• Field Care Manager

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

    Highmark Health (Frankfort, KY)
    …the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate ... 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. Effectively function in… more
    Highmark Health (12/12/24)
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  • Clinical Case Manager Behavioral

    CVS Health (Frankfort, KY)
    …thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider ... 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… more
    CVS Health (01/10/25)
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  • Behavioral Health Outreach…

    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 ... provide an equivalent background. **Preferred Skills, Capabilities & Experiences:** + Behavioral health experience preferred. + Experience working with… more
    Elevance Health (01/08/25)
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  • Behavioral Health Strategy Principal

    CenterWell (Frankfort, KY)
    …across a complex health care organization. + Knowledge of health care regulations and policies related to behavioral health + Computer skills in ... integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (01/11/25)
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  • Care Manager RN - Weekends (Remote)

    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
    Highmark Health (01/07/25)
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  • Product Manager - Care Management

    Highmark Health (Frankfort, KY)
    …Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice… more
    Highmark Health (11/02/24)
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  • High Fidelity Wraparound Case Manager

    CVS Health (Louisville, KY)
    …centered thinking and systems of care for those experiencing complex behavioral health challenges. * Experience engaging youth and families in developing, ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....Genuine respect for families of children/youth who have complex behavioral health needs and a firm commitment… more
    CVS Health (12/06/24)
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  • High Fidelity Wraparound Field Case Manager

    CVS Health (Frankfort, KY)
    …centered thinking and systems of care for those experiencing complex behavioral health challenges. + Experience engaging youth and families in developing, ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....Genuine respect for families of children/youth who have complex behavioral health needs and a firm commitment… more
    CVS Health (12/19/24)
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  • RN Case Manager -New…

    Elevance Health (Louisville, KY)
    …member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. **How you will make an impact:** ... evaluation, coordination and management of member's needs, including physical health , behavioral health , social services...care in conjunction with the member and the health care team. + Manages members with… more
    Elevance Health (01/11/25)
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  • Case Manager -LCSW/LSW/LMSW/LMHC/LMFT-New…

    Elevance Health (Louisville, KY)
    …the identification, evaluation, coordination and management of member's needs, including physical health , behavioral health , social services and long term ... counties: Scott, Clark, Floyd, and Harrison counties.** The **Case Manager - LCSW/LSW/LMSW/LMHC/LMFT** (also called the **LTSS Service Coordinator -...and in conjunction with the RN, member and the health care team, to ensure cost effective… more
    Elevance Health (01/11/25)
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  • LTSS Service Coordinator (Case Manager )…

    Elevance Health (Louisville, KY)
    …the member's circle of support and overall management of the individuals physical health (PH)/ behavioral health (BH)/LTSS needs, as required by applicable ... + Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for… more
    Elevance Health (12/17/24)
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  • Complex Case Manager RN (Remote)

    Highmark Health (Frankfort, KY)
    …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
    Highmark Health (11/20/24)
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  • Manager of Internal Controls

    BrightSpring Health Services (Louisville, KY)
    …Company's service lines, including pharmacy, home health care and primary care , and rehabilitation and behavioral health , we provide comprehensive ... team. Reporting directly to the VP, Controller of BrightSpring Health Services, the Manager will support the...specialized and/or chronic care . Through the… more
    BrightSpring Health Services (01/10/25)
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  • Accounting Manager

    BrightSpring Health Services (Louisville, KY)
    …Company's service lines, including pharmacy, home health care and primary care , and rehabilitation and behavioral health , we provide comprehensive ... Our Company BrightSpring Health Services Overview This Accounting Manager position is responsible...in need of specialized and/or chronic care . Through the… more
    BrightSpring Health Services (01/10/25)
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  • Solution Director, SMI Total Cost of Care

    Elevance Health (Louisville, KY)
    …delivered high-impact results for over 150 years. With capabilities spanning pharmacy, behavioral health , complex care delivery, medical benefits management, ... managing product performance, dashboards/insights, product strategy, and product strategy. - Behavioral health , serious mental illness (SMI), or substance… more
    Elevance Health (01/01/25)
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  • Manager , Program Manager /Product…

    Highmark Health (Frankfort, KY)
    …in a project manager role **Preferred** + Leadership experience + Health Care Insurance industry business and operational knowledge + Experience managing ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (01/11/25)
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  • Senior Category Manager

    Highmark Health (Frankfort, KY)
    …relationship management and performance + Experience in Indirect Category Sourcing and/or Health Care Sourcing with demonstrated expertise in influencing the ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...Certified Professional in Supply Management (CPSM) + Certified Purchasing Manager (CPM) **SKILLS** + Experience in strategic management and… more
    Highmark Health (12/12/24)
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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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  • Divisional Outreach Care Navigator RN…

    CenterWell (Louisville, KY)
    …around maintenance of chronic health conditions, as well as available options for behavioral care and social support + Serve as liaison between the patient ... integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager more
    CenterWell (12/06/24)
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