- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work… more
- CVS Health (Frankfort, KY)
- …Health clinician with Kentucky state licensure (LCSW, LPCC, LMFT , LPAT, LP) or a Registered Nurse ( RN ) with active current and unrestricted Kentucky state ... external constituents in the coordination and administration of the utilization /benefit management function. + Utilizes clinical skills...licensure (LCSW, LPCC, LMFT , LPAT, LP) or a Registered Nurse ( RN ) with unrestricted… more
- Bon Secours Mercy Health (Paducah, KY)
- …, to help our nurses grow, professionally and personally. **Tier 3 - System Flex Team traveler Registered Nurse ( RN )** A Tier 3 - System Flex Team Traveler ... Registered Nurse ( RN ) is expected...and skill based on principles of the biological, physical, behavioral , and social sciences + * Application of the… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- … registered as a professional in the state. Required Licenses Registered Nurse Current state registration as RN (or eligibility to do so). Basic Life ... Behavioral Health Nursing is responsible for oversight of RN related duties and RN staffing. The...management philosophy of the department. The Director of Behavioral Health Nursing assists the Director of Clinical Services… more
- HCA Healthcare (Lexington, KY)
- …experience preferred** + **Certifications, Licenses, and other Special Requirements** + **Current/Active Registered Nurse ( RN ) License within practice state ... 156,000 hours impacting our communities. As a Home Health RN Clinical Manager with Frankfort Regional Healthcare at Home,...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- Elevance Health (Louisville, KY)
- …services only, and there is licensed staff supervision. + Previous experience in case management / utilization management with a broad range of experience with ... **A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and… more
- CVS Health (Frankfort, KY)
- …Care Manager RN is responsible for driving and supporting care management and care coordination activities across the continuum of care (assessing, planning, ... implementing, coordinating, monitoring, and evaluating). The CM RN utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member… more
- Elevance Health (Louisville, KY)
- … with telephonic assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, ... **Managed Care Coordinator Clinician Non RN ** **Location:** Remote, within 50 miles of an...health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will… more
- Bon Secours Mercy Health (Paducah, KY)
- …* Nursing judgment and skill based on principles of the biological, physical, behavioral , and social sciences * Application of the nursing process in patient care ... partnership * Interprofessional collaboration and leadership * Understanding and utilization of office and clinical technologies * Compassionate, relationship-based… more
- BrightSpring Health Services (Louisville, KY)
- …in a Medicare certified home health agency generally required + Currently licensed as a Registered Nurse ( RN ), in good standing in state of residence ... utilization and hospital admission reduction. + Provides survey management support/ follow-up/and coordination of corrective actions plans relatied to care… more
- Universal Health Services (Lexington, KY)
- …or Human Services field, with at least two years crisis experience; Registered Nurse ; LCSW/LPCC/LMFT preferred. Experience + Prior intake, assessment, admission ... Partial Hospitalization, Intensive Outpatient Programs, Individual Counseling, as well as Medication Management for all ages. We have provided behavioral health… more
- Universal Health Services (Radcliff, KY)
- …or LPN) OR + Bachelor's Degree in Social Work or Psychology + Experience in Utilization Management preferred + Current CPR or BLS certification (or obtain within ... Responsibilities Utilization Review Coordinator Opportunity Lincoln Trail Behavioral...activity therapists and teachers. Also, care is given by registered nurses 24 hours a day. Since 1986, Lincoln… more
- Addiction Recovery Care (Ashland, KY)
- …list. Key Experience and Education Needed: + Master's level or bachelor's level Registered Nurse with working knowledge and experience in nursing principles and ... is responsible for promoting and maintaining quality patient care through effective management of the activities of the total patient care services during his/her… more
- Universal Health Services (Hopkinsville, KY)
- …engagement, professional execution of organization and logistics, effective time management , sound technology utilization , and detailed multi-tasking. ... professionals and the order of operations for the contract management process. This is a highly collaborative process that...plan + Student Loan Repayment Program Up to $15,000 ( RN 's and Therapists)* + Tuition Reimbursement + Free meals… more
- BrightSpring Health Services (Louisville, KY)
- …current industry clinical guidelines, evidence-based medicine, local and national medical management standards, and protocols + Performs ad hoc audits and reporting ... billing Qualifications + Clinical review positions will require a RN degree in nursing from an accredited or approved...school + Two years of experience in health care utilization review or home health care + Clinical review… more