• Field Care Manager

    Humana (Frankfort, KY)
    …community and help us put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and ... with resources appropriate for the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are varied and… more
    Humana (11/20/24)
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  • Care Manager Behavioral

    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 ... clinical setting **Preferred** + Certification in utilization management or a related field + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS**… more
    Highmark Health (12/12/24)
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  • Case Manager - Behavioral Health…

    Molina Healthcare (KY)
    …3+ years in behavioral health case management, disease management, managed care settings. + Field -based case management or home health experience. ... 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… more
    Molina Healthcare (12/11/24)
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  • RN Case Manager - Behavioral Health…

    Molina Healthcare (KY)
    …+ 3+ years in behavioral health case management, disease management, managed care settings. + Field -based case management or home health experience. **PR** ... 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 (11/12/24)
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  • Behavioral Health Outreach Care

    Elevance Health (Louisville, KY)
    ** Behavioral Health Outreach Care Specialist** **Location** : This is a remote position. The ideal candidate will live within 50 miles of an Elevance Health ... **Work Schedule : Monday - Friday, 8:00am - 5:00pm EST** The **Outreach Care Specialist** is responsible for ensuring that appropriate member treatment plans are… more
    Elevance Health (01/08/25)
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  • High Fidelity Wraparound Field Case…

    CVS Health (Florence, KY)
    …Experience facilitating family teams using person centered thinking and systems of care for those experiencing complex behavioral health challenges. + Experience ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
    CVS Health (12/19/24)
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  • High Fidelity Wraparound Case Manager

    CVS Health (Louisville, KY)
    …Experience facilitating family teams using person centered thinking and systems of care for those experiencing complex behavioral health challenges. * Experience ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
    CVS Health (12/06/24)
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  • Care Manager RN - Weekends (Remote)

    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 ... utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,… more
    Highmark Health (01/07/25)
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  • Product Manager - Care Management

    Highmark Health (Frankfort, KY)
    …**EDUCATION** Required + Bachelor's Degree in science, technology, mathematics or related field OR relevant experience and/or education as determined by the company ... Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company… more
    Highmark Health (11/02/24)
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  • Crisis Case Manager , HSPRS

    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...unaccompanied child is released from custody into a sponsor's care (Home Study) + Provide case management support via… more
    International Rescue Committee (11/19/24)
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  • Site Activation CAR-T Senior Manager , Cell…

    J&J Family of Companies (Frankfort, KY)
    Johnson & Johnson is recruiting for a field -based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a ... field based role based in the United States with...Johnson, we all belong. The Site Activation CAR-T Senior Manager , Cell Therapy Experience reports into the Johnson and… more
    J&J Family of Companies (12/18/24)
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  • LTSS Service Coordinator (Case Manager )…

    Elevance Health (Louisville, KY)
    …community and/or facility-based care management case load, highly preferred + BA/BS degree field of study in health care related field preferred. + ... **Location: Field associates spend 4-5 days per week in-person...plan, interfacing with Medical Directors and participating in interdisciplinary care rounds to support development of a fully integrated… more
    Elevance Health (12/17/24)
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  • Case Manager -LCSW/LSW/LMSW/LMHC/LMFT-New…

    Elevance Health (Louisville, KY)
    **Location: Field associates spend 4-5 days per week in-person with patients, members or providers in the following counties: Scott, Clark, Floyd, and Harrison ... counties.** The **Case Manager - LCSW/LSW/LMSW/LMHC/LMFT** (also called the **LTSS Service Coordinator -...IN PathWays for Aging program, contributes to the LTSS care coordination process by performing activities within the scope… more
    Elevance Health (01/11/25)
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  • Retail Store Manager

    HCA Healthcare (Louisville, KY)
    …Our staff and administration live out our vision! We change the life of one to care for the lives of many. Jump-start your career as a Retail Store Manager ... 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 medical… more
    HCA Healthcare (01/07/25)
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  • Divisional Outreach Care Navigator RN…

    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 ... Refer patient to necessary services and supports + This field may include but is not limited to: assistance...address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral more
    CenterWell (12/06/24)
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  • RN Case Manager -New…

    Elevance Health (Louisville, KY)
    **Location: Field associates spend 4-5 days per week in-person with patients, members or providers in the following counties: Scott, Clark, Floyd, and Harrison ... counties.** The **RN Case Manager ** **(LTSS Service Coordinator- RN)** is responsible for overall...Aging program; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the… more
    Elevance Health (01/11/25)
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  • Provider Contracts Manager

    Molina Healthcare (KY)
    …SKILLS & ABILITIES** : * 5-7 years contract-related experience in the health care field including, but not limited to, provider's office, managed ... but not limited to, Hospitals, Independent Physician Association, and complex Behavioral Health arrangements. **Job Duties** This role negotiates contracts with the… more
    Molina Healthcare (11/28/24)
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  • Sr Quality Assurance Manager

    Ervin Cable (Henderson, KY)
    Our Sr Quality Assurance Manager oversees and manages the quality assurance department. This role involves implementing and maintaining quality standards, ... compliance and identify areas for improvement. The Sr QA Manager collaborates closely with various teams to resolve quality...customer complaints in conjunction with the PM and local field team + Document and implement inspection criteria and… more
    Ervin Cable (01/04/25)
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  • Clinical Value Program Manager , HCS

    Molina Healthcare (KY)
    …Extend scope to more fully include related areas besides 'Medical/Clinical', for example Behavioral Health, Long Term Care + Assist in proposing and implementing ... master's degree in Nursing, Gerontology, Public Health, Social Work or related field . **Required Experience** + 5+ years of managed healthcare experience, including… more
    Molina Healthcare (12/15/24)
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  • Solution Director, SMI Total Cost of Care

    Elevance Health (Louisville, KY)
    …high-impact results for over 150 years. With capabilities spanning pharmacy, behavioral health, complex care delivery, medical benefits management, payment ... for the Serious Mental Illness (SMI) total cost of care product across all markets. This innovative and unique...enhance outcomes. Reporting to the Staff VP and General Manager of Carelon's SMI Product, this Director will focus… more
    Elevance Health (01/01/25)
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