- CVS Health (Frankfort, KY)
- …degree in Behavioral /Mental Health or related field. + Unencumbered Behavioral Health clinical license in Kentucky (LCSW, LPCC, LMFT) **Anticipated ... advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate… more
- CVS Health (Frankfort, KY)
- …the development of clinical practice standards, policies, and procedures * Behavioral health care management performance and coordination with physical ... with heart, each and every day. **Position Summary** The Behavioral Health Medical Director is responsible for...They will have key roles in utilization management and case management programs for mental health and… more
- Highmark Health (Frankfort, KY)
- …primary ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health ... over specified panel of members by performing ongoing assessment of members' health management needs, identifying the right clinical interventions to address… more
- CVS Health (Frankfort, KY)
- …may impact member outcomes and care planning components with appropriate engagement of clinical case management or crisis intervention as appropriate. - + ... using person centered thinking and systems of care for those experiencing complex behavioral health challenges. + Experience engaging youth and families in… more
- CVS Health (Frankfort, KY)
- …for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of ... the coordination of their care. + Compiles all available clinical information and partners with the member to develop...with individuals with SDoH needs, chronic medical conditions, and/or behavioral health . + Experience conducting health… more
- CVS Health (Louisville, KY)
- …may be provided for the right candidate. **Education** Bachelor's degree is required; Behavioral Health or other clinical licensure preferred. **Pay Range** ... strategic vision and objectives. + Serving as the health plan SME and key clinical lead...activities with key staff for enhanced integration of physical health and behavioral health services… 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 ... and must be licensed for the state of Kentucky Case Manager RN will work with KY Medicaid population...an integrated delivery of care across the continuum, including behavioral health and long term care, for… more
- Elevance Health (Louisville, KY)
- …an equivalent background. + For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years of experience providing ... with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians...Leads, develops, directs, and implements clinical and non- clinical activities that impact health care quality… more
- Highmark Health (Frankfort, KY)
- …+ None **Preferred** + Master's Degree in Business Administration/Management or Public Health **EXPERIENCE** **Required** + 5 years in Clinical , Direct Patient ... are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical… 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 :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs...of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines.… more
- CenterWell (Louisville, KY)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... scope of provider relationships across the following areas: + Quality/ clinical management and population health + HEDIS...years of managed care experience + 3+ years of case management experience + Bilingual; English and Spanish preferred,… more
- Sevita (Greensburg, KY)
- …or providing transportation to work or other activities. + Work closely with our clinical staff to support the therapeutic and behavioral plans in place. ... for elders with complex medical or rehabilitative needs, attendant care and case management. This allows seniors to obtain quality healthcare while remaining active… more
- Molina Healthcare (Louisville, 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. ... transplants; the ideal candidate will have experience either in utilization review or case management for transplants. Preference will be given to those whose UM… 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...clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at… 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...clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at… 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...clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at… more
- Sevita (Louisville, KY)
- …etc.; attends other appropriate meetings/conferences as needed. + Attend clinical meetings to exchange, discuss, and evaluate program participant treatment ... participants, and PT/PTA students. + Write service summaries as requested by case manager/program director and maintains daily billing summaries and turns them into… more