- 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
- CVS Health (Frankfort, KY)
- …established channels -Ability to speak to medical and behavioral health professionals to influence appropriate member care . Utilizes influencing/motivational ... care or outpatient clinic/facility -3+ years minimum of Behavioral Health experience **Preferred Qualifications** -Crisis intervention skills preferred… more
- CVS Health (Frankfort, KY)
- …channels. + Ability to speak to medical and behavioral health professionals to influence appropriate member care . + Utilizes influencing/motivational ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning,… 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
- 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
- Humana (Frankfort, KY)
- …Management and supports the strategic priorities for Clinical Operations, Medical & Behavioral Health and Humana Government Business (HGB). Leads clinical ... valid and unrestricted Registered Nurse license + Certified Case Manager (CCM) + 5 years of healthcare supervisory/management experience,...millions of people we serve to achieve their best health - delivering the care and service… 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
- CVS Health (Frankfort, KY)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... Summary We are seeking a strategic and user-focused **Senior Manager of Digital Member Experience** to lead the evolution...bachelor's degree in a relevant field-such as business, public health , behavioral sciences, health promotion,… 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 ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers,… more
- Highmark Health (Frankfort, KY)
- …**Required** + * Must be a US Citizen + 5 years of experience in Health Care Field + 3 years of experience in applicable government business compliance ... the growing number of laws and regulations governing managed care organizations. The Manager , Medicaid Compliance &...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… 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)
- …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... Programs. Supports other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities,… 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
- 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
- Prime Therapeutics (Frankfort, KY)
- …analysis tasks, activities, techniques, and requirements process **Preferred Qualifications** + PBM/ health care experience + Business unit/domain knowledge of ... drives every decision we make. **Job Posting Title** Issue Manager **Job Description** The Issue Management Analyst works as...ideal for proactively addressing the constant changes in today's health care industry. Our employees are involved,… 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
- 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
- CenterWell (Lexington, KY)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... Care has a strong emphasis on senior-focused primary care for members of Medicare Advantage health ...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- CenterWell (Frankfort, KY)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... career development and contribute to driving disruption in the health care industry. The PCO provides primary...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more