- Elevance Health (Louisville, KY)
- ** Behavioral Health Case Manager II** This role enables associates to work virtually full-time, with the exception of required in-person training ... shift will be required; preferred flexible schedule for coverage purposes The ** Behavioral Health Case Manager II** is responsible for performing… more
- Cumberland River Behavioral Health, Inc. (Mount Vernon, KY)
- …Manager may only provide interventions to consumers with the Cumberland River Behavioral Health , Inc. The iHOPE Case Manager is a member of a ... Job Title: iHOPE Case Manager : This position requires a...of all races, backgrounds and needs + Knowledgeable of Behavioral Health Concepts and how to incorporate… more
- Cumberland River Behavioral Health, Inc. (Harlan, KY)
- …Manager may only provide interventions to consumers with the Cumberland River Behavioral Health , Inc. The Adult Case Manager is a member of a ... Job Title: Adult Case Manager : This position requires a...of all races, backgrounds and needs + Knowledgeable of Behavioral Health Concepts and how to incorporate… more
- Cumberland River Behavioral Health, Inc. (Harlan, KY)
- …consumers with Cumberland River Behavioral Health , Inc. The Children's Targeted Case Manager is to assist helping the child and their families gain ... Job Title: Children's Targeted Case Manager Qualifications: Requires a minimum...of all races, backgrounds and needs + Knowledge of Behavioral Health Concepts and how to incorporate… more
- Molina Healthcare (Lexington, KY)
- …Promotion (CHEP), Licensed Professional Counselor (LPC/LPCC), or LMFT * 3+ years in behavioral health case management, disease management, managed care ... case managers/supervisors as needed or required * Case managers in Behavioral Health ...settings. * Field-based case management or home health experience. * Certified Case Manager… more
- Humana (Frankfort, KY)
- …put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate member's needs ... the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work...the KY Medicaid Population. + Managed Care Experience. + Case Management Certification (CCM). + Bilingual (English/Spanish); speaking, reading,… more
- CVS Health (Henderson, KY)
- …medical and psychosocial needs of the member to facilitate and support the member's improved health . The Case Manager develops a proactive course of action ... each and every day. **Position Summary** The Complex Nurse Case Manager is responsible for assessing members...all care partners to holistically address all physical and behavioral health conditions including co-morbid and multiple… more
- CVS Health (Jeffersontown, KY)
- …medical and psychosocial needs of the member to facilitate and support the member's improved health . The Case Manager develops a proactive course of action ... each and every day. **Position Summary:** The Complex Nurse Case Manager is responsible for assessing members...all care partners to holistically address all physical and behavioral health conditions including co-morbid and multiple… more
- CVS Health (Florence, KY)
- …all with heart, each and every day. **Position Summary** The High-Fidelity Wraparound (HFW) Case Manager (CM) is a person who safeguards that the principles of ... using person centered thinking and systems of care for those experiencing complex behavioral health challenges. + Experience engaging youth and families in… more
- Highmark Health (Frankfort, KY)
- …ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality… more
- Molina Healthcare (KY)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long term services and supports, home and… more
- Cumberland River Behavioral Health, Inc. (Corbin, KY)
- …emergency back-up plan, support spending plan and budget. The PDS Case Manager will ensure the participant's health , safety and welfare by making ... Job Title: Participant Directed Services (PDS) Case Manager Qualifications: Requires Minimum of...forms.) + Coordinate all services. + Monitor a participant's health , safety and welfare. + Provide a monthly face-to… more
- Molina Healthcare (KY)
- …concerns. + Collaborates with RN case managers/supervisors as needed or required + Case managers in Behavioral Health and Social Science fields may ... an integrated delivery of care across the continuum, including behavioral health and long term care, for...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health… 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 ... an integrated delivery of care across the continuum, including behavioral health and long term care, for... settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina… more
- Molina Healthcare (KY)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... and suggest changes accordingly. + Promotes integration of services for members including behavioral health care and long-term services and supports, home and… more
- Highmark Health (Frankfort, KY)
- …appropriate resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality ... and refer members whose healthcare outcomes might be enhanced by Health Coaching/ case management interventions. + Employ collaborative interventions which… more
- Highmark Health (Frankfort, KY)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** HNAS ( Health Now Administrative Services) offers flexible, cost-effective solutions for employee ... health benefits. HNAS is part of Highmark Health...or its strategic business partners. When this is the case , there may be less direct reporting relationships and… more
- Highmark Health (Frankfort, KY)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The Billing Product Manager defines and executes the strategy and roadmap for a best-in-class ... define the product's value proposition to develop a compelling business case focused on revenue generation and operational efficiency. Responsibilities include… 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 ... the engagement deliverables, resources, and outcomes. + Develop the engagement business case , scope, staffing and incentive model for RPM engagement with Providers… more
- Highmark Health (Frankfort, KY)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more