- Centene Corporation (Frankfort, KY)
- …facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare ... throughout state of Kentucky to correctional facilities. (about 75%)** ** Behavioral Health and Physical Health ...to identify providers, specialists, and community resources needed for care including mental health and substance use… more
- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Telephonic Care Manager (Autism Care Navigator) serves as a primary advocate ... of ASD, as defined by the ACD. The **Telephonic Care Manager (Autism Care Navigator)**...(LMSW-ACP), Clinical Psychologist** with; + Clinical experience in: pediatrics, behavioral health , and/or ASD; a healthcare environment;… more
- Humana (Frankfort, KY)
- …levels of care such as ER, OR, Pre-op, PACU,L&D, mother-baby, behavioral health , SNF, care manager /discharge manager , LTC, rehab, outpatient or ... easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading… more
- CVS Health (Frankfort, KY)
- …channels. + Ability to speak to medical and behavioral health professionals to influence appropriate member care . + Utilizes influencing/motivational ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning,… more
- Molina Healthcare (Bowling Green, KY)
- … and chemical dependency services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes ... member care . Essential Job Duties * Provides behavioral health oversight and clinical leadership for...Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager … more
- Elevance Health (Louisville, KY)
- ** Behavioral Health Medical** **Director-Psychiatrist** **Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... The **Medical Director** is responsible for the administration of behavioral health medical services, to ensure the...directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. +… more
- BrightSpring Health Services (Louisville, KY)
- …(IDD) Division. Theideal candidatewill have B2B sales and Behavioral Health and Individuals with Developmental Disabilities (IDD) Care experience, with ... reports and CRM and in communicating (verbally and in writing) with IDD agencies and behavioral health organizations to assess market needs + Works with RVP of… more
- Elevance Health (Louisville, KY)
- …equivalent training and mastery and a minimum of 10 years experience in related health care analytics; or any combination of education and experience which would ... methods to identify new opportunities to improve the whole health of our members. This individual will create statistical...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …policy, demonstrates professional behavior, and supports the philosophy of Jennie Stuart Health . Job Knowledge: + Knowledge of community resources for older persons, ... of Medicare, Medicaid and insurance requirements as these relate to continuing care . Familiarity with medical terminology and conditions as these impact treatment… more
- CVS Health (Frankfort, KY)
- …medical conditions, and/or behavioral health . . Experience conducting health -related assessments and facilitating the care planning process. . Bilingual ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...each and every day. **Position Summary** Job Summary: The Care Manager -Registered Nurse is a key member… more
- Highmark Health (Frankfort, KY)
- …implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. + Function in… more
- Molina Healthcare (Louisville, KY)
- …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home ... must be licensed for the state of Kentucky Case Manager RN will work with KY Medicaid population providing...delivery of care across the continuum, including behavioral health and long term care… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …24-hour, 7-days/week shared accountability for the provision and evaluation of patient care in the Inpatient Behavioral Health /Residential Rehab Treatment ... EDRP participants ineligible to apply. Responsibilities This Assistant Nurse Manager is accountable to the Nurse Manager ...is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be… more
- HCA Healthcare (Frankfort, KY)
- …or limits? Our Frankfort Regional Medical Center team is looking for a Respiratory Care Manager . HCA Healthcare is an advanced healthcare network that has ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free...lives across the country? Apply today to our Respiratory Care Manager and be a part of… more
- HCA Healthcare (Lexington, KY)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Do you have the career opportunities as a Clinical Manager RN you want with your current employer? We...the planning, coordination, and delivery of quality interdisciplinary home health care services. Will ensure compliance to… more
- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic ... the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation… more
- BrightSpring Health Services (Louisville, KY)
- …service lines, including pharmacy, home health care and primary care , and rehabilitation and behavioral health , we provide comprehensive and ... Our Company BrightSpring Health Services Overview Reporting to the Senior Director...the Senior Director of Talent Acquisition, the Talent Acquisition Manager will provide day-to-day supervision to a designated recruitment… more
- CVS Health (Frankfort, KY)
- …Provider Appeals & Disputes, and Network Performance Standards. + Professional experience in behavioral health care + Experience in Medical Terminology, CPT, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...each and every day. **Position Summary** The Provider Relations Manager , will act as the primary resource for assigned,… more
- Highmark Health (Frankfort, KY)
- …project manager role and/or in a project leadership role **Preferred** + Health Care Insurance industry business and operational knowledge + Experience with ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee … more
- Catholic Health Initiatives (Lexington, KY)
- …a system of direct case management to effectively follow patients throughout the continuum of care in a multiple health care delivery system. Role includes ... patient's status, evaluation, coordination of on-going needs, and planning of care and delivery of services, appropriate implementation of community resources… more