- Humana (Frankfort, KY)
- … team on cases with support needs. Ensures regulatory compliance by aligning care management policies, procedures, and processes to maintain TRICARE contractual ... and tactical goals to focus on consistent execution of Care Management processes and ensure teams meet...valid and unrestricted Registered Nurse license + Certified Case Manager (CCM) + 5 years of healthcare supervisory/ management… more
- Sharecare (Frankfort, KY)
- …The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient manner by providing high-quality ... Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care team… more
- Highmark Health (Frankfort, KY)
- …inquiries and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management review processes that are consistent with ... established industry and corporate standards and are within the care manager 's professional discipline. + Function in...state, federal laws and regulatory compliance. + Implement all care management reviews according to accepted and… more
- Guardian Life (Frankfort, KY)
- …is a full tme, remote-based position. **Position Summary** Guardian's Annuity New Business CARE team seeks a dynamic and knowledgeable individual to join our team as ... an **Annuity Relationship Manager ** . We are looking for someone with exceptional...internal and external partners. As a member of our CARE Team, you are part of a dynamic group… more
- Intermountain Health (Frankfort, KY)
- **Job Description:** The Manager of Project Management provides leadership to a team of project managers and ensures projects and initiatives are implemented ... role promotes best practices and works to deliver project management value to the organization by providing leadership with...within a reasonable commuting distance to an Intermountain Health care site are preferred. Currently, we are not hiring… more
- CVS Health (Frankfort, KY)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... work anywhere in the US **Position Summary** Medicaid Claim Editing Content Management team. Must oversee ongoing content delivery and maintenance across Medicaid… more
- Lumen (Frankfort, KY)
- …eco-systems to understand and implement sold solutions. + Provide critical date management and escalation support to meet committed delivery objectives. + Validate ... stressful working environment. + Ability to learn and adhere to customer care policies, processes, and principles + Ability to maintain a proficient understanding… more
- CVS Health (Frankfort, KY)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... communication across teams, and supporting the Product Owner in product backlog management and prioritization. + Develops strategy to monitor and measure the team's… more
- Cardinal Health (Frankfort, KY)
- **What IT Program & Project Management contributes to Cardinal Health** IT Program & Project Management is responsible for playing a key/critical role in ... realizing business value through the application of project management knowledge, skills, tools, and techniques to meet project objectives. Transformation enables… more
- Public Consulting Group (Frankfort, KY)
- …working experience in case management , including as a nurse, medical, mental health care manager or a related job + Excellent knowledge of case management ... a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible...their progress and to ensure satisfaction * Document all care activity via case management software system… more
- CVS Health (Frankfort, KY)
- …And we do it all with heart, each and every day. **Job Summary:** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) ... chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized ... experience for the member. + Meticulous documentation of care management activity in the member's electronic… more
- Taco Bell (Falmouth, KY)
- …needed, for proper functioning of the restaurant. This position operates under the direct management of the Restaurant General Manager (RGM) and helps lead the ... Taco Bell Assistant General Manager (AGM) Ampler dba Taco Bell is seeking...are resolved immediately + Assists RGM by coaching the management team on the proper execution of CHAMPS +… more
- Prime Therapeutics (Frankfort, KY)
- …activities including such items as assurance of Service Level Agreement performance in Care Management Centers and Shared Services, assurance of claims accuracy ... fashion. + Demonstrates the value of pharmacy solutions (unit cost, utilization management & patient care enhancement). + Identifies opportunities for additional… more
- CVS Health (Frankfort, KY)
- …and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards ... and Utilization Management . AHH delivers flexible medical management services that support cost-effective quality care ...position consists of working intensely as a telephonic case manager with patients and their care team… more
- CVS Health (Frankfort, KY)
- …and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards ... and Utilization Management . AHH delivers flexible medical management services that support cost-effective quality care ...position consists of working intensely as a telephonic case manager with patients and their care team… more
- Taco Bell (Falmouth, KY)
- …the right number of people, at the right time and in the right place to take care of customer needs + Coaches the Management Team to ensure the highest standards ... Taco Bell Restaurant General Manager (RGM) Ampler dba Taco Bell is seeking...excels in leadership, executes effective bench planning, independently performs management duties by shaping the culture of the restaurant,… more
- Dialysis Clinic, Inc. (Frankfort, KY)
- …QAPI and risk management program implementation with the quality and risk manager + Collaborate on patient care initiatives with medical director, social ... with a lower caregiver-to-patient ratio than other providers. The **Dialysis Nurse Manager ** is responsible for dialysis facility management and nursing… more
- Option Care Health (Frankfort, KY)
- …infusion provider, there is no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and alternate site infusion services ... 5,000 clinicians, we work compassionately to elevate standards of care for patients with acute and chronic conditions in...48 hours of receipt of payment. Notifies the Reimbursement Manager if there are overpayments and/or duplicate payments for… more
- Prime Therapeutics (Frankfort, KY)
- …the relationship between Prime's external vendor and our clients. The Vendor Program Manager will handle the management of vendor solutions, showcasing the value ... conflicts **Preferred Qualifications** + Vendor management experience + Product Management experience + PBM/health care experience **Physical Demands** +… more
- Prime Therapeutics (Frankfort, KY)
- …RFx(s), vendor negotiations, contract drafting and redlining, and other sourcing management functions. The Strategic Sourcing Manager will assist in ... passion and drives every decision we make. **Job Posting Title** Strategic Sourcing Manager - Remote **Job Description** The Strategic Sourcing Manager is… more