to DC staff on regulatory requirements, program modifications, and departmental initiatives.Conduct assessments, special studies, and data analysis; prepare reports and correspondence to document findings and support program implementation.Complete Developmental Disabilities Profile (DDP) assessments at assigned facilities and provide guidance to staff on assessment processes.Maintain compliance files, reference materials, and web-based content related to DC services; perform other duties as assigned.What's in it for you:At 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 CoverageQuality, affordable, and competitive medical benefits are offered through the Ohio Med PPO plan. Dental, Vision and Basic Life InsuranceDental, vision and basic life insurance premiums are free after one year of continuous service.Time Away from Work and Work/Life BalancePaid time off, including vacation, personal, and sick leave 11 paid holidays per year Childbirth/Adoption leave Ohio Public Employees Retirement SystemOPERS is the retirement system for State of Ohio employees. The employee contributes 10% of their salary towards their retirement. The employer contributes an amount equal to 14% of the employee's salary. Visit the OPERS website for more information.Deferred CompensationThe Ohio Deferred Compensation program is a 457(b) voluntary retirement savings plan. Visit the Ohio Deferred Compensation website for more information. Ohio 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. To request a reasonable accommodation due to a disability, please contact the ADA Coordinator, Terry Penn, at ************ or by email at ********************************** 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.QualificationsFor all “programmatic” positions, completion of undergraduate core program in one of following fields: mental health & developmental disabilities technology, social work or comparable field (e.g., child & family community services), special education, psychology or rehabilitation or 24 mos. exp. in development & implementation of treatment/ habilitation plans for persons who are mentally ill or developmentally disabled & working as part of interdisciplinary team to assess consumers'/residents' needs & abilities; 12 mos. trg. or 12 mos. exp. in state & federal regulations, standards & court orders governing care, custody, treatment, programming & environment of consumers/residents in mental health or developmental centers, or regulating drug treatment center operations or federally funded drug abuse services, or governing delivery of psychiatric services in adult correctional institution, or affecting community mental health programs (i.e., category of state & federal regulations, standards & court orders must be linked directly to type of facility & services being provided). For all “administration staff” positions, completion of undergraduate core program in business administration/management sciences or 12 mos. exp. developing goals, objectives, policies & procedures of operational unit or program of agency or firm & monitoring implementation of same. In addition to one of preceding categories (i.e., programmatic positions or administrative staff), 6 mos. trg. in supervisory principles/techniques or 6 mos. exp. scheduling, monitoring & evaluating personnel; 6 mos. trg. in budgeting or 6 mos. exp. determining budget needs & spending for operational unit or program of agency or firm; 6 mos. trg. in employee training & development or 6 mos. exp. writing training materials or conducting training; 3 mos. trg. in manpower planning or 3 mos. exp. scheduling personnel for adequate coverage & making staff projections. -Or 6 mos. exp. as Mental Health Administrator 3, 65223. -Or equivalent of Minimum Class Qualifications for Employment noted above. Job Skills: Mental HealthSupplemental InformationHourly wage will be paid at step 1, unless otherwise specified by collective bargaining agreement or rules outlined in the ORC/OAC.The final candidate selected for the position will be required to undergo a criminal background check. Rule 5123-2-02, “Background Investigations for Employment,” outlines disqualifying offenses that will preclude an applicant from being employed by the Department of Developmental Disabilities.The final applicant selected for this position will be required to submit to urinalysis prior to the appointment to test for illegal drug use. An applicant with a positive test result will not be offered employment. No additional materials will be accepted after the closing date; in addition, you must clearly demonstrate how you meet minimum qualifications.Requires travel throughout State of Ohio & may require overnight stay. Must be willing & able to secure a Driver License OR supply your own transportation.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.
    $39.2 hourly Auto-Apply 12m ago
  • Mental Health Administrator 6 - Assistant Superintendent (PN 20042925)

    State of Ohio 4.5company rating

    Columbus, OH

    Join our team at the Columbus Developmental Center! Accepting applications for the Mental Health Administrator 6 (Assistant Superintendent) Who Are We? The Ohio Department of Developmental Disabilities (DODD) mission is to partner with people and communities to support Ohioans with developmental disabilities and their families in realizing their version of a good life. Ohio is the heart of opportunity, and we envision Ohio as the best place in the nation for people with developmental disabilities to thrive. Our core values reflect our focus on the experience of each person we support: Inclusion Partnership Respect Hourly wage will be paid at step 1, unless otherwise specified by collective bargaining agreement or rules outlined in the ORC/OAC. The final candidate selected for the position will be required to undergo a criminal background check. Rule 5123-2-02, “Background Investigations for Employment,” outlines disqualifying offenses that will preclude an applicant from being employed by the Department of Developmental Disabilities. The final applicant selected for this position will be required to submit to urinalysis prior to the appointment to test for illegal drug use. An applicant with a positive test result will not be offered employment. No additional materials will be accepted after the closing date; in addition, you must clearly demonstrate how you meet minimum qualifications. Requires travel throughout State of Ohio & may require overnight stay. Must be willing & able to secure a Driver License OR supply your own transportation. Ohio 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. The 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. At 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. Under the direction of the Superintendent, the Assistant Superintendent serves as a senior leader at the Developmental Center, providing strategic vision, clinical oversight, and executive-level direction to ensure the delivery of person-centered, trauma-informed, and developmentally appropriate supports across all programs. What You'll Do: Leadership & Strategic Planning Lead strategic planning and continuous improvement efforts for adult services, aligning operations with current regulatory requirements (ICF/IID, CMS, DODD) and evidence-based practices. Maintain a regular and visible presence on residential units to assess program implementation, model trauma-informed practices, and reinforce a culture of dignity, safety, and positive behavior support. Lead efforts in onboarding, retaining, mentoring, and ongoing development for programmatic staff, emphasizing performance excellence, accountability, person-centered thinking, and compliance with best practices and regulatory mandates. Act as a key communication conduit between programmatic staff and executive leadership to ensure clarity of expectations, transparency of decisions, and follow-through on initiatives and directives. Serve in place of the Superintendent as needed to ensure continuity of leadership and operational stability. Program Oversight & Fiscal Management Provide executive oversight of programs including Programming, Psychology, Social Work, and Recreation Therapy. Monitor service integration into daily routines to ensure all services contribute to positive outcomes and regulatory compliance. Facilitate cross-departmental collaboration to ensure interdisciplinary coordination of clinical, behavioral, medical, and habilitative services that meet the holistic needs of individuals served. Assist with budget preparation and monitor fiscal operations to ensure duties are completed accurately and timely. Quality Assurance & Risk Mitigation Direct and support quality assurance and risk mitigation activities, including the review and high-level analysis of Major Unusual Incidents (MUIs) and Unusual Incidents (UIs) to identify systemic trends and inform service improvements. Participate in investigations and audits to ensure timely resolution and regulatory compliance. Oversee the development, implementation, and review of Individual Support Plans (ISPs) and Habilitation Plans in coordination with the Program Director, Assistant Program Director, Qualified Intellectual Disabilities Professionals (QIDPs), and interdisciplinary teams, ensuring person-centered goals, trauma-informed supports, and individualized skill-building interventions are consistently embedded and actively promoted throughout all operations. Perform other duties as assigned. Knowledge of: State and federal regulations governing ICF/IID facilities (e; g., DODD, CMS, Medicaid) HR functions Scheduling for large organization Person-centered and trauma-informed treatment models Developmental disabilities, behavioral supports, and interdisciplinary care Budget development, policy implementation, and performance management Skill in: Strategic leadership and program planning Staff supervision, training, and development Conflict resolution, communication, and team collaboration Quality improvement and data-driven decision making Ability to: Interpret and apply regulatory guidelines and clinical best practices Promote safety, dignity, and respect in all service environments Drive accountability, performance excellence, and cultural alignment Foster effective communication between departments and leadership What's in it for you: At 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 Quality, affordable, and competitive medical benefits are offered through the available Ohio Med plans. Dental, Vision and Basic Life Insurance Dental, vision, and basic life insurance premiums are free after completed eligibility period. Length of eligibility period is dependent on union representation. Time Away From Work and Work/Life Balance Paid time off, including vacation, personal, and sick leave 11 paid holidays per year Childbirth/Adoption leave Employee Development Funds The State of Ohio offers a variety of educational and professional development funding that varies based on whether you are a union-exempt employee or a union-represented employee. Ohio Public Employees Retirement System OPERS is the retirement system for State of Ohio employees. The employee contributes 10% of their salary towards their retirement. The employer contributes an amount equal to 14% of the employee's salary. Visit the OPERS website for more information. Deferred Compensation The Ohio Deferred Compensation program is a 457(b) voluntary retirement savings plan. Visit the Ohio Deferred Compensation website for more information. Ohio 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. To request a reasonable accommodation due to a disability, please contact the ADA Coordinator, Terry Penn, at ************ or by email at ********************************** For all “programmatic” positions, completion of undergraduate core program in mental health & developmental disabilities technology, or social work or comparable field (e.g., child & family services), special education, psychology or rehabilitation or 24 mos. exp. in assessing consumers'/residents' needs & abilities as part of interdisciplinary team & in development of habilitation/treatment plans or programs for persons who are mentally ill or developmentally disabled; 12 mos. trg. or 12 mos. exp. in federal & state regulations governing care, custody, treatment, programming & environment of consumers/residents in state facilities & serviced by community programs; 6 mos. trg. in budgeting & spending or 6 mos. exp. determining budget & spending for operational unit or program of agency or firm. For all “administrative staff” positions, completion of undergraduate core program in business administration/management sciences or 12 mos. exp. in program & policy development for operational unit or program of firm or agency & monitoring implementation; 12 mos. trg. in budgeting & spending or 12 mos. exp. determining budgetary needs & spending for operational unit or program of agency or firm. In addition to one of preceding categories (i.e., programmatic positions or administrative staff), 6 mos. trg. in manpower planning or 6 mos. exp. scheduling personnel for adequate coverage & making staff projections; 3 mos. trg. in employee training & development or 3 mos. exp. writing training materials or conducting training. -Or 6 mos. exp. as Mental Health Administrator 5, 65225. -Or equivalent of Minimum Class Qualifications for Employment noted above. Job Skills: Mental Health
    $48k-71k yearly est. Auto-Apply 4d ago
  • Behavioral Health - Care Manager II

    Elevance Health

    Columbus, OH

    Location: Virtual: This role enables associate 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. The Behavioral Health - Care Manager II is responsible for managing psychiatric or autism facility-based and outpatient professional treatment health benefits through telephonic or written review. How you will make an impact: * Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. * Refers cases to Peer Reviewers as appropriate. * Performs psychiatric and autism assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to optimize member health benefits and to promote effective use of health benefits and community resources. * Will serve as a resource to other BH Care Managers. * Assists with more complex cases and may participate in inter and intradepartmental teams projects and initiatives. Minimum Requirements: * Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 years of experience with facility-based and/or outpatient psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background. * Current active unrestricted license such as LCSW LMSW LMHC LPC LBA (as allowed by applicable state laws) LMFT RN or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required. Licensure is a requirement for this position. However, for states that do not require licensure a Board Certified Behavioral Analyst (BCBA) is also acceptable if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff supervision. * Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases required. * Prior managed care experience required. Preferred Skills, Capabilities, and Experiences: * BCBA and LBA is STRONGLY PREFERRED For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $68,400 to $123,100. Locations: (note: only include the actual jurisdiction(s) where the job is posted) California, Illinois In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Non-Management Exempt Workshift: Job Family: MED > Licensed/Certified Behavioral Health Role 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.
    $68.4k-123.1k yearly 3d ago
  • Care Management Coordinator - Field - OhioRISE NE Ohio - prefer Portage, Stark or Summit Counties

    CVS Health 4.6company rating

    Columbus, OH

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** This is a full-time field-based telework position, in Ohio. This position requires the ability to travel within the assigned region of Ohio to member homes and other requested member locations, up to 50% or more of the time. Applicants may reside within the Northeast region of Ohio. Strongly prefers candidates to reside in one of the following counties: Portage, Stark, or Summit Monday-Friday 8-5pm with flexibility needed to work later to meet member needs. **Business Overview** As part of the bold vision to deliver the "Next Generation" of managed care in Ohio Medicaid, OhioRISE will help struggling children and their families by focusing on the individual with strong coordination and partnership among MCOs, vendors, and ODM to support specialization in addressing critical needs. The OhioRISE Program is designed to provide comprehensive and highly coordinated behavioral health services for children with serious/complex behavioral health needs involved in, or at risk for involvement in, multiple child-serving systems. The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources. Must reside in Ohio. **Fundamental Components:** - Be clinically and culturally competent/responsive with training and experience necessary to manage complex cases in the community across child-serving systems. - Evaluation of Members: o Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. o Coordinates and implements assigned care plan activities and monitors care plan progress. - Enhancement of Medical Appropriateness and Quality of Care: o Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health/behavioral health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes. o Works collaboratively with the members' Child and Family Teams. o Identifies and escalates quality of care issues through established channels. o Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs. o Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health. o Provides coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices. o Helps member actively and knowledgably participate with their provider in healthcare decision-making. o Serves a single point of contact for members and assist members to remediate immediate and acute gaps in care and access. - Monitoring, Evaluation and Documentation of Care: o Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. **Required Qualifications** - 2+ years of experience in behavioral health, social services, or human services - 2+ years of experience with personal computers, keyboard and multi-system navigation, and MS Office Suite applications (Outlook, Word, Excel, SharePoint). - 2+ years of experience in children's mental health, child welfare, developmental disabilities, juvenile justice, or a public sector human services or behavioral health care field, providing community-based services to children and youth, and their family/caregivers. - 2+ years experience in one or more of the following areas of expertise: family systems, community systems and resources, case management, child and family counseling/therapy, child protection, or child development. - 2+ year of experience with Ohio delivery systems, including local community networks and resources. - Willing and able to travel within the assigned region up to 50% of the time; Some travel to the New Albany office may be required for trainings/meetings: - Reliable transportation required - Mileage is reimbursed per our company expense reimbursement policy - Willing and able to work beyond core business hours of Monday-Friday, 8am-5pm, as needed. Bachelor's degree or non-licensed master level clinician required Must reside in Ohio **Preferred Qualifications** - Case management and discharge planning experience. - Managed Care experience. - Medicaid experience. **Education** Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health, human services, health services, or public health preferred. (i.e. psychology, social work, marriage and family therapy, counseling, juvenile justice). **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $21.10 - $36.78 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 12/31/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
    $21.1-36.8 hourly 45d ago
  • Hospice Director of Clinical Services

    Compassus 4.2company rating

    Columbus, OH

    Company: OhioHealth at Home At OhioHealth Hospice together with Compassus, we know that caring for our teammates is the first step in caring for our patients. We are committed to providing Care for Who You Are and What You Need to balance work and life including flexible scheduling, a supportive family-focused culture and first-class compensation and benefits. Your position perks as a Hospice Director Clinical Services (Registered Nurse/RN) Supportive and welcoming team Competitive pay and bonus structure Health, dental, vision for part & full-time positions Generous Paid Time Off plan that increases with tenure Wellness reimbursements for physicals and gym memberships Pre-tax FSA and HSA plans (HSA w/company contributions) 401(k) with company matching contributions Free Continuing Education Units Tuition reimbursement Company paid life and long-term disability insurance Company paid parental leave with tenure for birth, adoption, and foster parents Voluntary long-term care, critical illness, and accident insurance Local and national award programs Referral bonus program Mileage reimbursement Corporate discount program w/access to >300,000 businesses Company assistance program supporting teammates in times of need How you'll make an impact as a Hospice Director Clinical Services (Registered Nurse/RN) Supervise patient and family care as specified by the plan of care, assessing appropriateness, continuity, service, and quality of care Support and manage Interdisciplinary Team (IDT) including scheduling, productivity, mentoring and monitoring, 1x1's, pay practices and timekeeping Oversee the consultative process between the Medical Director and the members of the Interdisciplinary Team (IDT) Ensure adherence to the rules and regulations of state and federal regulatory agencies Attend/Lead Interdisciplinary Team (IDT) meetings Process EMR documentation workflow as needed Hospice Director Clinical Services (Registered Nurse/RN) Requirements Registered Nurse with minimum of three years in healthcare required, preferably in Nursing Facility, Home Health or Hospice setting. Bachelor's degree strongly preferred. BSN a plus. Experience in leadership or management strongly preferred. Experience with Electronic Medical Record systems a strong plus. Strong leadership, organizational and interpersonal skills. Hospice Director Clinical Services (Registered Nurse/RN) Certifications, Licenses and Registrations Must be a Registered Nurse licensed in the state of employment. Certification in Hospice and Palliative Nursing a plus but not required. Must have a valid driver's license and auto liability insurance. Care for Who I Am is Caring for Who We Are. Together We Are: Welcoming everyone. Empowering belonging. Allying for inclusivity. Removing barriers. Engaging community. WE ARE fostering an inclusive environment where every teammate matters and can be their best selves. WE ARE becoming a reflection of our patients, families, and partners. WE ARE transforming care at home for every community serve. State Specific Requirements Estimated salary range $53315 - $108487 / year. Actual salary will vary by geographic location and experience. #LI-TC1 Build a Rewarding Career with Compassus At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others. Your Career Journey Matters We're dedicated to helping you grow and succeed. Whether you're pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive. The Compassus Advantage • Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter. • Career Development: Access leadership pathways, mentorship, and personalized professional development. • Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care. • Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being. • Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication. • A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion. Ready to Join? At Compassus, your career is more than a job-it's an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.
    $53.3k-108.5k yearly Auto-Apply 22d ago
  • Physician Practice Manager

    Ohiohealth 4.3company rating

    Westerville, OH

    **We are more than a health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. ** Summary:** Directs, coordinates, and manages all practice functions. Responsible for practice operations, financial accounting activities, operating and capital budgets, implements and supports MSF policies and procedures. Works effectively with physicians and other care providers to assure timely and thorough communication and practice efficiencies. Provides education and coaching support to staff and acts as a role model in support of the OhioHealth Mission Statement. **Responsibilities And Duties:** 60% Daily Operational Management Human Resource responsibilities to include but not limited to hiring, evaluating and providing annual performance evaluations to staff, including promotion, dismissal, coaching, counseling, conflict resolution, and growth and development Responsible for the determination of appropriate staffing levels and maintaining employee schedules to assure appropriate coverage while maintaining fiscal responsibility with overtime Manage staff payroll and individual staff HR records Create, oversee, train and implement patient services policies and procedures Resolve and manage patient complaints and requests for service immediately and courteously Engage staff in adjusting clinical workflows to ensure highly efficient patient care Manage monthly financials including accounts payable and accounts receivable Manage inventory and purchasing in accordance to budget Prepare preliminary capital and human resources budgets for review and approval Assure timely capture and input of all billing information Manage practice equipment maintenance needs Oversee and approve maintenance agreements and service contracts in conjunction with the director Assist the director in managing contractual agreements Provide on-site IT support and/or order and oversee IT work required of outside vendors; apply and implement upgrades Coordinate safety, security, customer service, HIPAA, risk management, compliance and code training; assure understanding and enforce regulations Oversee building repairs and practice construction projects Review and enforce regulatory compliance, building safety and code regulations In coordination with the practice providers, assess the need for physician services at practice locations; manage physician schedule of professional and ancillary services accordingly Serve as a point of contact for physician paperwork, meeting requests, billing reconciliation Serves as a liaison between physicians, associates and organizational leaders 30% Performance Management Monitor patient satisfaction data and make appropriate improvements to increase ratings Investigate financial variances to budget and make recommendations on improving monthly variances Assist Director with practice specific long range financial and business planning, capital and operating budgets Meet annual goal deployment metrics as assigned Develop and execute plans to improve outcomes Provide and review monthly physician and practice performance data with all providers Work with director, marketing and business development to market and grow practice 10% Organizational Transformation Translate and educate staff on organizational strategy and vision Communicate and execute organizational change initiatives within the practice Serve on committees to optimize performance Pilot, implement and champion new programs, services and processes Enhance operational effectiveness and cost containment through continued innovation without compromising quality of care **Minimum Qualifications:** Bachelor's Degree (Required) **Additional Job Description:** Healthcare or Business Administration or related field required; Master's Degree strongly preferred. A minimum of 7 years of related health care Experience preferably in an ambulatory care setting including 5 years of supervision or management Experience . A minimum of 10 years of health care management Experience , preferably in an ambulatory setting, may be substituted in lieu of requirements in certain circumstances. **Work Shift:** Day **Scheduled Weekly Hours :** 40 **Department** HVP Westerville Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment
    $40k-53k yearly est. 39d ago
  • Mental Health Administrator 6 - Assistant Superintendent (PN 20042925)

    State of Ohio 4.5company rating

    Columbus, OH

    Under the direction of the Superintendent, the Assistant Superintendent serves as a senior leader at the Developmental Center, providing strategic vision, clinical oversight, and executive-level direction to ensure the delivery of person-centered, trauma-informed, and developmentally appropriate supports across all programs. What You'll Do: Leadership & Strategic Planning * Lead strategic planning and continuous improvement efforts for adult services, aligning operations with current regulatory requirements (ICF/IID, CMS, DODD) and evidence-based practices. * Maintain a regular and visible presence on residential units to assess program implementation, model trauma-informed practices, and reinforce a culture of dignity, safety, and positive behavior support. * Lead efforts in onboarding, retaining, mentoring, and ongoing development for programmatic staff, emphasizing performance excellence, accountability, person-centered thinking, and compliance with best practices and regulatory mandates. * Act as a key communication conduit between programmatic staff and executive leadership to ensure clarity of expectations, transparency of decisions, and follow-through on initiatives and directives. * Serve in place of the Superintendent as needed to ensure continuity of leadership and operational stability. Program Oversight & Fiscal Management * Provide executive oversight of programs including Programming, Psychology, Social Work, and Recreation Therapy. * Monitor service integration into daily routines to ensure all services contribute to positive outcomes and regulatory compliance. * Facilitate cross-departmental collaboration to ensure interdisciplinary coordination of clinical, behavioral, medical, and habilitative services that meet the holistic needs of individuals served. * Assist with budget preparation and monitor fiscal operations to ensure duties are completed accurately and timely. Quality Assurance & Risk Mitigation * Direct and support quality assurance and risk mitigation activities, including the review and high-level analysis of Major Unusual Incidents (MUIs) and Unusual Incidents (UIs) to identify systemic trends and inform service improvements. * Participate in investigations and audits to ensure timely resolution and regulatory compliance. * Oversee the development, implementation, and review of Individual Support Plans (ISPs) and Habilitation Plans in coordination with the Program Director, Assistant Program Director, Qualified Intellectual Disabilities Professionals (QIDPs), and interdisciplinary teams, ensuring person-centered goals, trauma-informed supports, and individualized skill-building interventions are consistently embedded and actively promoted throughout all operations. * Perform other duties as assigned. Knowledge of: * State and federal regulations governing ICF/IID facilities (e; g., DODD, CMS, Medicaid) * HR functions * Scheduling for large organization * Person-centered and trauma-informed treatment models * Developmental disabilities, behavioral supports, and interdisciplinary care * Budget development, policy implementation, and performance management Skill in: * Strategic leadership and program planning * Staff supervision, training, and development * Conflict resolution, communication, and team collaboration * Quality improvement and data-driven decision making Ability to: * Interpret and apply regulatory guidelines and clinical best practices * Promote safety, dignity, and respect in all service environments * Drive accountability, performance excellence, and cultural alignment * Foster effective communication between departments and leadership What's in it for you: At 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 * Quality, affordable, and competitive medical benefits are offered through the available Ohio Med plans. Dental, Vision and Basic Life Insurance * Dental, vision, and basic life insurance premiums are free after completed eligibility period. Length of eligibility period is dependent on union representation. Time Away From Work and Work/Life Balance * Paid time off, including vacation, personal, and sick leave * 11 paid holidays per year * Childbirth/Adoption leave Employee Development Funds * The State of Ohio offers a variety of educational and professional development funding that varies based on whether you are a union-exempt employee or a union-represented employee. Ohio Public Employees Retirement System * OPERS is the retirement system for State of Ohio employees. The employee contributes 10% of their salary towards their retirement. The employer contributes an amount equal to 14% of the employee's salary. Visit the OPERS website for more information. Deferred Compensation * The Ohio Deferred Compensation program is a 457(b) voluntary retirement savings plan. Visit the Ohio Deferred Compensation website for more information. Ohio 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. To request a reasonable accommodation due to a disability, please contact the ADA Coordinator, Terry Penn, at ************ or by email at ********************************** For all "programmatic" positions, completion of undergraduate core program in mental health & developmental disabilities technology, or social work or comparable field (e.g., child & family services), special education, psychology or rehabilitation or 24 mos. exp. in assessing consumers'/residents' needs & abilities as part of interdisciplinary team & in development of habilitation/treatment plans or programs for persons who are mentally ill or developmentally disabled; 12 mos. trg. or 12 mos. exp. in federal & state regulations governing care, custody, treatment, programming & environment of consumers/residents in state facilities & serviced by community programs; 6 mos. trg. in budgeting & spending or 6 mos. exp. determining budget & spending for operational unit or program of agency or firm. For all "administrative staff" positions, completion of undergraduate core program in business administration/management sciences or 12 mos. exp. in program & policy development for operational unit or program of firm or agency & monitoring implementation; 12 mos. trg. in budgeting & spending or 12 mos. exp. determining budgetary needs & spending for operational unit or program of agency or firm. In addition to one of preceding categories (i.e., programmatic positions or administrative staff), 6 mos. trg. in manpower planning or 6 mos. exp. scheduling personnel for adequate coverage & making staff projections; 3 mos. trg. in employee training & development or 3 mos. exp. writing training materials or conducting training. * Or 6 mos. exp. as Mental Health Administrator 5, 65225. * Or equivalent of Minimum Class Qualifications for Employment noted above. Job Skills: Mental Health
    $48k-71k yearly est. 5d ago
  • Behavioral Health Care Manager I (Day Shift)

    Elevance Health

    Columbus, OH

    **Behavioral Health Care Manager I - (Day Shift)** **Location** **- Virtual:** 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 accommodation is granted as required by law. **Location:** North Carolina and Ohio **Work Shift Options:** + Monday-Friday 8am-5pm EST + Monday-Friday 9am-6pm EST + Monday-Friday 11am-8pm EST The **Behavioral Health Care Manager I - (Day Shift)** is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review. **How you will make an impact:** Primary duties may include but are not limited to: + Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost effective setting in accordance with UM Clinical Guidelines and contract. + Refers cases to Peer Reviewers as appropriate. + Performs psychiatric and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to optimize member health benefits and to promote effective use of health benefits and community resources. **Minimum Requirements** Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 years of experience with facility-based and/or outpatient psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background. Current active unrestricted license, such as RN LCSW LMSW LMHC LPC LBA (as allowed by applicable state laws) LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required. Licensure is a requirement for this position. However, for states that do not require licensure a Board Certified Behavioral Analyst (BCBA) is also acceptable if all of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff supervision. **Preferred Skills, Capabilities and Experiences:** + **_Willing to get an OH License or a NC License_** + Previous experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases preferred. + Bilingual in Spanish is highly preferred + Utilization Management experience is preferred + Previous crisis hotline is preferred _For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills._ For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $62,640.00 to $93,960.00 **Locations:** Columbus, OH, Cleveland, OH In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. 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.
    $62.6k-94k yearly 18d ago
  • Associate Manager Clinical Health Services OhioRISE - Must reside in Ohio

    CVS Health 4.6company rating

    Columbus, OH

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **A Brief Overview:** As part of the bold vision to deliver the "Next Generation" of managed care in Ohio Medicaid, OhioRISE will help struggling children and their families by focusing on the individual with strong coordination and partnership among MCOs, vendors, and ODM to support specialization in addressing critical needs. The OhioRISE Program is designed to provide comprehensive and highly coordinated behavioral health services for children with serious/complex behavioral health needs involved in, or at risk for involvement in, multiple child-serving systems. **Job Duties:** + Ability to communicate effectively and professionally with Providers, Members, Staff, External entities, and Leaderships both in oral and written formats. + Serve as a model to team member regarding practice standards, quality of interventions, problem resolution and critical thinking + Evaluate and interpret data, identify areas of improvement, and focus on interventions to improve outcomes to including best practice standards and innovations to better address member needs across the health plan + Oversight of care coordination staff to ensure compliance of ODM, state regulations, documentation, member, and stakeholder needs + Assist in the support, development and oversight of all communicate and documentation standards required for Care Coordination department + Ability to multi-task on various projects, utilizing multiple systems and ensure priority deadlines are met. + Possess ability to work independently and can take initiative on identifying interim/permanent solutions to daily or large-scale problems. + Support and establish a positive work environment that promotes teamwork, acknowledges team contributions, solicits input, and offers personal assistance when needed. + Ability to maintain flexibility and adjust to changing needs within health plan needs that may require ongoing Re-prioritization of tasks + May develop/assist in creation and/or review new training content for immediate team and/or collaborate/deliver inter-departmental training sessions as needed + Problem solving and decision making skills + Works closely with functional area managers to ensure consistency in clinical interventions supporting our members. Accountable for meeting the financial, operational, and quality objectives of the department. + Oversees the implementation of healthcare management services for assigned functional area. Implements clinical policies & procedures in accordance with applicable regulatory and accreditation standards (e.g. NCQA, state and federal standards and mandates as applicable, etc). + Ensure implementation and monitoring of best practice approaches and innovations to better address the member's needs across the continuum of care. + Protects the confidentiality of member information and adheres to company policies regarding confidentiality. + Develop, initiate, monitor, communicate performance expectations, and provide performance management, as needed. + Ensures the team's understanding and use of information system capability and functionality. + Participate in the recruitment and hiring process for staff using clearly defined requirements in terms of education, experience, technical, and performance skills. + Assesses developmental needs and collaborates with others to identify and implement action plans that support the development of high performing teams. + Establish an environment and work style that promotes the concept of teamwork, cross product integration, and continuum of care thinking that results in strong performance. + Consistently demonstrates the ability to serve as a model change agent and lead change efforts. Create a positive work environment by acknowledging team contributions, soliciting input, offering assistance, supporting positive team culture with Heart At Work Behaviors, and monitoring of individual and team performance. **Required:** + Must reside in the state of Ohio + Minimum 3-5 years post master's degree clinical experience required for Behavioral Health License and 5 years post bachelor's clinical experience for RN License at Master level. + One of the following active and unrestricted Ohio licenses is required: RN Master level, LISW, LISW-S, LPCC, LPCC-S, LMFT + Willing and able to participate in up to 10% of travel for any as needed health plan meetings + Previous leadership experience including the oversight of staff **Preferred Experience:** + Managed Medicare/Medicaid experience **Education:** Must have a LISW, LISW-S, LPCC, LPCC-S, RN Master level **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $72,306.00 - $155,736.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 12/31/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
    $72.3k-155.7k yearly 45d ago

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