- 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 (Lexington, 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 (Lexington, 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
- Molina Healthcare (Lexington, KY)
- … Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified ... Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified… more
- Molina Healthcare (Lexington, KY)
- …to navigate online portals and databases. **Preferred Qualifications** + Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), ... **Required Qualifications** + At least 5 years of health care experience, including experience in clinical operations, and at least 3 or more years in one or more of… more
- Molina Healthcare (Lexington, KY)
- …License must be active and unrestricted in state of practice. + Certified Case Manager (CCM), Certified Professional in Health Care Management certification ... or all of the following functions: care management, utilization management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other… more
- Molina Healthcare (Lexington, 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