- 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 ... Case Manager will work remotely supporting Medicaid Behavioral health population. Excellent computer skills and...delivery of care across the continuum, including behavioral health and long term care… 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 ... must be licensed for the state of Kentucky Case Manager RN will work with KY Medicaid population providing...delivery of care across the continuum, including behavioral health and long term care… 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
- 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
- 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
- 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
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …and program planning activities daily Works closely with the outpatient Behavioral Health Interdisciplinary Program (BHIP), Suicide Prevention, CATS, and ... vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Qualifications Basic Requirements: United States… 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
- Molina Healthcare (Lexington, KY)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with high need ... authorizations, inpatient/outpatient medical necessity, etc.), case management, transition of care , health management and/or member assessment. * Typically,… 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
- Molina Healthcare (Lexington, KY)
- …but not limited to, Hospitals, Independent Physician Association, and complex Behavioral Health arrangements. **Job Duties** This role negotiates contracts ... EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 5-7 years contract-related experience in the health care field including, but not limited to, provider's office,… more
- Compass Group, North America (Lexington, KY)
- …platform includes the latest in healthful eating and an understanding of behavioral change in food consumption. Morrison's alignment with Partnership for a Healthier ... members. Job Summary We are seeking a Patient Services Manager to lead our Patient Services Team in a...our Patient Services Team in a high volume Acute Care setting in Lexington, KY. Key Responsibilities: + Establishes… more
- WelbeHealth (Frankfort, KY)
- …healthcare organization serving vulnerable seniors through the PACE (Program of All-Inclusive Care for the Elderly) model. We deliver fully integrated medical, ... behavioral , and social services that enable participants to live...enable participants to live independently in their communities. The Manager , Finance & Accounting Internal Audit will lead the… more
- Centene Corporation (Frankfort, KY)
- …Work, Counseling or Clinical Psychology preferred. Experience: 3+ years of behavioral health , value-based contracting, or process and performance improvement ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....and support clinical/quality discussion on behalf of the internal Care Management team + Work in accordance with corporate… more
- CenterWell (Frankfort, KY)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... Qualifications** + Experience working with complex and matrixed value-based health care organizations + Experience at a...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
- CenterWell (Frankfort, KY)
- …impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... time with patients, providing compassionate, personalized care that brings better health outcomes. We...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Molina Healthcare (Lexington, KY)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care , for members with high need ... principal member needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits with team members as needed. +… more
- Catholic Health Initiatives (Lexington, KY)
- …with us! CHI Saint Joseph Health provides you with the same level of care you provide for others. Learn more about CHI Saint Joseph Medical Group and its awards ... provides coverage and support, under the direction of the Practice Manager , coordinates and supervises clerical and clinical employees. Supervises daily practice… more