assistant clinical director

clinical case manager behavioral health – remote – ohio Jobs in Ohio

clinical services pharmacy technician Jobs in Ohio

clinical services pharmacy technician

executive director, clinical health services - aetna clinical solutions Jobs in Ohio

clinical pharmacist

DataAnnotation

<div>
 We are looking for a
 
 Clinical Pharmacist
 
 to join our team to train AI models. You will measure the progress of these AI chatbots, evaluate their logic, and solve problems to improve the quality of each model.
 
 
 In this role, you will need to be an expert in healthcare. We are interested in a wide range of expertise, so relevant backgrounds include Clinical Documentation &amp; HIM, Medication Management (PharmD), Laboratory Medicine and Pathology Services (MLS, MD), Quality Improvement &amp; Patient Safety, Regulatory Compliance, Accreditation &amp; Medical Staff, Care Coordination &amp; Case Management, Population Health &amp; Value-Based Care, and Managed Care &amp; Utilization Management.
 
 
 
 Benefits
 
 
 
 <ul>
 <li>
 Full-time or part-time remote position
 </li>
 <li>
 Choose which projects you want to work on
 </li>
 <li>
 Flexible schedule
 </li>
 <li>
 Projects are paid hourly starting at $50+ per hour
 </li>
 <li>
 Bonuses available for high-quality and high-volume work
 
 
 </li>
 </ul>
 
 Responsibilities
 
 
 
 <ul>
 <li>
 Provide AI chatbots with diverse and complex healthcare-related problems
 </li>
 <li>
 Evaluate AI outputs for logic, accuracy, and performance
 </li>
 <li>
 Ensure the medical accuracy and overall quality of model responses
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 <ul>
 <li>
 Fluency in English (native or bilingual level)
 </li>
 <li>
 A current or in-progress medical or healthcare-related degree
 
 
 </li>
 </ul>
 
 Notes:
 
 Payment is made via PayPal. We will never ask you for any money. PayPal will handle any currency conversions from USD. Only applicants in the United States will be considered for this role. This is an independent contractor position.
 
 
 
 #medicine
 
</div>

Clinical Pharmacist

CenterWell

<div><h1 class="jobSectionHeader">Become a part of our caring community and help us put health first 
</h1>
As a Clinical Services Pharmacy Technician, you will intake for all calls from patients, pharmacies and providers. You will perform basic administrative/clerical/operational/customer support/computational tasks. Typically work on routine and patterned assignments.
You will address questions related to specific assigned area and assist with medication research. You will evaluate calls that require consultation with a pharmacist. You will make outbound calls to patients to offer medication therapy management programs and schedules medication review sessions with consultative pharmacists. Decisions are limited to defined parameters around work expectations, quality standards, priorities and timing, and works under close supervision and/or within established policies/practices and guidelines with minimal opportunity for deviation.<h1 class="jobSectionHeader"> 
Use your skills to make an impact 

</h1>Required Qualifications
Candidates MUST reside in one of the following states: Arizona, Ohio, Texas, or Florida.<ul><li>
Must have an active Pharmacy Technician or Tech in Training license in the state you reside</li><li>
Technical Mail Order Pharmacy or Manufacturing experience</li><li>
Experience as a Pharmacy Technician OR call center experience in a pharmacy or related call center setting</li><li>
Experience using multiple computer applications simultaneously and strong data entry skills</li></ul> 
Required Work Schedule:<ul><li>
10:30am - 7:00pm EST Monday-Friday.<ul><li>
You must also be available to work every 3rd Saturday 10:00am - 6:30pm EST with a day off during the week when it is your Saturday rotation.</li></ul></li></ul> 
Preferred Qualifications<ul><li>
PTCB or ExCPT Certified</li><li>
High School Diploma or GED</li><li>
Bilingual in English / Spanish with the ability to speak, read, and write in both languages without limitations or assistance.</li></ul>
Additional Information
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:<ul><li>
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.</li><li>
Satellite, cellular and microwave connection can be used only if approved by leadership.</li><li>
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.</li><li>
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.</li><li>
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.</li></ul>
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. 

$40,000 - $52,300 per year 
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, &ldquo;Humana&rdquo;) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.<h1 class="jobSectionHeader"> 
About us 
</h1>
About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation&rsquo;s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first &ndash; for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. 
 
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.</div>

Clinical Services Pharmacy Technician

Gifthealth

<div>
 
 Description
 
 
 
 
 About Us
 
 
 
 At Gifthealth, we're revolutionizing the way people experience healthcare by simplifying the process of managing prescriptions and health services. Our mission is to provide a seamless, personalized, and efficient healthcare experience for all our customers. We're a dynamic, innovative, and customer-centric company dedicated to making a positive impact on people's lives.
 
 
 Shifts: Monday - Friday - 10am-6pm, 11am-7pm, 12pm-8pm, or 1pm-9pm shifts
 
 
 Occasional Saturday shift, 8:00 am to 4:00 pm (rotating with team)
 
 
 
 Position Summary
 
 
 
 We are seeking a dedicated, compassionate, and customer-focused Certified Pharmacy Technician to join our remote Pharmacy Support Call Center Team. This role is ideal for someone who thrives in a fast-paced environment and is passionate about delivering exceptional service to patients, providers, and pharmacy partners. You will serve as a critical point of contact, ensuring smooth communication and problem resolution across multiple channels.
 
 
 
 Key Responsibilities
 
 
 
 <ul>
 <li>
 Answer inbound calls from patients, providers, and pharmacy partners with professionalism and empathy.
 </li>
 <li>
 Handle high-volume call center operations while maintaining service quality and accuracy.
 </li>
 <li>
 Take verbal prescriptions from providers and ensure proper documentation in accordance with state regulations.
 </li>
 <li>
 Transfer calls related to clinical questions or counseling needs to remote pharmacists.
 </li>
 <li>
 Accurately process prescriptions and input patient data into the pharmacy system.
 </li>
 <li>
 Make outbound calls to prescribers for clarifications, refill requests, and medication verifications.
 </li>
 <li>
 Troubleshoot patient issues related to orders, insurance, or delivery, escalating when needed.
 </li>
 <li>
 Maintain accurate and confidential patient records, including address, allergies, and prescription history.
 </li>
 <li>
 Respond to emails and chat inquiries as needed, ensuring a prompt and thorough resolution.
 </li>
 <li>
 Collaborate closely with internal pharmacy operations, the pharmacist team, and external fulfillment partners.
 </li>
 <li>
 Adhere to all pharmacy laws, regulations, and compliance requirements.
 </li>
 <li>
 Contribute to continuous improvement by identifying call trends and suggesting workflow optimizations.
 </li>
 <li>
 Attend training sessions to stay current on pharmacy practices and customer service techniques.
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 <ul>
 <li>
 High School Diploma or equivalent
 </li>
 <li>
 Certified Pharmacy Technician (CPhT) &ndash; Required - Must be Certified by the Ohio Board of Pharmacy, in Ohio.
 </li>
 <li>
 2+ years of experience in a call center, pharmacy, or customer support role (healthcare/pharmacy preferred)
 </li>
 <li>
 Comfortable handling a high volume of calls and multitasking in a fast-paced environment
 </li>
 <li>
 Strong communication, empathy, and de-escalation skills
 </li>
 <li>
 Ability to work independently and stay organized while working remotely
 </li>
 <li>
 Detail-oriented with excellent problem-solving and critical thinking skills
 </li>
 <li>
 Adaptable to take on additional responsibilities as the role evolves
 
 
 </li>
 </ul>
 
 Work Environment
 
 
 
 <ul>
 <li>
 Location: Remote
 </li>
 <li>
 Schedule: Full-time
 </li>
 <li>
 May require additional availability or flexibility for escalations.
 </li>
 <li>
 Regular meetings with teams, departments, or leadership to ensure alignment.
 
 
 </li>
 </ul>
 
 Key Essential Functions
 
 
 
 <ul>
 <li>
 Must be able to remain seated and work at a computer for extended periods (up to 8 hours).
 </li>
 <li>
 Must be able to type and perform repetitive hand/wrist motions throughout the shift.
 </li>
 <li>
 Must be able to use a headset for phone-based communication for the majority of the workday.
 </li>
 <li>
 Must be able to navigate multiple computer systems and applications simultaneously.
 </li>
 <li>
 Must maintain focus and attention to detail while managing a high volume of calls or tasks.
 </li>
 <li>
 Must be able to communicate clearly and professionally via phone, chat, and email.
 </li>
 <li>
 Must be able to work onsite/remote (customize) for all scheduled shifts, including potential weekends or evenings depending on business needs.
 </li>
 <li>
 Must be able to handle occasional escalated or emotionally charged interactions with composure.
 </li>
 <li>
 Must be able to meet productivity and quality standards consistently.
 
 
 </li>
 </ul>
 
 Employment Classification
 
 
 
 
 Status:
 
 Full-time
 
 
 
 FLSA:
 
 Non-Exempt
 
 
 
 Equal Employment Opportunity (EEO) Statement
 
 
 
 Gifthealth is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. All employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, transgender status, national origin, age, disability, veteran status, or any other legally protected status.
 
 
 We celebrate diversity and are committed to creating an inclusive environment for all employees. If you do not meet every requirement but still feel you would be a great fit for this role, we encourage you to apply!
 
 
 
 Disclaimer
 
 
 
 This job description is intended to describe the general nature and level of work being performed. It is not intended to be an exhaustive list of all responsibilities, duties, or skills required of personnel. Gifthealth reserves the right to modify job duties or descriptions at any time.
 
 
 Salary Description
 
 
 $21.47 - $25.25
</div>

Remote Certified Pharmacy Technician/PCR III

Evergreen Holistic Learning Center

Evergreen Mentorship is introducing a specialized role designed for a highly organized and experienced licensed behavioral health professional (LPCC-S, LISW-S, IMFT-S).This position bridges the gap between initial client entry and ongoing clinical excellence. As a W2 employee, you will play a dual role: providing direct clinical services while serving as a key pillar in our quality assurance process by reviewing and overseeing documentation and compliance for our clinical team.Key ResponsibilitiesClinical Production (Minimum 15 Sessions/Week): Maintain a consistent weekly schedule of at least 15 clinical sessions. This can be a flexible mix of:<ul><li>Initial Assessments (CPT 90791): Conducting comprehensive biopsychosocial intakes and DSM-5 diagnoses.</li><li>Counseling Appointments (CPT 90834/7): Providing ongoing 1:1 therapeutic support and evidence-based care.</li></ul>Clinical Review &amp; Quality Assurance (25 Hours/Week): Oversee the clinical documentation and excellence of our clinical team by:<ul><li>Reviewing and auditing documentation from other Assessors and Counselors.</li><li>Verifying accuracy in EHR entries, treatment plans, and diagnostic reports.</li><li>Ensuring all clinical data meets Evergreen&rsquo;s high standards and regulatory requirements.</li><li>Providing feedback to clinicians to ensure medical necessity and audit readiness.</li></ul>Organizational Support: Ensure that all documentation is accurate, timely, and reflects the mission of empowering our clients toward independence.What We&rsquo;re Looking For<ul><li>Licensure: Must hold a completely independent license in the State of Ohio (LISW-S, LPCC-S, or equivalent).</li><li>Experience: 1+ years with Medicaid documentation standards and 1+ years within a CARF-accredited environment.</li><li>Clinical Authority: Proven ability to evaluate complex cases and provide mentorship/feedback on clinical documentation.</li><li>Attention to Detail: Exceptional organizational skills with a &quot;supervisor mindset&quot; for auditing and checking information.</li><li>Mission Alignment: A heart for service and a commitment to helping clients re-engage successfully with society.</li><li>Deadline Orientation: Ability to self-manage priorities to meet deadlines.</li></ul>Compensation &amp; Benefits<ul><li>Salary: $70,000 &ndash; $75,000 per year.</li><li>Status: W2 Employee (Full-Time).</li><li>Schedule: 40 hours per week total.</li><li>Allocation: This role follows a &quot;25/15&quot; model&mdash;25 hours dedicated to administrative oversight and quality assurance, and 15 hours dedicated to direct clinical production.</li><li>Stability: The benefits and security of a W2 position within a fast-growing, mission-driven organization.</li></ul>How to Apply If you are an independently licensed clinician in Ohio looking for a stable role that combines direct care with high-level clinical oversight, we want to hear from you. Please submit your resume to our recruitment team to grow with us.Job Type: ContractPay: $70,000.00 - $75,000.00 per yearBenefits:<ul><li>Flexible schedule</li></ul>Experience:<ul><li>Clinical counseling: 1 year (Required)</li><li>Patient assessment: 1 year (Required)</li></ul>License/Certification:<ul><li>LPCC, LPCC-S,IMFT-S (Required)</li></ul>Work Location: Remote

Assistant Clinical Director

CVS Health

<div>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;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 &ndash; helping to simplify health care one person, one family and one community at a time.
Position Summary
At Aetna, our health benefits business, we are committed to helping our members achieve their best health in an affordable, convenient, and comprehensive manner. Combining the assets of our health insurance products and services with CVS Health&rsquo;s unrivaled presence in local communities and their pharmacy benefits management capabilities, we&rsquo;re joining members on their path to better health and transforming the health care landscape in new and exciting ways every day.
Aetna is seeking an Executive Director, Clinical Health Services for Aetna Clinical Solutions. This critical leader will oversee enterprise clinical strategy and operations that drive high‑quality care management, exceptional member experiences, and strong clinical outcomes. The Executive Director provides strategic direction, operational leadership, and day‑to‑day oversight of multidisciplinary teams of clinicians and support staff.
This role partners closely across the enterprise&mdash;clinical teams, quality, operations, program design, finance, and external healthcare partners&mdash;to deliver coordinated care, ensure regulatory compliance, optimize utilization, and advance organizational goals.
Key Responsibilities
Strategic &amp; Operational Leadership<ul><li>
Lead the development and execution of clinical strategy supporting Commercial Care and Specialty Operations.</li><li>
Oversee daily operations for multidisciplinary care teams, ensuring consistent, high‑quality clinical practices and service delivery.</li><li>
Develop and implement staffing models that are cost‑effective, compliant, and aligned with membership and business needs.</li><li>
Manage budget, staffing, and operational performance across lines of business.</li></ul>
Clinical Excellence &amp; Care Coordination<ul><li>
Collaborate across departments to support comprehensive member care, including assessments, care planning, coordination with providers, and continuous monitoring to improve outcomes.</li><li>
Guide teams to advocate for members, ensuring effective communication, resource utilization, and overall well‑being.</li><li>
Direct implementation of care models, workflows, and procedures that ensure high‑quality, evidence‑based care.</li><li>
Conduct and oversee clinical record reviews to ensure documentation quality and timeliness.</li></ul>
Performance, Utilization, and Quality<ul><li>
Monitor and analyze performance of utilization management and care management programs; implement strategies to improve outcomes and experience.</li><li>
Identify operational gaps and lead initiatives to enhance efficiency, clinical quality, and member and provider satisfaction.</li><li>
Ensure compliance with all applicable federal and state regulations.</li></ul>
Cross‑Functional Partnership &amp; Stakeholder Engagement<ul><li>
Partner with executive leaders, internal teams, regulators, consultants, and external stakeholders to advance clinical and operational objectives.</li><li>
Maintain relationships with community health providers, ambulatory partners, and population health organizations to support coordinated care across the continuum.</li><li>
Represent the organization in key meetings and with external agencies, including governmental and payer entities.</li></ul>
People Leadership &amp; Culture<ul><li>
Lead, develop, mentor, and inspire high‑performing teams through coaching, recognition, and effective change leadership.</li><li>
Build an environment that supports professional development, mobility, and operational excellence.</li><li>
Foster a culture grounded in CVS Health&rsquo;s Heart‑At‑Work Behaviors with a strong focus on members and colleagues.</li><li>
Support recruitment, retention, and engagement of a diverse, inclusive workforce reflective of the communities we serve.</li></ul>
Program Strategy &amp; Standardization<ul><li>
Partner with Clinical Health Services leadership to advance standardized practices for care transition management and enterprise clinical operations.</li><li>
Define training strategies for clinical and program staff to support consistent, high‑quality practices.</li><li>
Lead annual goal‑setting and operational planning aligned with Clinical Health Services and organizational priorities.</li></ul>
Required Qualifications
The candidate will have a strong work ethic, be a self-starter, and be able to be highly productive in a dynamic, collaborative environment. This position offers broad exposure to all aspects of the company&rsquo;s business, as well as significant interaction with all the business leaders. The candidate will be expected to have the following key attributes:<ul><li>
10+ years progressive experience in clinical care management, population health, or utilization management.</li><li>
Unrestricted RN license in good standing.</li><li>
5+ years of senior leadership overseeing multi‑disciplinary clinical teams.</li><li>
Demonstrated success leading large‑scale care management programs (case, disease, and complex care management).</li><li>
Experience with commercial populations (employer‑sponsored insurance) strongly preferred.</li><li>
Proven accountability for clinical outcomes, utilization management, and financial performance.</li><li>
Strong relationship‑building experience with external clients, including plan sponsors and consulting firms.</li><li>
Expertise in program strategy, including planning, executing, and optimizing strategic initiatives.</li><li>
Deep knowledge of improving quality of care and reducing costs across operations, network management, provider relations, and care/medical management.</li><li>
Strong analytical and data capabilities, including modeling, synthesizing information, and deriving actionable insights.</li><li>
Expertise in clinical and health plan operations, including Policy Management, Care Management, Quality, Compliance, and Regulatory Management.</li><li>
Proven ability to drive new strategies and lead initiatives in cross‑functional, matrixed environments.</li><li>
Skilled in leading, influencing, and motivating teams to achieve high performance and outcomes.</li><li>
Adept at simplifying and communicating complex information to diverse audiences.</li><li>
Strong critical thinking, disciplined decision‑making, and focus on timely execution.</li><li>
Demonstrated experience transitioning from traditional approaches to innovative strategies and championing change.</li><li>
Effective problem‑solving abilities and strong organizational, multi‑tasking, and adaptability skills.</li><li>
Skilled in tactful communication with customers, community stakeholders, and clinical staff.</li><li>
Ability to evaluate cost‑benefit impacts to inform sound decisions.</li><li>
Experience working within clinical settings and across diverse cultural dynamics of staff and patients.</li><li>
Knowledge of care transitions and available patient resources.</li><li>
Digital literacy with the ability to manage sensitive information ethically and responsibly.</li><li>
Open to remote work arrangements across the U.S.</li></ul>
Preferred Qualifications<ul><li>
Certification in Case Management (CCM, ACM) or related population health credentials.</li><li>
Experience integrating or overseeing digital health or vendor‑based care solutions.</li><li>
Background in enterprise clinical transformation or population health strategy.</li></ul>
Education 
Master&rsquo;s Degree preferred. Active RN license required.
Travel
25%
Pay Range
The typical pay range for this role is:
$184,112.00 - $396,550.00 
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. This position also includes an award target in the company&rsquo;s equity award program. 
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 &ndash; 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:<ul><li>
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li><li>
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li><li>
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.</li></ul>
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 04/18/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</div>

Executive Director, Clinical Health Services - Aetna Clinical Solutions

<div>We&rsquo;re building a world of health around every individual &mdash; shaping a more connected, convenient and compassionate health experience. At CVS Health&reg;, you&rsquo;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 &ndash; helping to simplify health care one person, one family and one community at a time.
Position Summary
This is a non- member facing role with up to 10% travel requirements anywhere in the state of Ohio (Includes West, Central, South and Northeast regions) 
 
Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psychosocial wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. 
 
Position Responsibilities:<ul><li>
Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.</li><li>
Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member issues.</li><li>
Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate clinical providers for thorough assessment and treatment, as clinically indicated.</li><li>
Provides crisis follow up to members to help ensure they are receiving the appropriate treatment/services.</li><li>
Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits.</li><li>
Using holistic approach consults with supervisors, Medical Directors and/or other programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary view in order to achieve optimal outcomes.</li><li>
Identifies and escalates quality of care issues through established channels</li><li>
Ability to speak to medical and behavioral health professionals to influence appropriate member care.</li><li>
Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promotes lifestyle/behavior changes to achieve optimum level of health.</li><li>
Provides coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.</li><li>
Helps member actively and knowledgably participate with their provider in healthcare decision-making.</li><li>
Analyzes all utilization, self-report, and clinical data available to consolidate information and begin to identify comprehensive member needs.</li><li>
In collaboration with the member and their care team develops and monitors established plans of care to meet the member's goals.</li><li>
Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures</li></ul> 
Required Qualifications<ul><li>
Minimum 3 years of direct clinical practice experience post master's degree, e.g., hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility.</li><li>
Active and unrestricted Independent Behavioral Health clinical license in the state of Ohio. ( Ex - LISW, LPCC, LCSW)</li><li>
Must be resident of Ohio State.</li><li>
Willing and able to travel up to 10% anywhere in the state of Ohio as needed. (staff meetings, Health Forums etc).</li><li>
Eligible for mileage reimbursement and reliable transportation is required.</li></ul> 
Preferred Qualifications<ul><li>
Crisis intervention skills preferred.</li><li>
Managed care/utilization review experience preferred.</li><li>
Case management and discharge planning experience preferred</li><li>
Experience working children and families, child serving systems</li><li>
Working within a system of care to support care coordination</li><li>
Working with multisystem</li></ul> 
Education<ul><li>
Masters degree in Behavioral Health/Social service or human services field required. Independently Licensed preferred</li></ul>
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$60,522.00 - $129,615.00
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 &ndash; 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:<ul><li>
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li><li>
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li><li>
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.</li></ul>
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 03/31/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</div>

Clinical Case Manager Behavioral Health – Remote – OHIO

Brightside Health

<div>Licensed Mental Health Therapist &mdash; Remote | Brightside Health
At Brightside Health, we&rsquo;re redefining remote therapy and telehealth with evidence-based, human-centered mental health care. As a licensed Remote Mental Health Therapist, Counselor, or Psychologist, you&rsquo;ll deliver transformative, evidence-based virtual therapy to individuals seeking real change. With our proven care models, 86% of our members experience meaningful improvements within just 12 weeks.

About Brightside: Brightside Health is a tech-enabled healthcare company transforming remote mental health care through evidence-based programs and a full continuum of services, including general therapy, suicide prevention care, and SUD IOP. Therapists love Brightside for fully remote, flexible schedules, steady referral stream, and exceptional clinical support&mdash;including free CEUs, CAMS-care training, and case consult groups. We offer built-in psychoeducation tools, billing and client support, and a collaborative environment.

Role overview: We are seeking passionate, licensed Remote Mental Health Therapists and Psychologists to deliver high-quality telehealth care within our general mental health program. In addition to general care, therapists have the opportunity to opt into specialized programs, including our Suicide Prevention Program, Teen Program, and our upcoming Mental Health IOP (Intensive Outpatient Program). If you're committed to evidence-based practices and excited to deliver culturally responsive care to adults or even teens, we'd love to hear from you.

What you&rsquo;ll do:
<ul><li>
Deliver weekly evidence-based virtual therapy sessions via live video</li><li>
Apply the Unified Protocol (UP) framework and CBT to guide treatment</li><li>
Monitor client progress virtually through automated assessments and goal-based measures</li><li>
Collaborate with psychiatric providers and fellow therapists for comprehensive care</li><li>
Maintain accurate, timely documentation through our AI-enhanced EMR
</li></ul>
Why join Brightside?
<ul><li>
Unprecedented impact: Make a real impact with an innovative, mission-driven remote therapy team</li><li>
Clinical support: Grow professionally with leadership support and continuous education opportunities, including billing and care coordination support</li><li>
Professional growth opportunities: Serve across diverse service lines, including our Suicide Prevention Program and expanding Teen Therapy Program</li><li>
Custom-built tools: Be part of a tech-enabled virtual mental health care model and enjoy our streamlined EMR integrated with treatment software, assessment tools, progress monitoring, and AI transcription for seamless documentation</li><li>
Collaborative approach: Thrive in a collaborative culture rooted in innovation, inclusivity, and compassion</li><li>
Ongoing referrals: Grow your ideal caseload with Brightside&rsquo;s steady and reliable stream of client referrals</li></ul>

What we offer:
<ul><li>
100% remote, flexible 1099 contractor positions</li><li>
Create your own schedule (Monday-Sunday, 7am-9pm)</li><li>
No on-call work</li><li>
Free CEUs and CAMS training for suicide risk treatment</li><li>
Dedicated operational support: billing, IT, and insurance assistance</li><li>
Free malpractice insurance coverage</li><li>
Health insurance recommendations via Stride Health</li><li>
AI-driven EMR to streamline documentation and enhance clinical care</li><li>
Opportunities to work with our Suicide Prevention and Teen Therapy Programs</li></ul>

Qualifications:
<ul><li>
Master's or Doctorate in Psychology, Counseling, or Social Work (MA, MS, MSW, MFT, MHC, PhD, PsyD)</li><li>
Independent clinical license (LCSW, LMFT, LMHC, LPC, etc.)</li><li>
Minimum 1 year of independent licensure (2+ state licenses a big plus)</li><li>
2+ years of recent experience delivering CBT and evidence-based therapy to adults</li><li>
Comfortable treating a diverse range of populations and mental health conditions</li><li>
Tech-savvy and enthusiastic about integrating digital solutions into clinical practice</li><li>
Experience working with higher-risk populations and/or adolescents preferred
</li></ul>
Apply Today! Shape the future of evidence-based remote mental health care &mdash; apply today and make a lasting difference with Brightside Health.

Learn more at: www.brightside.com/careers

We know that diversity fosters innovation, inclusivity, and better care. We are committed to equity and encourage candidates of all backgrounds to apply, even if your experience isn&rsquo;t an exact match. Brightside is proud to be an Equal Opportunity Employer and does not discriminate based on race, color, gender, sexual orientation, gender identity, age, religion, disability, national origin, veteran status, or any other status protected by law. 
#LI-Remote #Indeed-Remote</div>

Licensed Mental Health Therapist - Telehealth

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