- Molina Healthcare (Lexington, KY)
- …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports to ... Case Manager will work remotely supporting Medicaid Behavioral health population. Excellent computer skills and...delivery of care across the continuum, including behavioral health and long term care… more
- Molina Healthcare (Lexington, KY)
- …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home ... must be licensed for the state of Kentucky Case Manager RN will work with KY Medicaid population providing...delivery of care across the continuum, including behavioral health and long term care… more
- 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 (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
- CVS Health (Frankfort, KY)
- …centered thinking and systems of care for those experiencing complex behavioral health challenges. + Experience engaging youth and families in developing, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...Genuine respect for families of children/youth who have complex behavioral health needs and a firm commitment… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …and program planning activities daily Works closely with the outpatient Behavioral Health Interdisciplinary Program (BHIP), Suicide Prevention, CATS, and ... vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Qualifications Basic Requirements: United States… more
- 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 (Frankfort, KY)
- …or provider) and familiarity with key domains like CMS interoperability, Quality management, care & utilization management, and digital health + 3 years' ... support enGen's growing business, we're hiring a Sales Alliance Manager that will be responsible for supporting technology and...from lead to closure) + 3 years' experience in Health Plan Technology + 3 years' experience with solid… more
- Highmark Health (Frankfort, KY)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** Highmark is transforming the financial experience for clients and members - from building cost ... claims experience, to helping members afford and pay for care . This job will provide support for the development...proposition, vision, and execution plans. Working with the Product Manager , this position will analyze customer pain points to… more
- Humana (Frankfort, KY)
- …of need for healthcare benefits, benefits selection, receiving healthcare benefits, getting behavioral health cues and renewing membership and each interaction ... part of our caring community and help us put health first** The Lead Product Manager conceives...millions of people we serve to achieve their best health - delivering the care and service… more
- Molina Healthcare (Lexington, KY)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with high need ... authorizations, inpatient/outpatient medical necessity, etc.), case management, transition of care , health management and/or member assessment. * Typically,… more
- YesCare Corp (Lexington, KY)
- …from institution. + Other services relating to the functioning of the behavioral health department as assigned. **YesCare Benefits** (only applicable for ... the Jail, state statutes concerning the delivery and practice of clinical mental health services, and in accordance with ethics and standards of the staff member's… more
- Molina Healthcare (Lexington, KY)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with high need ... Certified Professional in Healthcare Management Certification (CPHM), Certified Professional in Health Care Quality (CPHQ), or other healthcare or management… more
- Compass Group, North America (Lexington, KY)
- …platform includes the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership for a Healthier ... members. Job Summary We are seeking a Patient Services Manager to lead our Patient Services Team in a...our Patient Services Team in a high volume Acute Care setting in Lexington, KY. Key Responsibilities: + Establishes… more
- Centene Corporation (Frankfort, KY)
- …Work, Counseling or Clinical Psychology preferred. Experience: 3+ years of behavioral health , value-based contracting, or process and performance improvement ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....and support clinical/quality discussion on behalf of the internal Care Management team + Work in accordance with corporate… more
- HCA Healthcare (Frankfort, KY)
- …services 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 ... Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...continue to learn! Job Summary and Qualifications The Progressive Care Nurse Manager ensures high quality, patient-centered… more
- Molina Healthcare (Lexington, KY)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with high need ... be making outbound calls to our members to complete health risk assessments and answer any member questions. We...needs and works under the direction of the Case Manager to implement care plan. + Schedules… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Qualifications Applicants pending the completion of ... care within his/her scope of practice. The Nurse Manager /designee is responsible for the supervision and performance evaluation....the program was completed by the applicant. Exceptions include health care education in the military service… more
- Highmark Health (Frankfort, KY)
- …and testing processes in partnership with the pharmacy benefits manager . The successful candidate will possess excellent communication, analytical, and ... to: prior authorization, dose and duration edits, quantity limits, step- care edits, generic sampling medical policy review and development,...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Frankfort, KY)
- …analyze data from office site visits and reviews to continually improve the care and service to members and provide recommendations to internal customer supporting ... **Preferred** + 3-5 years of experience as Dental Office Manager or Dental Hygienist LICENSES OR CERTIFICATIONS Required +...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more