- CVS Health (Frankfort, KY)
- …3+ years of direct clinical practice experience + An active and unrestricted clinical behavioral health license in state of residence is required (ex: LPC, ... thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning,...programs. + Completes a Comprehensive Assessment and Plan of care . + Will document in clinical systems… 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 (KY)
- …be given to those applicants who have previous experience working as a case manager /discharge planner within a managed care organization (MCO) like Molina. Hours ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term … more
- Molina Healthcare (KY)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term ... and the site of service. **Job Duties** * Completes clinical assessments of members per regulated timelines and determines...standards * Promotes integration of services for members including behavioral health care and long term services… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Under the direction of the Clinical Nurse Manager , provides nursing care in accordance with departmental and hospital policies and procedures. Essential ... to treatment team. + Implements changes in plan of care . + Patient is oriented to unit and vital...Demonstrates proper body mechanics in all functions. + If manager /leader, provides for the safety of department employees. +… more
- Molina Healthcare (KY)
- …scope to more fully include related areas besides 'Medical/ Clinical ', for example Behavioral Health, Long Term Care + Assist in proposing and implementing an ... **JOB DESCRIPTION** **Job Summary** Working closely with Molina enterprise Clinical Operations and Health Plan healthcare services leaders, and Medical Economics and… more
- ChenMed (Louisville, KY)
- …assigned market, they will have a portion of their time allocated to direct patient care as a PCP and/or other clinical duties. The remainder of their time ... + Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS AND ABILITIES:** + Consistently demonstrates... skills. + Knowledge and experience in a managed care delivery system. + Knowledge of clinical … 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 (KY)
- …disease management or utilization management in managed care , medical or behavioral health settings. + Two years of clinical auditing/review experience. To ... + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), Member… more
- Highmark Health (Frankfort, KY)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... specific state licensure(s) may be required depending on where clinical care is being provided. **Preferred** +...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… 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
- International Rescue Committee (Louisville, KY)
- …and connection to: Legal services; Education and English language classes; Medical care and behavioral healthcare; Placement stability and safety services; ... Requisition ID: req56222 Job Title: Crisis Case Manager , HSPRS Sector: Social Work Employment Category: Fixed...Master's degree in social work, psychology, or other relevant behavioral science in which direct clinical experience… more
- HCA Healthcare (Bowling Green, KY)
- …knowledge and expertise! **Job Summary and Qualifications** The Med/Surg Ortho Nurse Manager ensures high quality, patient-centered care through oversight of the ... The Manager monitors and evaluates the provision of nursing care in accordance with established policies/procedures and holds staff accountable for quality… more
- HCA Healthcare (Bowling Green, KY)
- …want your knowledge and expertise! **Job Summary and Qualifications** The OR Nurse Manager ensures high quality, patient-centered care through oversight of the ... The Manager monitors and evaluates the provision of nursing care in accordance with established policies/procedures and holds staff accountable for quality… more
- CVS Health (Florence, 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
- CVS Health (Louisville, 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
- Elevance Health (Louisville, KY)
- …+ Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential ... clinical healthcare management and interdisciplinary team in order to provide care coordination support. + Manages non- clinical needs of members with chronic… 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
- Elevance Health (Louisville, KY)
- …counties: Scott, Clark, Floyd, and Harrison counties.** The **Case Manager - LCSW/LSW/LMSW/LMHC/LMFT** (also called the **LTSS Service Coordinator - Clinician)** ... required by the IN PathWays for Aging program, contributes to the LTSS care coordination process by performing activities within the scope of licensure including,… more