- 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
- 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
- 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
- Molina Healthcare (Louisville, 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
- Molina Healthcare (Louisville, KY)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term ... regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home and… 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
- 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
- CVS Health (Frankfort, 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 (Louisville, 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
- CVS Health (Frankfort, KY)
- …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 ... accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** **This is a full-time… 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
- Elevance Health (Louisville, KY)
- …following counties: Scott, Clark, Floyd, and Harrison counties.** The **RN Case Manager ** **(LTSS Service Coordinator- RN)** is responsible for overall management of ... the IN PathWays for Aging program; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member… more
- 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
- Highmark Health (Frankfort, KY)
- …Insurance Group **Job Description :** **JOB SUMMARY** This job is responsible for analyzing clinical data to assess potential stop loss and managed care claim ... well as coaches, consults, and mentors team members on moderate to complex clinical issues. **ESSENTIAL RESPONSIBILITIES** + Analyze clinical data to assess… more
- Elevance Health (Louisville, KY)
- …Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee ... depression, and insightful analytics to improve the delivery of care . The ** Clinical Ops Associate Medical Director...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- CenterWell (Louisville, KY)
- … care team consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral ... coding specificity. . Follows policy and protocol defined by Clinical Leadership. . Meets with RMD about quality of...address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral … more
- CenterWell (Louisville, KY)
- … care team consists of Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based ... coding specificity. . Follows policy and protocol defined by Clinical Leadership. . Meets with RMD about quality of...address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral … more