- Evolent (Frankfort, KY)
- …providing better health outcomes for this population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect with the ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Humana (Frankfort, KY)
- …and help us put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate member's ... care and wellbeing of members. The Field Care Manager , Behavioral Health 2...license with a minimum of 1 year of post-degree clinical experience in behavioral health **OR** an… more
- Highmark Health (Frankfort, KY)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... + 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience in a… more
- Molina Healthcare (Lexington, KY)
- **_JOB TITLE: Program Manager : HCS, Clinical Program Design, REGISTERED NURSE_** **Job Summary** Molina Healthcare Services (HCS) works with members, providers ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care… more
- Sharecare (Frankfort, KY)
- …a responsive, committed individual who ** ** recognizes the impact of the health care delivery system on the clinical and financial outcomes of the member ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...intervention guidelines. An RN is supervised by an Operations Manager (OM). All Sharecare clinicians are required to participate… more
- Molina Healthcare (Lexington, KY)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term ... thinking . Medicare knowledge/experience is highly preferred. The Case Manager must be able to work in a high-volume...management. + Promotes integration of services for members including behavioral health care and long term services… more
- Highmark Health (Frankfort, KY)
- …over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of the assigned member ... panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right clinical intervention for each member. The incumbent… more
- CVS Health (Frankfort, KY)
- …high risk factors and service needs that may impact member outcomes and care planning components with appropriate engagement of clinical case management or ... and affordable. **Position Summary** The High-Fidelity Wraparound (HFW) Case Manager (CM) is a person who safeguards that the...family teams using person centered thinking and systems of care for those experiencing complex behavioral health… more
- CenterWell (Lexington, KY)
- …education around maintenance of chronic health conditions, as well as available options for behavioral care and social support + Serve as liaison between the ... learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and… more
- CenterWell (Frankfort, KY)
- …collaboratively with clinical and operational leaders across a complex health care organization. + Knowledge of health care regulations and policies related ... learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and… more
- Highmark Health (Frankfort, KY)
- …Insurance Group **Job Description :** **JOB SUMMARY** This job is responsible for analyzing clinical data to assess potential stop loss and managed care claim ... well as coaches, consults, and mentors team members on moderate to complex clinical issues. **ESSENTIAL RESPONSIBILITIES** + Analyze clinical data to assess… more
- HCA Healthcare (Lexington, KY)
- … care . Performs in accordance with physician's orders and under the supervision of the Clinical Manager . **What you will do in this role:** + Assesses home ... and patient/family/caregiver. + Communicates significant findings, problems and changes to Clinical Manager and physician, and documents all findings,… more
- CenterWell (Frankfort, KY)
- … care team consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral ... coding specificity. . Follows policy and protocol defined by Clinical Leadership. . Meets with RMD about quality of...address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral … more
- CenterWell (Frankfort, KY)
- …care team consists of doctors, advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health, specialists, quality-based ... coding specificity. . Follows policy and protocol defined by Clinical Leadership. . Meets with RMD about quality of...address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral … more
- Evolent (Frankfort, KY)
- …which includes our medical reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs, Clinical Reviewers. Opportunities to ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Evolent (Frankfort, KY)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...The Coordinator, Intake Utilization Management reports directly to the Manager , Intake Utilization Management. In support of our daily… more
- CenterWell (Lexington, KY)
- …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... health first** The Nurse Practitioner (VSP/PT) applies advanced education and clinical competencies to achieve optimal patient outcomes. The Nurse Practitioner… more
- Highmark Health (Frankfort, KY)
- …+ Participates in special committee meetings as required. + Cooperates with other health care team members and the Operations Manager pursuant to the Allegheny ... The Registered Nurse assesses human responses and plans, implements and evaluates nursing care for individuals or families for whom the nurse is responsible. The… more
- CenterWell (Frankfort, KY)
- …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... improvement and membership growth. This role is within Centerwell's Primary Care Organization and requires an understanding of value-based agreements and primary… more
- CenterWell (Frankfort, KY)
- …learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and ... insurance and many other opportunities. **About Us** About CenterWell Senior Primary Care : CenterWell Senior Primary Care provides proactive, preventive care… more