- Molina Healthcare (Louisville, KY)
- …sections and reviews behavioral health portions of state contracts. * Assists behavioral health medical director lead trainers in the development ... SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and...and chemical dependency services - working closely with regional medical directors to standardize behavioral health… more
- Molina Healthcare (Louisville, KY)
- …requests for proposals (RFPs). + Contributes to the development and implementation of behavioral health medical policies, peer review processes, provider ... the medical necessity, appropriateness, and quality of behavioral health services (mental health ...health and at least 3 years as a medical director in a managed care setting… 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 ... Monday - Friday. Half day Saturday rotation, once a month.** The ** Behavioral Health Medical Director -Psychiatrist Appeals** is responsible for the… more
- BrightSpring Health Services (Louisville, KY)
- …Developmental Disabilities (IDD) Division. Theideal candidatewill have B2B sales and Behavioral Health and Individuals with Developmental Disabilities (IDD) Care ... for you to join our team as aBusiness Development Director with PharMerica's Behavorial Health and Individuals...communicating (verbally and in writing) with IDD agencies and behavioral health organizations to assess market needs… more
- Compass Group, North America (Louisville, KY)
- …in the national market. This position is supporting the sales team for Behavioral Health prospects nationally. While this position is a remote position, ... impressions. **Job Summary** CCL Hospitality is seeking an Associate Director of Business Development, who shares our values, wants...**Associates at CCL are offered many fantastic benefits.** + Medical + Dental + Vision + Life Insurance/ AD… more
- Highmark Health (Frankfort, KY)
- …**JOB SUMMARY** This role supports the Medical Policy team by bringing medical director level expertise, experience and knowledge to the team. They support ... the full-cycle ownership of commercial and Medicare Advantage medical policies, both developed internally and by vendors. This...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- BrightSpring Health Services (Louisville, KY)
- …overall revenue plan. This position will focus on business that supports Behavioral Health and Individuals with Development Disabilities (IDD). The ideal ... and services/solutions sales. Experience selling healthcare services to IDD agencies and behavioral health facilities is preferred This is a remote… more
- Highmark Health (Frankfort, KY)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- Elevance Health (Louisville, KY)
- …than one member population type of Physical Health and/or Behavioral Health with varying degrees of medical complexity. **How you will make an impact:** ... **Healthcare Management Services (HCMS) Director Senior** Location: This role requires associates to...development of the strategic vision, goals, and objectives for medical management. + Serves as liaison to state regulatory… 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 ... and the United Kingdom. We are looking for a Director Emergency Services for our Frankfort Regional Medical...Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- ChenMed (Louisville, KY)
- …5 years preferred. + Strongly prefer two (2) years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population ... activities preferred. + Preferred to be an existing high performing PCP partner and/or Medical Director within the ChenMed core model, with a proven ability to… more
- CenterWell (Frankfort, KY)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The Associate Director , Product Management...or in-practice role (eg, Center Administrator, Front Office, Scheduling, Medical Assistant, Physician, or Physician Extender). + Two or… more
- Highmark Health (Frankfort, KY)
- …and lines of business. This will require aligning new models to the health plan's strategic objectives based on a deep understanding of innovation and industry ... Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** +… more
- ChenMed (Louisville, KY)
- …providing direct patient care and providing assessments primarily in the ambulatory health care center setting, or occasionally in acute care, nursing homes, skilled ... The responsibilities include but are not limited to: geriatric assessment, medical history, physical exam, diagnosis and treatment, development of the plan… more
- BrightSpring Health Services (Louisville, KY)
- …pharmacy, home health care and primary care, and rehabilitation and behavioral health , we provide comprehensive and more integrated care and clinical ... and health management across the continuum of care. + Collaborates with medical providers, patient care staff, and Home health management in the planning,… more
- Evolent (Frankfort, KY)
- …as required. + Entering data into a proprietary system generating cases for both the medical and behavioral health reviewers. These requests may be submitted ... also works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our... reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs,… more
- Sevita (Louisville, KY)
- …care services through timely completion of required documentation and transfer of pertinent medical data to the client's physician, Director of Clinical Services ... with functional disabilities of speech, language, voice and swallowing. Reviews medical records, tests and evaluates clients/consumers, develops treatment plans and… 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 ... **Description** Frankfort Regional Medical Center is committed to investing in the...direction of the Charge RN, Clinical Coordinator/Supervisor, and/or the Director of the Center for Women's Health /NICU.… more
- Compass Group, North America (Louisville, KY)
- …KY.** **Essential Duties and Responsibilities:** + Oversees kitchen operations of a 110-bed behavioral health center (with an average census of around 60 ... the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership...as it pertains to this account. + Assists the Director and Assistant Directors of Dining in creating menus… 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 ... million patient interactions every year, nurses at Frankfort Regional Medical Center have the opportunity to make a real...direction of the Charge RN, Clinical Coordinator/Supervisor, and/or the Director of the Center for Women's Health /NICU.… more