- 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
- Humana (Frankfort, KY)
- … Health Medical Director will develop and present educational seminars on various behavioral health topics to the clinical operations team and healthcare ... part of our caring community and help us put health first** The Behavioral Health ...participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health … more
- Molina Healthcare (Louisville, KY)
- …concerns. + Collaborates with RN case managers/supervisors as needed or required + Case managers in Behavioral Health and Social Science fields may ... Summary** For this position we are seeking a Licensed Behavioral Health Professional (LMSW, LCSW, LPC, LMFT)...may qualify for case management based on clinical judgment, changes in member's health or… more
- Elevance Health (Louisville, KY)
- ** Behavioral Health Medical** **Director-Psychiatrist** **Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... The **Medical Director** is responsible for the administration of behavioral health medical services, to ensure the... operational aspects of a program. + Conduct peer-to-peer clinical appeal case reviews with attending physicians… more
- Molina Healthcare (Louisville, KY)
- …of enterprise-wide education on psychiatric diagnoses and treatment. * Provides second level behavioral health clinical reviews, peer reviews and appeals. * ... strategy to provide quality and cost-effective member care. Essential Job Duties * Provides behavioral health oversight and clinical leadership for health… more
- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management ... and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides… more
- CVS Health (Frankfort, KY)
- …experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health /Substance Abuse or Maternity/ Obstetrics experience. ... At CVS Health , we're building a world of health.... Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers… more
- ChenMed (Louisville, KY)
- …physical exam, diagnosis and treatment, development of the plan of care, health education, specialty referrals, case management referrals, follow-up and clear ... clinical practice to improve practice and patient outcomes. + Applies clinical investigative skills to improve health outcomes. + Leads practice inquiry,… more
- Highmark Health (Frankfort, KY)
- …member panel. Provides oversight over a specified panel of members that range in health status/severity and clinical needs; and assesses health management ... over specified panel of members by performing ongoing assessment of members' health management needs, identifying the right clinical interventions to address… more
- Molina Healthcare (Louisville, KY)
- …timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers ... and must be licensed for the state of Kentucky Case Manager RN will work with KY Medicaid population...an integrated delivery of care across the continuum, including behavioral health and long term care, for… more
- Veterans Affairs, Veterans Health Administration (Carrollton, KY)
- …information in collaboration with licensed personnel, this may involve completing clinical reminders, obtaining patient health history, chief complaints, ... incumbent performs ongoing patient care duties in an outpatient clinical setting. ICTs may perform tasks as outlined in...may assist with or perform other related approved technical health care procedures under the direction and supervision of… more
- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- …provide professional advice and consultation in areas related to professional psychology and behavioral health . 3. Knowledge of clinical research literature. ... Mental Health Programs, (ie, Addictions, Post traumatic stress, Mental Health Intensive Case Management, Compensated Work Therapy, Homeless, Day Treatment)… 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
- Centene Corporation (Frankfort, KY)
- …facilities. (about 75%)** **Willingness to work in secure settings.** ** Behavioral Health and Physical Health Experience** ** Case management experience** ... facilities. (about 75%)** **Willingness to work in secure settings.** ** Behavioral Health and Physical Health Experience** ** Case management experience**… more
- CenterWell (Frankfort, KY)
- …experienceparticipatingin teams focusing on transitions of care, quality management,utilizationmanagement, case management, discharge planning and/or home health ... or other medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice… more
- Molina Healthcare (Louisville, KY)
- …more of the following areas: utilization management, care management, care transitions, behavioral health , or equivalent combination of relevant education and ... other related business documents. Required Qualifications * At least 5 years of health care experience, including experience in clinical operations, and at least… 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
- 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