• Clinical Case Manager

    CVS Health (Frankfort, KY)
    …utilization of available resources and optimal, cost-effective outcomes. + Telephonic clinical case management with Medicare population. + Uses Motivational ... 3+ years of direct clinical practice experience + An active and unrestricted clinical behavioral health license in state of residence is required (ex: LPC,… more
    CVS Health (01/10/25)
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  • Field Care Manager , Behavioral

    Humana (Frankfort, KY)
    …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 needs and ... the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are...license with a minimum of 1 year of post-degree clinical experience in behavioral health **OR** an… more
    Humana (11/20/24)
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  • Care Manager Behavioral Health…

    Highmark Health (Frankfort, KY)
    …+ 3 - 5 years of post licensure experience in a combination of Behavioral Health Clinical , Case Management and/or Condition Management + Experience ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
    Highmark Health (12/12/24)
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  • Complex Case Manager RN (Remote)

    Highmark Health (Frankfort, KY)
    …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
    Highmark Health (11/20/24)
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  • High Fidelity Wraparound Field Case

    CVS Health (Frankfort, KY)
    …care more personal, convenient and affordable. **Position Summary** The High-Fidelity Wraparound (HFW) Case Manager (CM) is a person who safeguards that the ... may impact member outcomes and care planning components with appropriate engagement of clinical case management or crisis intervention as appropriate. - +… more
    CVS Health (12/19/24)
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  • Care Manager RN - Weekends (Remote)

    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
    Highmark Health (01/07/25)
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  • Excess Risk Managed Care Clinician

    Highmark Health (Frankfort, KY)
    …**LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language (Other than English):** None **Travel ... **EXPERIENCE** **Required** + 5 years with Any combination of clinical , case management, and/or disease/condition management experience,...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
    Highmark Health (11/25/24)
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