- Signet Health (Louisville, KY)
- OverviewSignet Health, a national behavioral health management company, is currently recruiting for a full-time seasoned Nurse Program Director to manage the ... BSN (required) Master's in Nursing, or Health/Business Administration (preferred)','directApply':true,'datePosted':'2024-05-07T04:00:00.000Z','title':' Nurse - Program Director, Behavioral Health… more
- Humana (Frankfort, KY)
- …to make an impact** **Required Qualifications** + An active, unrestricted Virginia Registered Nurse ( RN ) or Behavioral Health clinician license such as a ... health first** Humana Healthy Horizons in Virginia is seeking a Manager, Utilization Management ( Behavioral Health) who will utilize their clinical skills to… more
- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work… more
- CVS Health (Frankfort, KY)
- …Health clinician with Kentucky state licensure (LCSW, LPCC, LMFT , LPAT, LP) or a Registered Nurse ( RN ) with active current and unrestricted Kentucky state ... to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking...licensure (LCSW, LPCC, LMFT , LPAT, LP) or a Registered Nurse ( RN ) with unrestricted… more
- Bon Secours Mercy Health (Paducah, KY)
- …, to help our nurses grow, professionally and personally. **Tier 3 - System Flex Team traveler Registered Nurse ( RN )** A Tier 3 - System Flex Team Traveler ... Registered Nurse ( RN ) is expected...and skill based on principles of the biological, physical, behavioral , and social sciences + * Application of the… more
- HCA Healthcare (Lexington, KY)
- …experience preferred** + **Certifications, Licenses, and other Special Requirements** + **Current/Active Registered Nurse ( RN ) License within practice state ... 156,000 hours impacting our communities. As a Home Health RN Clinical Manager with Frankfort Regional Healthcare at Home,...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- Elevance Health (Louisville, KY)
- … with telephonic assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, ... **Managed Care Coordinator Clinician Non RN ** **Location:** Remote, within 50 miles of an...health care team, to ensure cost effective and efficient utilization of health benefits. + Decision making skills will… more
- Sharecare, Inc. (Frankfort, KY)
- …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for ... with the participants and their Primary Care Provider according to the disease management program intervention guidelines. An RN is supervised by an Operations… more
- Bon Secours Mercy Health (Graves County, KY)
- …* Nursing judgment and skill based on principles of the biological, physical, behavioral , and social sciences * Application of the nursing process in patient care ... partnership * Interprofessional collaboration and leadership * Understanding and utilization of office and clinical technologies * Compassionate, relationship-based… more
- BrightSpring Health Services (Louisville, KY)
- …in a Medicare certified home health agency generally required + Currently licensed as a Registered Nurse ( RN ), in good standing in state of residence ... utilization and hospital admission reduction. + Provides survey management support/ follow-up/and coordination of corrective actions plans relatied to care… more
- CVS Health (Frankfort, KY)
- …+ Master's degree in behavioral health field or Associates in Nursing if Registered Nurse required. Pay Range The typical pay range for this role is: ... Health Services strategies, policies, and programs are comprised of utilization management , quality management , network...Active unrestricted State Licensure in applicable functional area. (eg RN , LPC, LCSW). + 5+ years in clinical area… more
- Universal Health Services (Radcliff, KY)
- …or LPN) OR + Bachelor's Degree in Social Work or Psychology + Experience in Utilization Management preferred + Current CPR or BLS certification (or obtain within ... Responsibilities Utilization Review Coordinator Opportunity Lincoln Trail Behavioral...activity therapists and teachers. Also, care is given by registered nurses 24 hours a day. Since 1986, Lincoln… more
- Addiction Recovery Care (Ashland, KY)
- …list. Key Experience and Education Needed: + Master's level or bachelor's level Registered Nurse with working knowledge and experience in nursing principles and ... is responsible for promoting and maintaining quality patient care through effective management of the activities of the total patient care services during his/her… more
- BrightSpring Health Services (Louisville, KY)
- …current industry clinical guidelines, evidence-based medicine, local and national medical management standards, and protocols + Performs ad hoc audits and reporting ... billing Qualifications + Clinical review positions will require a RN degree in nursing from an accredited or approved...school + Two years of experience in health care utilization review or home health care + Clinical review… more
