- Molina Healthcare (Lexington, KY)
- **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs ... and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides… 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
- 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 , Business Intelligence...course of action. This role is for the PCO Medical Economics team and will work an Eastern Time… more
- Otsuka America Pharmaceutical Inc. (Frankfort, KY)
- …education, and activation, ultimately improving patient access and adherence. The Director will work cross-functionally with medical affairs, market access, ... The Director , Consumer Marketing is responsible for leading the...deep expertise in direct-to-consumer (DTC) marketing, omnichannel engagement, and behavioral insights to create impactful and compliant consumer campaigns.… 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 ... Advanced Analytics, Contracting and Provider Relations, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** +… more
- NASCO (Frankfort, KY)
- …Cross Blue Shield Medical , Dental, and Vision Plans + Telehealthcare - for Medical and Behavioral visits + Generous PTO with buy/sell options + 9 Company ... **Overview** As Executive Director , Compliance you will lead and provide oversight...is designed to support the physical, mental, and financial health of our associates. We offer: **Physical and Mental… more
- CenterWell (Frankfort, KY)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... part of our caring community and help us put health first** The IPA Coding Leader manages a diverse...identify and influence enhancements to technology to improve the medical coder experience. + Oversees coding operations by identifying… 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 ... Specialist, you would be responsible for assisting the HIM Director by routinely performing duties in support of the...not required. Previous experience in the handling of patient health information, medical records document imaging and/or… 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...problem or immediately notify the coordinator, laboratory management or medical director . + You will document all… more
- HCA Healthcare (Lexington, 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 ... 156,000 hours volunteering in our communities. As a Home Health LPN with Frankfort Regional Healthcare at Home you...medical transportation. + Additional options for dental and vision… more
- HCA Healthcare (Lexington, KY)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed ... have the PRN career opportunities as a PRN Home Health LPN you want with your current employer? We...medical transportation. + Additional options for dental and vision… 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 ... your career as a(an) Quality Data Specialist today with Frankfort Regional Medical Center. **Benefits** Frankfort Regional Medical Center, offers a total… more
- Centene Corporation (Frankfort, KY)
- …licensed Psychologist with a Kentucky license with a passion for improving access to behavioral health care? Centene is looking for a Remote Psychologist to ... the Medicaid population.** **Position Purpose:** Authorize, direct and monitor care for behavioral health and substance abuse problems according to clinical… more
- Centene Corporation (Frankfort, KY)
- …BCBA certification to support our growing markets and ensure high-quality, evidence-based behavioral health care.** **Why Join Us?** + **100% remote ... to clinical excellence** **Position Purpose:** Authorize, direct and monitor care for behavioral health and substance abuse problems according to clinical… more
- CenterWell (Frankfort, KY)
- …consists of Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health , Specialists, Quality Based Coders, ... the care team through daily huddles. + Helps Regional Medical Director and Clinic Manager in setting...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- CenterWell (Frankfort, KY)
- …participant and lead with the care team through daily huddles. + Helps Associate Medical Director (AMD), Physician and Center Administrator in setting a tone of ... certification to write prescriptions under the authority of a collaborating physician/ medical director . + Active, unrestricted Nurse Practitioner license in… 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
- 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 ... you as a Certified Surgical Technologist? At Frankfort Regional Medical Center, you come first. HCA Healthcare has committed...Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… 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 ... an exciting opportunity for you to join Frankfort Regional Medical Center which is a part of the nation's...Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… 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** **Introduction** Frankfort Regional Medical Center is committed to investing in the...Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more