Top 274 Program manager clinical quality management Jobs in Columbus

Care Management Coordinator OhioRISE - Field - Northeast/Northwest Region Ohio
CVS Health —Columbus, OH
- $21.10 - $40.90 an hour
- Full-time
- Experience working with individuals with developmental disabilities
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
Care Management Coordinator - Field - OhioRISE Central/SE Ohio
CVS Health —Columbus, OH
- $21.10 - $40.90 an hour
- Full-time
- Experience working with individuals with developmental disabilities
- Microsoft Outlook
- Mid-level
- Health insurance
- Dental insurance
Manager, Business Office
SUN Behavioral Columbus —Columbus, OH
- Full-time
- 5 years
- Writing skills
- Mid-level
Credentialing Manager
Integrated Services for Behavioral Health —Ashville, OH
- $87,000 - $108,000 a year
- 3 years
- Organizational skills
- Senior level
- Disability insurance
- Health insurance
Quick Apply
Director, Specialty Accreditation - Remote
Optum —Dublin, OH
- $112,700 - $193,200 a year
- Full-time
- Remote
- 5 years
- Pass drug screening
- Driver's License
Quick Apply
8d
Manager, Clinical Support
Oak Street Health —Columbus, OH
- $87,035 - $187,460 a year
- Full-time
- Nursing
- RN License
- 3 years
- Health insurance
- Dental insurance
8d
DSNP Account Manager (Columbus, Ohio)
CareSource —Columbus, OH
- $83,000 - $132,800 a year
- Weekends as needed
- Nursing
- Microsoft Excel
- Skilled nursing facility
Behavioral Health Manager
AB Center —Columbus, OH
- $65,000 - $80,000 a year
- Full-time
- Background check
- Addiction Medicine
- HIPAA
Quick Apply
9d
Sr. Manager - Clinical Change Adoption & Readiness
CVS Health —New Albany, OH
- $67,900 - $182,549 a year
- Full-time
- Hybrid work
- 7 years
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
IHBT Program Manager
Integrated Services for Behavioral Health —Columbus, OH
- $73,000 - $93,000 a year
- On call
- Up to 50% travel
- Residential
- 3 years
- Disability insurance
- Health insurance
Quick Apply
Shared Services Manager
Equitas Health, Inc. —Columbus, OH
- $74,500 - $89,400 a year
- Weekends as needed
- Hybrid work
- Microsoft Excel
- Microsoft Access
- Microsoft Outlook
- Paid holidays
- Dental insurance
Quick Apply
Strategic Account Operations Manager – Medical Prior Authorization
McKesson —Columbus, OH
- $100,500 - $167,500 a year
- 7 years
- Bachelor's degree
- Mentoring
Executive Director SUD Treatment Facility
White Light Behavioral Health Columbus LLC —Columbus, OH
- $125,000 - $155,000 a year
- Full-time
- Background check
- Rehabilitation center
- Recruiting
- Relocation assistance
- Health insurance
Quick Apply
Administrative Assistant 2 | University Hospital
The Ohio State University Wexner Medical Center —Columbus, OH
- Online Application
- Background check
- Inventory management
- Customer service
- Paid parental leave
- Disability insurance
7d
Manager CAC - The Center for Family Safety and Healing
Nationwide Children's Hospital —Columbus, OH
- Full-time
- 5 years
- Ability to climb stairs
- Master's degree
Human Resources Business Partner (HRBP) – Behavioral Health & Addiction Treatment
White Light Behavioral Health Columbus LLC —Columbus, OH
- $65,000 - $75,000 a year
- Addiction Medicine
- 5 years
- Residential
Quick Apply
Manager of Clinical Services - Case Management
CompDrug —Columbus, OH
- Online Application
- Hybrid work
- Adults
- Mid-level
- Master's degree
- Loan repayment program
- Health insurance
Quick Apply
Care Manager, LTSS (LSW) - Franklin Co.
Molina Healthcare —Columbus, OH
- $24.00 - $46.81 an hour
- Full-time
- LVN
- Experience working with individuals with disabilities
- Mid-level
- Health insurance
Program Manager - Digital
OhioHealth —Columbus, OH
- Full-time
- Hybrid work
- Nursing
- Computer Science
- Office
HIV FACES Program and Grants Manager
Nationwide Children's Hospital —Columbus, OH
- Full-time
- Master's degree
- Computer skills
- Business Administration

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Care Management Coordinator OhioRISE - Field - Northeast/Northwest Region Ohio

CVS Health -
Columbus, OH

Apply Now

Job Details

Full-time
$21.10 - $40.90 an hour

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Microsoft Outlook
Documentation tools
SharePoint

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

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 Northeast/Northwest Ohio to member homes and other requested member locations, up to 50% or more of the time.

Applicants may reside within the northeast/northwest region of Ohio. Strongly prefers candidates to reside in one of the following counties: Cuyahoga, Summit, Medina, Portage, Marion, Wyandot, Crawford, Sandusky, Stark, Belmont, Jefferson, Huron, Harrison, Lake, Geauga, Lorain, or Ashtabula.

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

Bachelor’s degree or non-licensed master level clinician required
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.

Preferred Qualifications

Case management and discharge planning experience.
Managed Care experience.
Medicaid experience.

Candidate will reside in Cuyahoga, Summit, Medina, Portage, Marion, Wyandot, Crawford, Sandusky, Stark, Belmont, Jefferson, Huron, Harrison, Lake, Geauga, Lorain, Ashtabula

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

Time Type

Full time

Pay Range

The typical pay range for this role is:

$21.10 - $40.90

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 07/31/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

program manager clinical quality management jobs in columbus

Care Management Coordinator OhioRISE - Field - Northeast/Northwest Region Ohio

Care Management Coordinator - Field - OhioRISE Central/SE Ohio

Manager, Business Office

Credentialing Manager

Director, Specialty Accreditation - Remote

Manager, Clinical Support

DSNP Account Manager (Columbus, Ohio)

Behavioral Health Manager

Sr. Manager - Clinical Change Adoption & Readiness

IHBT Program Manager

Shared Services Manager

Strategic Account Operations Manager – Medical Prior Authorization

Executive Director SUD Treatment Facility

Administrative Assistant 2 | University Hospital

Manager CAC - The Center for Family Safety and Healing

Human Resources Business Partner (HRBP) – Behavioral Health & Addiction Treatment

Manager of Clinical Services - Case Management

Care Manager, LTSS (LSW) - Franklin Co.

Program Manager - Digital

HIV FACES Program and Grants Manager

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