- Molina Healthcare (KY)
- …provides care coordination and assistance to member to address concerns. * Collaborates with RN case managers/supervisors as needed or required * Case ... the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's...**I** **E** **N** **C** **E:** + 3+ years in behavioral health case management, disease management, managed… more
- Molina Healthcare (KY)
- …will be given to those applicants who have previous experience working as a case manager /discharge planner within a managed care organization (MCO) like Molina. ... assistance to member to address concerns. * Collaborates with RN case managers/supervisors as needed or required...the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's… more
- Elevance Health (Louisville, KY)
- …or providers in the following counties: Scott, Clark, Floyd, and Harrison counties.** The ** RN Case Manager ** **(LTSS Service Coordinator- RN )** is ... case within the scope of licensure; provides supervision and direction to non- RN clinicians participating in the member's case , as required by the IN… more
- Highmark Health (Frankfort, KY)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- Humana (Frankfort, KY)
- …post-degree clinical experience in behavioral health **OR** an active, unrestricted Kentucky Registered Nurse **( RN )** license with at least three years ... Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess...Abuse Disorder (SUD) patients. + Managed Care Experience. + Case Management Certification (CCM). + Experience with behavioral… more
- Highmark Health (Frankfort, KY)
- …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... as assigned or requested. **EDUCATION** **Required** + High School Diploma/GED with RN license or Master's Degree if licensed behavioral health professional… more
- Molina Healthcare (Lexington, KY)
- …to resolve/correct them.. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or ... align with Molina auditing policy and protocols + Assists Manager with data for team member performance reviews +...+ Required License, Certification, Association + Active, unrestricted State Registered Nurse ( RN ) License in… more
- HCA Healthcare (Lexington, KY)
- …Basic Cardiac Life Support must be obtained within 30 days of employment start date + Registered Nurse + Drivers License + Associate Degree, or Registered ... any other healthcare provider. We are seeking a(an) PRN RN to join our healthcare family. **Benefits** Frankfort Regional...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- Molina Healthcare (KY)
- …to resolve/correct them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ) Program and Associate's or ... **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions... and other clinical functions in Utilization Management (UM), Case Management (CM), Member Assessment Team (MAT), Health Management… more
- Elevance Health (Louisville, KY)
- …the following counties: Scott, Clark, Floyd, and Harrison counties.** The ** Case Manager - LCSW/LSW/LMSW/LMHC/LMFT** (also called the **LTSS Service Coordinator ... - Clinician)** has overall responsibility for the member's case , as required by the IN PathWays for Aging...coordination and management of member's needs, including physical health, behavioral health, social services and long term services and… more
- CenterWell (Lexington, KY)
- …infection control and attendance **Use your skills to make an impact** **Required Qualifications** + Registered Nurse ( RN license) + Minimum of 4 years of ... health outcomes. Experience will ideally include prior work with patients with behavioral health diagnoses, as well as in navigating local community-based resources… more
- Highmark Health (Frankfort, KY)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- Molina Healthcare (KY)
- …program/process execution to achieve goals **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
- Highmark Health (Frankfort, KY)
- …Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line ...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- J&J Family of Companies (Frankfort, KY)
- …Site or Cell & Gene therapy Treatment Center/Site of Care Certification and Activation + RN license or Advanced Practice degree ( Nurse Practitioner / PA / PharmD ... is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United...a resource to team members for related technical and behavioral knowledge + Provide verbal and written feedback to… more