- Molina Healthcare (Bowling Green, KY)
- …SummaryProvides 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)
- …work of external vendors. Assigns, directs, and monitors system analysis and program staff. These positions' primary focus is project/ program management, rather ... teams in planning and executing business programs. Assigns and monitors work of program management staff providing support and direction. + Serves as the subject… more
- Molina Healthcare (Bowling Green, KY)
- …(No Weekends or Holidays) Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: ... and application of protocols and guidelines. * Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing, resources,… 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
- Molina Healthcare (Bowling Green, KY)
- …and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits and overpayment ... and executing projects and tasks to ensure Centers for Medicare and Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits, post-payment… more
- Molina Healthcare (Bowling Green, KY)
- …governance framework and decision-making processes, as needed. + At the direction of program (CoE, Shared Service or other functional area) leadership, supports ... or a similar field). + Relevant work experience in healthcare compliance program operations and risk management;...experience. + Managed Care experience, preferably in a shared service , CoE or matrixed environment. + Experience with Microsoft… more
- HCA Healthcare (Bowling Green, KY)
- …are dedicated to improving human life. Each year about five percent of all US hospital services happen at an HCA Healthcare facility. Be an impact as a Cardiac ... in a new era as a Cardiac Cath Lab Manager where building a healthier tomorrow is more than...include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay.… more
- HCA Healthcare (Bowling Green, KY)
- …dedicated to improving human life. Each year about five percent of all US hospital services happen at an HCA Healthcare facility. Be an impact as an Orthopedics ... manage in a new era as a Ortho Nurse Manager where building a healthier tomorrow is more than...include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay.… more
- Molina Healthcare (Bowling Green, KY)
- …lives in Kentucky and must be licensed for the state of Kentucky Case Manager RN will work with KY Behavioral Health Medicaid population providing telephonic case ... 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)
- …verbal and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. Preferred Qualifications * Certified Case Manager ... in Kentucky and must be licensed for the state of Kentucky. Case Manager will work with KY Medicaid/Medicare population providing telephonic case management support.… more
- Molina Healthcare (Bowling Green, KY)
- **JOB DESCRIPTION** **Job Summary** Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and ... to the coordination, management, and oversight of the Contractor's Program Integrity unit to reduce Fraud, Waste, and Abuse...unit to reduce Fraud, Waste, and Abuse of Medicaid services within Kentucky and; + Be available and require… 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
- Bridgestone Americas (Bowling Green, KY)
- …equivalent. + 4 years of auto service technical experience. + 1 year of service manager or service writer experience. + Problem solving - customer ... locations across North America and more than $4.5 billion in tire and auto service sales, Bridgestone Retail Operations is the right place to build a career.… 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** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead a small team of investigators and provide ... daily investigative activities as a back-up to the SIU Manager . This position will be accountable for tracking on...policies and be able to apply them in ensuring program compliance via payment integrity programs. The position must… 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
- Molina Healthcare (Bowling Green, KY)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified ... procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. +… 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)
- …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