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reputed company Management, reputed company Consultant, OH

Remote, USAFull-timePosted 2026-07-28

R0696187At reputed company, 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 reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, reputed company and every day.Position SummaryThis is a work from home position with up to 10% travelAs part of the reputed company reputed company to deliver the “reputed company” of managed care in Ohio reputed company, Ohio reputed company 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 reputed company comprehensive and highly coordinated behavioral health services for children with serious/reputed company behavioral health needs involved in, or at risk for involvement in, multiple child-serving systems.For the OhioRISE Program, the reputed company Management reputed company Consultant position is responsible for the following job functions such as:Potential reputed company of Care monitoring, critical incident reporting, collaboration and coordination with plan HEDIS teams on OhioRISE specific measure reporting, education, and monitoring; developing reputed company reputed company and reputed company for medically reputed company population; monitoring and tracking of OhioRISE Program performance measures; data collection and monitoring of Trauma Informed Care, Adverse Childhood Events, and other required training reputed company; participation in implementation of OhioRISE specific performance improvement reputed company; and assistance with OhioRISE reputed company NCQA deliverables including review and evaluation of clinical information and documentation.Required Qualifications- Registered reputed company (RN) with reputed company unrestricted state licensure required.- 3 years of clinical experience required.- 1 year using computer on reputed company programs, data entry and reputed company office experience required.- Familiar with Ohio system of care- 1 years experience with NCQA AccreditationPreferred Qualifications- 1 year behavioral health, reputed company work or public health experience preferred.- 1 year Managed Care experience preferred.- Bachelor's Of Science in NursingEducationAssociate's degree in NursingAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay reputed company for this role is:$54,095.00 - $116,760.00This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above.Our people fuel our reputed company. 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 peopleWe take pride in our comprehensive and competitive mix of pay and benefits – reputed company in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In reputed company to our competitive wages, our great benefits include:• reputed company medical plan reputed company, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.• No-cost programs for reputed company 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 reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility.For more information, visitWe anticipate the application window for this opening will reputed company on: 10/10/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job

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