- National Youth Advocate Program (Louisville, KY)
- …the Office of Refugee Resettlement (ORR), NYAP's **Post Release Services (PRS) Intensive Case Manager Level 3** provides post release services focused on ... and intensive case management. The PRS Intensive Case Manager Level 3 will additionally connect...degree in social work, psychology, sociology, or other relevant behavioral science in which direct clinical experience… more
- CVS Health (Frankfort, KY)
- …all with heart, each and every day. **Position Summary** Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical ... health and behavioral healthcare through assessment and care planning, direct provider...or Company. **Required qualifications:** + 3 years of direct clinical practice experience post master's degree + Requires knowledge… more
- Molina Healthcare (Louisville, KY)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education… more
- Molina Healthcare (Louisville, KY)
- …Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of ... to provide quality and cost-effective member care. Essential Job Duties * Provides behavioral health oversight and clinical leadership for health plan and/or… more
- Molina Healthcare (Louisville, KY)
- …and ability to navigate online portals and databases. **Preferred Qualifications** * Certified Case Manager (CCM). To all current Molina employees: If you are ... a candidate with a MA RN licensure. Candidates with case management and home health are highly preferred. Bilingual...determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness… more
- Elevance Health (Louisville, KY)
- …for clinical operational aspects of a program. + Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers ... ** Behavioral Health Medical** **Director-Psychiatrist** **Appeals** **Location:** This role...manager . + May be responsible for an entire clinical program and/or independently performs clinical reviews.… more
- Maxim Healthcare (Elizabethtown, KY)
- Maxim Healthcare is hiring for a RN Case Manager in the Elizabethtown area. The position will become a HYBRID position after the first 30 days with a 2 day per ... + Recognition Programs + Expense Reimbursement Key Responsibilities: + Oversee the clinical care of homecare clients from admission through discharge + Manage care… more
- Molina Healthcare (Louisville, KY)
- …to navigate online portals and databases. **Preferred Qualifications** * Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), ... **JOB DESCRIPTION** **Job Summary** This position will be focused on Clinical Program Design. Provides subject matter expertise and leadership to healthcare services… more
- Molina Healthcare (Louisville, KY)
- …a current active unrestricted license in the state of KY Case Manager will work remotely supporting Medicaid Behavioral health population. Excellent computer ... software program(s) proficiency. **PREFERRED QUALIFICATIONS:** * Certified Case Manager (CCM). * Experience in behavioral health care management.… more
- Molina Healthcare (Louisville, KY)
- …Nurse who lives in Kentucky and must be licensed for the state of Kentucky Case Manager RN will work with KY Medicaid population providing telephonic case ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Molina Healthcare (Louisville, KY)
- …be required (dependent upon state/contractual requirements). Preferred Qualifications * Certified Case Manager (CCM), Licensed Vocational Nurse (LVN) or Licensed ... suggest changes accordingly. * Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and… more
- Molina Healthcare (Louisville, KY)
- …Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) Work schedule :M - F Pacific ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS… more
