- 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
- CVS Health (Frankfort, KY)
- …degree in Behavioral /Mental Health or related field** -Unencumbered Independent Behavioral Health clinical license in the state where they work: ... advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate… more
- Guardian Life (Frankfort, KY)
- …data, to assist the Case Managers in determining claim liability. The Behavioral Health Clinical Consultant collaborates with treating providers to ... The ** Behavioral Health Clinical Consultant** serves as a clinical resource for the investigation and assessment of medical information regarding… more
- CVS Health (Frankfort, KY)
- …the development of clinical practice standards, policies, and procedures * Behavioral health care management performance and coordination with physical ... with heart, each and every day. **Position Summary** The Behavioral Health Medical Director is responsible for...They will have key roles in utilization management and case management programs for mental health and… more
- Molina Healthcare (Lexington, KY)
- …the state of KY Case Manager will work remotely supporting Medicaid Behavioral health population. Excellent computer skills and attention to detail are very ... may qualify for case management based on clinical judgment, changes in member's health or... case managers/supervisors as needed or required + Case managers in Behavioral Health … more
- Highmark Health (Frankfort, KY)
- …primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health ... 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)
- …may impact member outcomes and care planning components with appropriate engagement of clinical case management or crisis intervention as appropriate. - + ... using person centered thinking and systems of care for those experiencing complex behavioral health challenges. + Experience engaging youth and families in… more
- CVS Health (Frankfort, KY)
- …may be provided for the right candidate. **Education** Bachelor's degree is required; Behavioral Health or other clinical licensure preferred. **Pay Range** ... strategic vision and objectives. + Serving as the health plan SME and key clinical lead...activities with key staff for enhanced integration of physical health and behavioral health services… more
- Molina Healthcare (Lexington, KY)
- …population providing telephonic case management support. Pediatric and behavioral health experience strongly preferred. Excellent computer skills and ... an integrated delivery of care across the continuum, including behavioral health and long term care, for...may qualify for case management based on clinical judgment, changes in member's health or… 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
- Humana (Frankfort, KY)
- …to the Director, Case Management and supports the strategic priorities for Clinical Operations, Medical & Behavioral Health and Humana Government ... Leads clinical functions related to as it specifically relates to Case Management programs and support for beneficiaries in the TRICARE East. Coordinates,… more
- Highmark Health (Frankfort, KY)
- …appropriate resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality ... and refer members whose healthcare outcomes might be enhanced by Health Coaching/ case management interventions. + Employ collaborative interventions which… more
- YesCare Corp (Lexington, KY)
- …the BHU/CRP. + Participate in BHU/CRP specific team meetings and Behavioral Health meetings. + Participate in weekly clinical meeting with stakeholders. + ... They will provide diagnostic evaluation and treatment to patients in the Behavioral Health Unit (BHU)/Competency Restoration Program (CRP) and provide… more
- Highmark Health (Frankfort, KY)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs...of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines.… more
- CenterWell (Lexington, KY)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... scope of provider relationships across the following areas: + Quality/ clinical management and population health + HEDIS...years of managed care experience + 3+ years of case management experience + Bilingual; English and Spanish preferred,… more
- Sevita (Stanford, KY)
- …or providing transportation to work or other activities. + Work closely with our clinical staff to support the therapeutic and behavioral plans in place. ... for elders with complex medical or rehabilitative needs, attendant care and case management. This allows seniors to obtain quality healthcare while remaining active… 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 potential. ... transplants; the ideal candidate will have experience either in utilization review or case management for transplants. Preference will be given to those whose UM… 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
- Pearl Interactive Network (Winchester, KY)
- …+ Must be a US Citizen + Experience in counseling, social work, and mental health services. Behavioral health experience preferred + Knowledge of mandated ... can include but are not limited to, non-medical counseling, health and wellness, and other specialty and add-on services....according to contractual service standards. + Act as a clinical Point of Contact (POC) for the supervisors when… more