- Elevance Health (Louisville, KY)
- …we are actively defining our innovative role in the industry. **Title** : Population Health Management Clinical Pharmacist **Location(s):** Indianapolis, ... **Build the Possibilities. Make an Extraordinary Impact.** The ** Population Health Management Pharmacist (Pharmacist Clinical ** ) is responsible… more
- ChenMed (Louisville, KY)
- …providers. We're rapidly expanding and we need great people to join our team. The Clinical Pharmacist specializing in Population Health is a skilled and ... duplicate therapies, and other regimen-related factors, making case-by-case and population health interventions as necessary. Provides timely access… more
- ChenMed (Louisville, KY)
- …President direction **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Directs accountability for clinical outcomes and day-to-day management of Medical Directors ... need great people to join our team. The Market Clinical Director will directly supervise, performance manage and train... outcomes and quality improvement processes. + Experience of population risk management or complex chronic disease… more
- Molina Healthcare (Louisville, KY)
- …field. **Preferred Experience** + 3 - 5 years supervisory experience + Experience in Population Health / Clinical Analytics + Experience in Clinical ... management . + Interfaces and maintains positive interactions with Health Plan and Corporate personnel. **JOB QUALIFICATIONS** **Required Education** Bachelor's… more
- ChenMed (Louisville, KY)
- …rapidly expanding and we need great people to join our team. The Center Clinical Manager (CCM) is an active leadership role responsible for the day-to-day ... management of back office center operations, which may include...operations, which may include but is not limited to: clinical quality, compliance, human resources, patient experience and direct… more
- Molina Healthcare (Louisville, KY)
- …timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers ... work telephonically supporting SMI (Serious Mental Illness) Medicaid Kentucky Population . We are looking for candidates that have experience...work or related field). * Must have active behavioral health license * 2+ years in case management… more
- BrightSpring Health Services (Louisville, KY)
- …(Fully Remote) *Must have compact state RN licensure *Remote Triage & Home Health RN experience highly preferred *Potential Start Date: 6/30/2025 *Openings: 1 FT ... This Registered Nurse provides On-Call and Triage for the assigned population in accordance with triage protocols. This position remotely develops/implements care… more
- BrightSpring Health Services (Louisville, KY)
- …*Must have compact state LPN licensure *Remote Triage & Long Term Care/Home Health LPN experience preferred *Potential Start Date: 6/30/2025 *New Openings: 2 PT ... Eastern) This LPN provides On-Call and Triage for the assigned population in accordance with triage protocols. This position remotely develops/implements care… more
- Sunrise Senior Living (Louisville, KY)
- …State/Provincial law, to promote the health and wellness of the resident population . + Provides clinical care through the direct application of the nursing ... the medication care managers, as applicable by State/Provincial law, to promote the health and wellness of the resident population . + Provides oversight of… more
- YesCare Corp (Louisville, KY)
- …as indicated. + Performs risk assessment and intervention, + Provides behavioral health consultation to members of the multi-disciplinary clinical team and ... + Master's degree in Social Work, Counseling Psychology or Other Related Mental Health discipline. + Unrestricted, current license in the state of Kentucky - LCSW,… more
- BrightSpring Health Services (Louisville, KY)
- …and operates various entities in Primary Care including a Medical Services company, Population Health Management services company, and a Medicare Advantage ... Special Needs Plan (I-SNP), the Manager will work in collaboration with all clinical and operations staff on varying initiatives including but not limited to quality… more
- ChenMed (Louisville, KY)
- …exam, diagnosis and treatment, development of the nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear ... with guidelines. This position may require participation in risk and quality management programs, clinical meetings and other meetings. The Nurse Practitioner… more
- BrightSpring Health Services (Louisville, KY)
- …within a plan service area. We value candidates with direct sales and account management experience, a KY or TN State Insurance Licence (or willingness to quickly ... New and existing members to collect information on early interventions for service or health needs and communicate this back to the Care Team. + Deliver approved… more
- ChenMed (Louisville, KY)
- …to ensure compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as required that ... or not). + The PCP is responsible for assessment, diagnosis, treatment, management , education, health promotion and care coordination and documentation for… more
- YesCare Corp (Louisville, KY)
- …all inmates referred to Healthcare Unit for those inmates in the general population who need regular psychiatric/mental health follow up. Where applicable, ... Provide medication management to all inmates admitted to the Mental Health Unit. Provide individual and/or group therapy as appropriate. + Approve all admissions… more
- CenterWell (Louisville, KY)
- …providers to form a narrow network of quality service focused on senior population health + Responsible for medical interpretation, reviews, and decisions as ... part of our caring community and help us put health first** The Market CMO serves as a ...achieving results. + Clinical Knowledge: You understand clinical program design, implementation, management /monitoring to support… more
- CenterWell (Louisville, KY)
- …the scope of provider relationships across the following areas: + Quality/ clinical management and population health + HEDIS and Stars performance + ... **Become a part of our caring community and help us put health first** The Quality RN Professional responsible for the development, implementation and management … more
- ChenMed (Louisville, KY)
- …is an unlicensed medical professional cross-trained to perform routine administrative and clinical tasks to keep the medical centers running smoothly. The duties of ... location and type. In addition to administrative duties, Care Promoters perform clinical duties under direct physician supervision in accordance with state medical… more
- Molina Healthcare (Louisville, KY)
- …timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers ... Kentucky Case Manager RN will work with KY Medicaid population providing telephonic case management support. Excellent...Experience** 1-3 years in case management , disease management , managed care or medical or behavioral health… more
- YesCare Corp (Louisville, KY)
- …Requirements** + High school diploma or equivalent. Associates degree in Mental Health preferred. + Ability to effectively interact with institutional and ... clinical staff. + Subject to initial and ongoing security...Groups to be offered may include personal hygiene, money management and community transition. + Provision of special interest… more