- Humana (Frankfort, KY)
- … team on cases with support needs. Ensures regulatory compliance by aligning care management policies, procedures, and processes to maintain TRICARE contractual ... and tactical goals to focus on consistent execution of Care Management processes and ensure teams meet...valid and unrestricted Registered Nurse license + Certified Case Manager (CCM) + 5 years of healthcare supervisory/ management… more
- Molina Healthcare (Lexington, KY)
- …May implement specific Molina wellness programs ie asthma and depression disease management . + Facilitates interdisciplinary care team meetings and informal ICT ... active unrestricted license in the state of KY Case Manager will work remotely supporting Medicaid Behavioral health population....work or related **REQUIRED EXPERIENCE:** 1-3 years in case management , disease management , managed care … more
- Sharecare (Frankfort, KY)
- …The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner by providing high-quality ... Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team… more
- Molina Healthcare (Lexington, KY)
- …Nursing. Bachelor's Degree in Nursing preferred. **Required Experience** 1-3 years in case management , disease management , managed care or medical or ... must be licensed for the state of Kentucky Case Manager RN will work with KY Medicaid population providing...Degree in Nursing **Preferred Experience** 3-5 years in case management , disease management , managed care … more
- Highmark Health (Frankfort, KY)
- …inquiries and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with ... established industry and corporate standards and are within the care manager 's professional discipline. + Function in...state, federal laws and regulatory compliance. + Implement all care management reviews according to accepted and… more
- Guardian Life (Frankfort, KY)
- …is a full tme, remote-based position. **Position Summary** Guardian's Annuity New Business CARE team seeks a dynamic and knowledgeable individual to join our team as ... an **Annuity Relationship Manager ** . We are looking for someone with exceptional...internal and external partners. As a member of our CARE Team, you are part of a dynamic group… more
- CommonSpirit Health (Mount Sterling, KY)
- …Transportation, Laundry, Security, etc. + May serves as the Life Safety Officer The Manager , Facility Management carries out his/her duties by adhering to the ... Real Estate properties, and Environmental Safety. Responsibilities include project management / oversight of minor construction / building renovation projects… more
- Intermountain Health (Frankfort, KY)
- **Job Description:** The Manager of Project Management provides leadership to a team of project managers and ensures projects and initiatives are implemented ... role promotes best practices and works to deliver project management value to the organization by providing leadership with...within a reasonable commuting distance to an Intermountain Health care site are preferred. Currently, we are not hiring… more
- CVS Health (Frankfort, KY)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... work anywhere in the US **Position Summary** Medicaid Claim Editing Content Management team. Must oversee ongoing content delivery and maintenance across Medicaid… more
- Lumen (Frankfort, KY)
- …eco-systems to understand and implement sold solutions. + Provide critical date management and escalation support to meet committed delivery objectives. + Validate ... stressful working environment. + Ability to learn and adhere to customer care policies, processes, and principles + Ability to maintain a proficient understanding… more
- CVS Health (Frankfort, KY)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... communication across teams, and supporting the Product Owner in product backlog management and prioritization. + Develops strategy to monitor and measure the team's… more
- CVS Health (Frankfort, KY)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... lower-level managers. Additional responsibilities include: + Collaborate across Quality Management to ensure operational and department performance requirements are… more
- Cardinal Health (Frankfort, KY)
- **What IT Program & Project Management contributes to Cardinal Health** IT Program & Project Management is responsible for playing a key/critical role in ... realizing business value through the application of project management knowledge, skills, tools, and techniques to meet project objectives. Transformation enables… more
- Public Consulting Group (Frankfort, KY)
- …working experience in case management , including as a nurse, medical, mental health care manager or a related job + Excellent knowledge of case management ... a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible...their progress and to ensure satisfaction * Document all care activity via case management software system… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …management and supervision of staff as assigned. Responsibilities The Nurse Manager demonstrates management practices that include effective labor and ... Summary The Nurse Manager has 24 hours, 7 days a week...responsibilities that demonstrate leadership, experience and creative approaches to management of complex client care beyond the… more
- Walgreens (Lexington, KY)
- …of pharmacy technician personnel. Leads training, coaching, and performance management of pharmacy technicians. Makes decisions regarding performance management ... + Responsible for assisting pharmacist in the delivery of patient care including patient registration, prescription data entry, preparation of medications for… more
- Prime Therapeutics (Frankfort, KY)
- …activities including such items as assurance of Service Level Agreement performance in Care Management Centers and Shared Services, assurance of claims accuracy ... fashion. + Demonstrates the value of pharmacy solutions (unit cost, utilization management & patient care enhancement). + Identifies opportunities for additional… more
- CVS Health (Frankfort, KY)
- …and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards ... and Utilization Management . AHH delivers flexible medical management services that support cost-effective quality care ...position consists of working intensely as a telephonic case manager with patients and their care team… more
- CVS Health (Frankfort, KY)
- …and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards ... and Utilization Management . AHH delivers flexible medical management services that support cost-effective quality care ...position consists of working intensely as a telephonic case manager with patients and their care team… more
- Dialysis Clinic, Inc. (Frankfort, KY)
- …QAPI and risk management program implementation with the quality and risk manager + Collaborate on patient care initiatives with medical director, social ... with a lower caregiver-to-patient ratio than other providers. The **Dialysis Nurse Manager ** is responsible for dialysis facility management and nursing… more