- Centene Corporation (Frankfort, KY)
- …facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare ... throughout state of Kentucky to correctional facilities. (about 75%)** ** Behavioral Health and Physical Health ...to identify providers, specialists, and community resources needed for care including mental health and substance use… more
- Molina Healthcare (Lexington, KY)
- …state of Kentucky Case Manager RN will work with KY Behavioral Health Medicaid population providing telephonic case management support. Excellent computer ... consultation, resources and recommendations to peers as needed. * Care manager RNs may be assigned complex...care management, or experience in a medical and/or behavioral health setting, or equivalent combination of… more
- Humana (Frankfort, KY)
- … planning for beneficiaries receiving services under the TRICARE program. The Care Manager , Telephonic Behavioral Health 2 (Focus on Retirees) serves as ... your skills to make an impact** **Required Qualifications** The Care Manager , Telephonic Behavioral Health 2 (Autism Care Navigator) must meet… more
- Molina Healthcare (Lexington, KY)
- … and chemical dependency services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes ... member care . Essential Job Duties * Provides behavioral health oversight and clinical leadership for...Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager … more
- Molina Healthcare (Lexington, KY)
- …proficiency. Preferred Qualifications * Certified Case Manager (CCM). * Experience in behavioral health care management. * Field-based care ... must be licensed for the state of Kentucky. Case Manager will work with KY Medicaid/Medicare population providing telephonic... care . Essential Job Duties * Completes comprehensive behavioral health assessments of members per regulated… more
- CVS Health (Frankfort, KY)
- …medical conditions, and/or behavioral health + Experience conducting health -related assessments and facilitating the care planning process + Bilingual ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member… more
- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Behavioral Health 2 , in a telephonic ... the care and wellbeing of members. The Care Manager , Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation… 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 ... previous experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health /Substance Abuse or Maternity/ Obstetrics experience.… 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
- 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 ... executes complex Medicaid contracts with health systems, physician groups, and behavioral health providers in accordance with company standards to maintain… more
- Highmark Health (Frankfort, KY)
- …project manager role and/or in a project leadership role **Preferred** + Health Care Insurance industry business and operational knowledge + Experience with ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee … 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 ... part of our caring community and help us put health first** The Principal Product Manager Conceives...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… more
- Highmark Health (Frankfort, KY)
- …etc. Preferred + Bachelor's degree + PMP certification or equivalent training + Health Care Insurance industry business and operational knowledge + Leadership ... :** Highmark Inc. **Job Description :** **GENERAL OVERVIEW:** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee… 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
- Molina Healthcare (Lexington, KY)
- …one or more of the following areas: utilization management, care management, care transitions, behavioral health , or equivalent combination of relevant ... other related business documents. Required Qualifications * At least 5 years of health care experience, including experience in clinical operations, and at least… more
- Oracle (Frankfort, KY)
- …disability 3. Life insurance and AD&D 4. Supplemental life insurance (Employee/Spouse/Child) 5. Health care and dependent care Flexible Spending Accounts 6. ... **Job Description** As a Product Marketing Manager on the Market Engineering team covering the...and maintain buyer and influencer personas based on research, behavioral data, market trends, and sales insights. + Ensure… more
- CenterWell (Lexington, KY)
- …part of a collaborative, multidisciplinary team that includes nurse practitioners, pharmacists, care coaches, behavioral health specialists, and more-all ... 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
- Highmark Health (Frankfort, KY)
- …life' issues that keep them from staying healthy, help with tasks of getting medical care , and work on health goals by doing things like planning healthy meals ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This...responsible for helping patients to navigate and access medical care , community services/resources and develop healthy behaviors. The incumbent… 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 ... and identify areas for improvement + Experience in the health care industry + Bachelor's Degree **Use...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… 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