- CVS Health (Frankfort, KY)
- …degree in Behavioral /Mental Health or related field. + Unencumbered Behavioral Health clinical license in Kentucky (LCSW, LPCC, LMFT) **Anticipated ... advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate… more
- Humana (Frankfort, KY)
- … Health Medical Director will develop and present educational seminars on various behavioral health topics to the clinical operations team and healthcare ... part of our caring community and help us put health first** The Behavioral Health ...participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health … more
- Molina Healthcare (Lexington, KY)
- …of enterprise-wide education on psychiatric diagnoses and treatment. * Provides second level behavioral health clinical reviews, peer reviews and appeals. * ... strategy to provide quality and cost-effective member care. Essential Job Duties * Provides behavioral health oversight and clinical leadership for health… more
- Centene Corporation (Frankfort, KY)
- …state of Kentucky to correctional facilities. (about 75%)** ** Behavioral Health and Physical Health Experience** ** Case management experience** ... state of Kentucky to correctional facilities. (about 75%)** ** Behavioral Health and Physical Health Experience** ** Case management experience**… more
- Molina Healthcare (Lexington, KY)
- **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management ... and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …interdisciplinary practice setting which will then enable effective implementation of health promotion and prevention practices, management of acute and chronic ... population. Communicates with CHS and NM regarding performance of nursing staff and clinical issues as they arise. The selected applicant may be required to work… more
- CVS Health (Frankfort, KY)
- …experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health /Substance Abuse or Maternity/ Obstetrics experience. ... At CVS Health , we're building a world of health.... Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers… more
- Catholic Health Initiatives (Lexington, KY)
- …and Responsibilities** **Job Summary / Purpose** Coordinates a system of direct case management to effectively follow patients throughout the continuum of care in ... a multiple health care delivery system. Role includes assessment of patient's...functions, and monitoring of quality of service throughout the case management process. Performs direct Interqual/M&R utilization review on… more
- Highmark Health (Frankfort, KY)
- …member panel. Provides oversight over a specified panel of members that range in health status/severity and clinical needs; and assesses health management ... over specified panel of members by performing ongoing assessment of members' health management needs, identifying the right clinical interventions to address… more
- CVS Health (Frankfort, KY)
- …services programs. **Required Qualifications** + Unrestricted independent state licensure in a behavioral health field (LMHC, LMFT, LCSW, LICSW, LPC, PhD). + ... Coordinates critical incident and disruptive event response. Provides member clinical assessments and triage into care. Performs case...3+ years of experience in behavioral health services. + 2+ Substance abuse… more
- Highmark Health (Frankfort, KY)
- …+ None **Preferred** + Master's Degree in Business Administration/Management or Public Health **EXPERIENCE** **Required** + 5 years in Clinical , Direct Patient ... are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical… more
- CenterWell (Frankfort, KY)
- …experienceparticipatingin teams focusing on transitions of care, quality management,utilizationmanagement, case management, discharge planning and/or home health ... or other medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice… more
- Molina Healthcare (Lexington, KY)
- …more of the following areas: utilization management, care management, care transitions, behavioral health , or equivalent combination of relevant education and ... other related business documents. Required Qualifications * At least 5 years of health care experience, including experience in clinical operations, and at least… 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...clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at… 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...clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at… 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...clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at… more