- Molina Healthcare (Bowling Green, KY)
- …combination of education and experience. **PREFERRED EXPERIENCE** : * Behavioral Health background * 5-7 years of Program and/or Project management ... DESCRIPTION** **Job Summary** Responsible for internal business projects within Molina Behavioral Health involving department or cross-functional teams of… more
- CVS Health (Frankfort, KY)
- …settlement negotiations of contracts, with large and complex, national, and market-based, behavioral health groups and facility providers. You will manage ... strategic, traditional contracts and value-based relationships. Role is for national behavioral health contracting and strategic partnerships** Key deliverables… more
- Molina Healthcare (Lexington, KY)
- …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... management. * Promotes integration of services for members including behavioral health care and long term services...managed care settings. * Field-based case management or home health experience. * Certified Case Manager (CCM)… 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...Insurance** This role is part of Humana's Driver safety program and therefore requires an individual to have: +… more
- Cumberland River Behavioral Health, Inc. (Harlan, KY)
- … may only provide interventions to consumers with Cumberland River Behavioral Health , Inc. The Children's Targeted Case Manager is to assist helping the ... Job Title: Children's Targeted Case Manager Qualifications: Requires a minimum of Bachelor in...of all races, backgrounds and needs + Knowledge of Behavioral Health Concepts and how to incorporate… more
- Cumberland River Behavioral Health, Inc. (Harlan, KY)
- … may only provide interventions to consumers with the Cumberland River Behavioral Health , Inc. The Adult Case Manager is a member of a multi-disciplinary ... Job Title: Adult Case Manager : This position requires a minimum of a...of all races, backgrounds and needs + Knowledgeable of Behavioral Health Concepts and how to incorporate… more
- CVS Health (Henderson, KY)
- …data from all care partners to holistically address all physical and behavioral health conditions including co-morbid and multiple diagnoses that impact ... the member to facilitate and support the member's improved health . The Case Manager develops a proactive...and juvenile justice systems, Adoption Assistance, the delivery of Behavioral Health Services, Trauma-informed Care, ACEs, Crisis… more
- CVS Health (Jeffersontown, KY)
- …data from all care partners to holistically address all physical and behavioral health conditions including co-morbid and multiple diagnoses that impact ... the member to facilitate and support the member's improved health . The Case Manager develops a proactive...and juvenile justice systems, Adoption Assistance, the delivery of Behavioral Health Services, Trauma-informed Care, ACEs, Crisis… 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 ... list of your responsibilities as a **Forensic Psychologist -** Competency Restoration Program Managerwith YesCare at Fayette Co Detention Center in Lexington KY. The… more
- Cumberland River Behavioral Health, Inc. (Mount Vernon, KY)
- … may only provide interventions to consumers with the Cumberland River Behavioral Health , Inc. The iHOPE Case Manager is a member of a multi-disciplinary ... Job Title: iHOPE Case Manager : This position requires a minimum of a...of all races, backgrounds and needs + Knowledgeable of Behavioral Health Concepts and how to incorporate… more
- Elevance Health (Louisville, KY)
- **Payment Innovation Operations Manager - Behavioral Health ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering ... Requires BA/BS in business or related field and a minimum of 2 years health insurance industry experience; and 3 years program /project management experience; or… more
- CVS Health (Florence, KY)
- …using person centered thinking and systems of care for those experiencing complex behavioral health challenges. + Experience engaging youth and families in ... Genuine respect for families of children/youth who have complex behavioral health needs and a firm commitment...relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program … more
- Molina Healthcare (KY)
- …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... management. + Promotes integration of services for members including behavioral health care and long term services...Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and… 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...**Preferred** + Bachelor's Degree **EXPERIENCE** **Required** + 5 years program management (to include managing programs and leading the… more
- Highmark Health (Frankfort, KY)
- …+ None **Preferred** + None **LICENSES or CERTIFICATIONS** **Required** + 5 years in a Health Plan or Pharmacy Benefit Manager (PBM) + 3 years of leading ... MA pharmacy strategy, including formulary management, benefit design, and program development. This requires a deep understanding of the...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Frankfort, KY)
- … Health **Job Description :** **JOB SUMMARY** We're seeking a strategic Product Manager for our Payment Integrity program and Out of Network Services ... job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… 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 ... efforts. Will be responsible for professional coaching and mentoring of program team members. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to… 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. ... our MMP (Medicaid Medicare Population) with members on Waiver program . This position will have a case load and...accordingly. + Promotes integration of services for members including behavioral health care and long-term services and… 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. ... our MMP (Medicaid Medicare Population) with members on Waiver program . This position will have a case load and...accordingly. + Promotes integration of services for members including behavioral health care and long term services… more
- HCA Healthcare (Louisville, 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 ... learn more about Galen! (https://galencollege.edu/about) **Position Overview:** As a Accreditation Manager at Galen College of Nursing, you will provide highly… more