- Molina Healthcare (Bowling Green, KY)
- …Design. Provides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. + Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Bowling Green, KY)
- **Job Description** **Job Summary** The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of ... medical loss ratio (MLR) targets. In conjunction with the Manager of the In-Home Assessment Program , this...Programs, Market & Segment Leaders, health plan teams, member services , provider services , external vendors, actuary, and… more
- Molina Healthcare (Bowling Green, KY)
- **JOB DESCRIPTION** Job Summary: The AI Program Manager serves as a strategic leader driving the execution of AI initiatives to deliver meaningful business ... process improvement and organizational change management to operationalize the AI program vision. This includes end-to-end program planning (estimating,… more
- HCA Healthcare (Bowling Green, KY)
- …charitable organizations. Apply today! **Job Summary and Qualifications** The Emergency Services Manager ensures high quality, patient-centered care through ... include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay....dignity for the individual."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Become a manager with an… more
- HCA Healthcare (Bowling Green, KY)
- …charitable organizations. Apply today! **Job Summary and Qualifications** The Operating Room Manager assists the Director of Surgical Services with department ... include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay....dignity for the individual."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Become a manager with an… more
- Healthcare Services Group, Inc. (Westmoreland, TN)
- … Manager / Dining Services Department Manager Join Healthcare Services Group (HCSG) as a Food Service Director, leading the dining department at a ... Overview Role: Food Service Director / Dining Services Director / Dining Services Manager...Transfer Opportunities *Not available in AR. Responsibilities The Department Manager oversees the food service program… more
- Maxim Healthcare (Bowling Green, KY)
- Maxim Healthcare is hiring for a REMOTE RN Case Manager in or close to the Bowling Green, KY area to oversee the clinical care of homecare clients around Bowling ... chronic and acute illnesses and disabilities. Our commitment to quality customer service , compassionate patient care, and filling critical healthcare needs makes… more
- Signature Healthcare (Morgantown, KY)
- …and the community we serve. Signature HealthCARE is a family-based healthcare company offering integrated services across multiple states. Our continuum of ... nursing that offers a variety of comprehensive programs and services such as in-patient therapy and out-patient therapy, Rehab...+ Paid Time Off (PTO) + Reward & Recognition Program (HEART) + VitalLinks Signature HealthCARE is… more
- Molina Healthcare (Bowling Green, KY)
- …Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team ... processes. * Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate… more
- Molina Healthcare (Bowling Green, KY)
- …quality and cost-effective member care. This position will support our Molina One Care Services business in Massachusetts. We are looking for a candidate with a MA ... for regular outreach and management. * Promotes integration of services for members including behavioral health, long-term services...resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and… more
- Molina Healthcare (Bowling Green, KY)
- …Responsible for creating, operating, and monitoring Molina Health Plan's pharmacy services programs in accordance with all federal and state laws. ... **Knowledge/Skills/Abilities** + Monitor the operational aspects of the Pharmacy Benefits Manager and other delegates to assure compliance with contractual and… more
- Compass Group, North America (Bowling Green, KY)
- …service team members. **Ready to lead with purpose? Discover how our Patient Services Manager makes a difference every day-watch now!** **Job Summary** We are ... Healthcare ** is a leading national food and nutrition services company exclusively dedicated to serving more than 600...seeking a **Patient Services Manager ** to lead our Patient … more
- HCA Healthcare (Bowling Green, KY)
- …Greenview Regional Hospital which is part of the nation's leading provider of healthcare services , HCA Healthcare . **Benefits** TriStar Greenview Regional ... include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay....3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
- HCA Healthcare (Bowling Green, KY)
- …plans and programs include: + Comprehensive medical coverage that covers many common 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 medical transportation. + Additional options...3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
- CVS Health (Bowling Green, KY)
- …Supervisor or Manager **Preferred Qualifications:** + Completion of the CVS Pharmacy Manager Emerging Leader (PM-EL) program + 3-5 years of related work ... genuine care, and setting the bar for their pharmacy team. As a Pharmacy Manager , you will lead and develop a pharmacy team that provides exceptional patient care… more
- Molina Healthcare (Bowling Green, KY)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... of service . **KNOWLEDGE/SKILLS/ABILITIES** + Follows member throughout a 30-day program that starts at hospital admission and continues through transitions from… more
- Molina Healthcare (Bowling Green, KY)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ... National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other standards and… more
- Molina Healthcare (Bowling Green, KY)
- …oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs ... management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize… more
- Molina Healthcare (Bowling Green, KY)
- …Identifies and refers members with special needs to the appropriate Molina Healthcare program per policy/protocol. **JOB QUALIFICATIONS** Graduate from an ... Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified Professional… more
- Molina Healthcare (Bowling Green, KY)
- …medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for ... Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization management program… more