- Humana (Frankfort, KY)
- …help us put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate ... resources appropriate for the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are varied and frequently… more
- Molina Healthcare (Lexington, KY)
- …for regular outreach and management. * Promotes integration of services for members including behavioral health care and long term services and supports to ... delivery of care across the continuum, including behavioral health and long term care...care settings. * Field-based case management or home health experience. * Certified Case Manager (CCM)… more
- CVS Health (Frankfort, KY)
- …consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions ... a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct...of contracts, with large and complex, national, and market-based, behavioral health groups and facility providers. You… more
- Molina Healthcare (Lexington, KY)
- …DESCRIPTION** **Job Summary** Responsible for internal business projects within Molina Behavioral Health involving department or cross-functional teams of ... combination of education and experience. **PREFERRED EXPERIENCE** : * Behavioral Health background * 5-7 years of...years of Program and/or Project management experience. * Managed Care experience. * Experience working in a cross functional… more
- Highmark Health (Frankfort, KY)
- …implements effective **utilization management** strategies including: review of appropriateness of health care services, application of criteria to ensure ... of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members...established industry and corporate standards and are within the care manager 's professional discipline. + Function in… more
- Molina Healthcare (Lexington, KY)
- …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , for members with high need… more
- CVS Health (Frankfort, KY)
- …centered thinking and systems of care for those experiencing complex behavioral health challenges. + Experience engaging youth and families in developing, ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...Genuine respect for families of children/youth who have complex behavioral health needs and a firm commitment… more
- Highmark Health (Frankfort, KY)
- …, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals ... ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs… more
- Highmark Health (Frankfort, KY)
- …or provider) and familiarity with key domains like CMS interoperability, Quality management, care & utilization management, and digital health + 3 years' ... support enGen's growing business, we're hiring a Sales Alliance Manager that will be responsible for supporting technology and...from lead to closure) + 3 years' experience in Health Plan Technology + 3 years' experience with solid… more
- Highmark Health (Frankfort, KY)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... a number of other activities to help improve the health outcomes of members; care plans include...1 year in advanced training and experience in cognitive behavioral therapy (CBT), motivational interviewing or dialectical behavior therapy… more
- Highmark Health (Frankfort, KY)
- …and existing Risk Adjustment Programs. The incumbent will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs (MA ... Programs. Supports other key objectives designed to build/strengthen patient care delivery and capture of Risk Adjustment documentation/ reporting capabilities,… more
- Highmark Health (Frankfort, KY)
- …as assigned or requested. **EDUCATION** **Required** + Bachelor's Degree in Business, health care administration or related field or relevant experience and/or ... job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- YesCare Corp (Lexington, KY)
- …from institution. + Other services relating to the functioning of the behavioral health department as assigned. **YesCare Benefits** (only applicable for ... the Jail, state statutes concerning the delivery and practice of clinical mental health services, and in accordance with ethics and standards of the staff member's… more
- Compass Group, North America (Lexington, KY)
- …if needed Schedule: Typically Monday - Friday 7am-4:30pm, with an Every 3rd weekend Manager on Duty rotation, 7am - 3pm. Occasional need to be in for opening ... the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership...members. Job Summary We are seeking a Patient Services Manager to lead our Patient Services Team in a… more
- CenterWell (Frankfort, KY)
- …Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health , Specialists, Quality Based Coders, Referral Coordinators and more. ... integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- CenterWell (Lexington, KY)
- …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** Humana's Primary Care Organization is...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… 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...continue to learn! Job Summary and Qualifications The Progressive Care Nurse Manager ensures high quality, patient-centered… more
- Evolent (Frankfort, KY)
- …Working across specialties and primary care , we seek to connect the pieces of fragmented health care system and ensure people get the same level of care ... medical reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs,...either requesting or submitting prior authorization requests and/or relevant health care experience in claims or appeal… more
- Sharecare (Frankfort, KY)
- …coordinates with the Primary Care Provider and all other members of the health care team to support appropriate total healthcare management and ensure cost ... in the appropriate stratification level. + Identifies participant barriers to accessing health care services. Coordinates with Provider Service Managers and/or… more
- CenterWell (Lexington, KY)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... Care has a strong emphasis on senior-focused primary care for members of Medicare Advantage health ...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more