Healthcare Consultant I - SW Ohio

SGS_JOB_3843

Business Support
 Ohio
Bilingual
Spanish
Healthcare consultant
Case Management
Case Manager
Case Management Coordinator

Contract - 03+ Months Extendable

Location (mandatory): SW OHIO Counties: Adams, Allen, Auglaize, Brown, Butler, Champaign, Clark, Clermont, Clinton, Darke, Defiance, Fulton, Green, Hamilton, Hardin, Henry, Lawrence, Logan, Lucas, Madison, Mercer, Miami, Montgomery, Paulding, Preble, Putnam, Scioto, Shelby, Van Wert, Warren, Williams in OHIO ): Candidates must reside in one of these counties: SW OHIO Counties: Adams, Allen, Auglaize, Brown, Butler, Champaign, Clark, Clermont, Clinton, Darke, Defiance, Fulton, Green, Hamilton, Hardin, Henry, Lawrence, Logan, Lucas, Madison, Mercer, Miami, Montgomery, Paulding, Preble, Putnam, Scioto, Shelby, Van Wert, Warren, Williams ** Candidates could be required to travel to the corporate office in Franklin County for onsite meetings. These usually happen 1-2 times a year. **

Job Responsibilities:

  • 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:
  • 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:
  • 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.
  • Coordinates and implements assigned care plan activities and monitors care plan progress. Enhancement of Medical Appropriateness and Quality of Care:
  • Enhancement of Medical Appropriateness and Quality of Care:
  • 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.
  • Works collaboratively with the members' Child and Family Teams.
  • Identifies and escalates quality of care issues through established channels.
  • Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs.
  • Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
  • Provides coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
  • Helps members actively and knowledgably participate with their provider in healthcare decision-making.
  • 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:
  • Monitoring, Evaluation and Documentation of Care:
  • Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
  • 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:
  • 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:
  • 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.
  • Coordinates and implements assigned care plan activities and monitors care plan progress. Enhancement of Medical Appropriateness and Quality of Care:
  • Enhancement of Medical Appropriateness and Quality of Care:
  • 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.
  • Works collaboratively with the members' Child and Family Teams.
  • Identifies and escalates quality of care issues through established channels.
  • Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs.
  • Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
  • Provides coaching, information, and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
  • Helps members actively and knowledgably participate with their provider in healthcare decision-making.
  • 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:
  • Monitoring, Evaluation and Documentation of Care:
  • Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

Skills:

  • 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+ years 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
  • 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+ years 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.

Education/Experience:

  • 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).
  • 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).

Related Jobs

Online Content Specialist (US)

Business Support
 Pennsylvania
$50 to $52/ hr. on w2
2 months contract with possible extension

location : Conshohocken PA, 19428. Our Online Content Specialist job profile was written to lean very heavily into Marketing experience. While this is certainly relevant and would be great if we found this expertise, we will need to prioritize finding the right Digital + Web Content Management experience. In past times when we’ve tried to source candidates for this role, there have been a lot of candidates primarily with Marketing and Social Media Manager expertise, often related to just the creation of content – which is not quite what we are looking for. Having this knowledge can help, but in addition to overall Marketing + content creation expertise, we need someone with the Digital and hands-on Content Management experience. Overall, this role will require Marketing Campaign management as well as hands on updates in our CMS tools. I would also like to prioritize candidates that are bi-lingual, Spanish speaking, but if this limits us too much, I do not want to eliminate candidates that only speak English. Let me know if this becomes an issue with sourcing the right candidates. Here are some considerations for the role to be added to the req in addition to what is already in the job profile:

Good knowledge of UX/UI + Web Accessibility/ADA principles preferred (Specifically looking for UX/UI knowledge and experience

Accountant: I

Business Support
 California
41.00
1+ Year, possibility of extension/FTE

Location – Los Angeles, CA 90013 Level I: 2-5 Years of Experience. Duties include preparation of monthly journals for billing. Reconciliation of GL accounts. Provides guidance on cost accounting issues. Able to interact effectively with internal and external clients. Strong analytical abilities with advanced MS Excel skills. This role is to help the AR team process damage claims which may occur when there is damage to company assets. Because this involves invoicing, they want someone who has Accounting with AR experience. AP might work but this role is definitely more AR focused. Current team has 4 FTE's and 2 contractors The manager works in the Accounts Receivable group. Equipment provided by clients for in-office and at home

• Accounts Receivable (AR) • SAP (Financial Modules) • MS Excel (Advanced) • General Ledger (GL) Reconciliation

Video Surveillance Operator

Business Support
 Nevada
6 Months

Location (mandatory): Las Vegas, NV The Surveillance Operator is a desk-based, onsite security monitoring role responsible for reviewing live video feeds, identifying potential threats, and taking immediate action such as issuing real-time audio warnings or contacting law enforcement/property representatives. Operators monitor multiple sites nationwide using proprietary software and work in a fast-paced, multi-screen environment. This role is not related to casino surveillance and is not located on the Las Vegas Strip. WORK ENVIRONMENT: • Fast-paced operations center • Heavy computer and multi-monitor use • Safe, climate-controlled office setting • Structured, non-flexible schedules — employees must work the shift hired for • Communication currently via Microsoft platforms; transitioning to Google Meet/Google Mail

CCTV
Video Surveillance
Investigation

Business Analyst

Business Support
 California
$35-$36
05 months

Location (mandatory): El Segundo CA 90245 We are seeking an Analyst to support replenishment and planning for a top retailer. This role will focus on collaborative sales forecasting and inventory management, driving key aspects of the order process and supporting both the Sales and customer inventory teams. The Analyst will be involved in forecasting, planning, and order fulfillment to ensure optimal stock levels and timely deliveries.

Forecasting
Analytical
Excel
replenishment

Social Media Coordinator

Business Support
 New York
$28-$30
06 Months

Location (mandatory): Easy Aurora NY 14052 We are hiring a Coordinator, Social Media to join their Global Social Media Team. Based in East Aurora, NY, this hybrid role will focus on developing and executing social media strategies for brands. The position emphasizes customer engagement across various platforms, supporting business objectives, and ensuring strong integration with marketing campaigns. 30 hours per week, hybrid role (4 days in office, Friday remote).

Social media
creative writing
moderation

Recruiter

Business Support
 Texas
12 Months

Looking for someone with recruiting experience focused on Professional roles. Recruiters have responsibility for building a pipeline of candidates through a variety of sources. This will include researching and building call lists to make direct cold calls so that the organization is proactively recruiting A-level candidates. In this position, you will be expected to use knowledge of the Company and position requirements to identify qualified candidates through resume screening and phone interviews and refer only those qualified to managers. The recruiter will maintain ongoing communication with hiring managers to fully understand their needs to ensure an efficient and effective interviewing and selection process.

Recruitment
Cold Calling
Screening
ATS

Customer Service Representative

Business Support
 Kansas
12 Months (Possible chances of extension)

Location (mandatory): New Century, KS 66031 Responds to customer issues that require product knowledge, interpret questions/requests and ensure proper resolution in a prompt and courteous manner. May initiate customer contact to proactively identify and address customer needs. Monitors the resolution process to ensure other departments follow through on requests.

Customer service
purchase orders
logistics
coordination

HR Generalist

Business Support
 New York
$30.00-$35.00/Hr. on W2
4 Months

Location : Lancaster, NY The HR Generalist position works in partnership with the management teams in leading HR processes including total rewards, talent management, performance management, employee engagement, wellness, learning, organizational efficiency, and employee relations.

HR
Compensation
Total Awards
employee relations

USA - HR Coordinator - II - USD

Business Support
 Florida
07Month + (Highest possibilities of extension)

Location: Tampa FL USA 33602

HR Operations
Administering
Workday
logo

At SGS Consulting, we go beyond resume-job matches, creating meaningful connections and pathways for individuals to thrive in defining careers.


© 2026 All rights reserved.
logologologologo