- 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 ... delivery of care across the continuum, including behavioral health and long term care...Suite and computer savvy is very helpful. The Case Manager must be able to work in a high-volume… 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 ... **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job...management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers,… 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
- 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)
- …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
- 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
- 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 ... for life - and empowers their passion for patient care . Apply today for our Home Health ...physician's orders and under the supervision of the Clinical Manager . **What you will do in this role:** +… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). Qualifications Applicants pending the completion of ... care within his/her scope of practice. The Nurse Manager /designee is responsible for the supervision and performance evaluation....the program was completed by the applicant. Exceptions include health care education in the military service… 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
- 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 ... also contributing to a larger mission of enhancing patient care and health outcomes. It's not just...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 ... career development and contribute to driving disruption in the health care industry. The PCO provides primary...care , one of the largest providers of home health services, and fourth largest pharmacy benefit manager… 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
- YesCare Corp (Lexington, KY)
- …- Forensic Unit engages in a range of responsibilities related to providing mental health care and support to individuals involved in the criminal justice system ... assisting in the structure and maintenance of a successful behavioral health unit. + Collaborates with the...as any other meetings as assigned by the Program Manager . + Follows standard precautions using personal protective equipment… 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
- 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
- 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 ... 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