- Molina Healthcare (Bowling Green, KY)
- …lives in Kentucky and must be licensed for the state of Kentucky Case Manager RN will work with KY Behavioral Health Medicaid population providing ... regular outreach and management. * Promotes integration of services for members including behavioral health , long-term services and supports (LTSS), and home and… more
- Highmark Health (Nashville, TN)
- …ownership and oversight over a specified panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...various resources to assist members in achieving their personal health goals. The incumbent monitors, improves and maintains quality… more
- Molina Healthcare (Bowling Green, KY)
- …(CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America ... JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with… more
- Elevance Health (Nashville, TN)
- ** Behavioral Health Medical Director-Psychiatrist Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... Monday - Friday. Half day Saturday rotation, once a month.** The ** Behavioral Health Medical Director-Psychiatrist Appeals** is responsible for the… more
- HCA Healthcare (Nashville, TN)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) Case Manager Wound Care Nurse PRN you want with your current employer? We have ... for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine...of colleagues. Do you want to work as a(an) Case Manager Wound Care Nurse PRN where… more
- HCA Healthcare (Nashville, TN)
- …TriStar Centennial Medical Center have the opportunity to make a real impact. As a(an) Case Manager RN you can be a part of change. **Benefits** TriStar ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free...improve positive outcomes for your patients as a (an) Case Manager RN. We want your knowledge… more
- HCA Healthcare (Nashville, TN)
- …Medical Center we support our colleagues in their positions. Join our Team as a(an) BMT Case Manager RN and access programs to assist with every stage of your ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free...certifications and job skills. Apply today for our BMT Case Manager RN opening and continue to… more
- HCA Healthcare (Nashville, TN)
- …our nurses set us apart from any other healthcare provider. We are seeking a(an) Case Manager RN Part Time to join our healthcare family. **Benefits** TriStar ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free...their passion for patient care. Apply today for our Case Manager RN Part Time opportunity. **Job… more
- Molina Healthcare (Bowling Green, KY)
- …Qualifications * Certified Case Manager (CCM). * Experience in behavioral health care management. * Field-based care management or home health ... and must be licensed for the state of Kentucky. Case Manager will work with KY Medicaid/Medicare...cost-effective member care. Essential Job Duties * Completes comprehensive behavioral health assessments of members per regulated… more
- Highmark Health (Nashville, TN)
- **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...or its strategic business partners. When this is the case , there may be less direct reporting relationships and… more
- HCA Healthcare (Nashville, TN)
- …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 ... is incentive eligible. **Job Summary and Qualifications** The Regional Coding Operations Manager is responsible for assisting in the development and evolution of the… more
- HCA Healthcare (Nashville, TN)
- …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 ... **Introduction** Do you have the career opportunities as a Manager , Data Quality you want with your current employer?...Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- Molina Healthcare (Bowling Green, KY)
- …more of the following areas: utilization management, care management, care transitions, behavioral health , or equivalent combination of relevant education and ... to navigate online portals and databases. Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM),… more
- Highmark Health (Nashville, TN)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
- Highmark Health (Nashville, TN)
- …patients to set health goals by working cooperatively with medical providers, case management departments and/or health plans to help ensure that patients ... **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job will be responsible for helping patients to navigate and access medical… more
- Valor Health (Bowling Green, KY)
- …Our comprehensive set of services includes primary care, diagnostics, laboratory, telehealth, behavioral health , and more. Valor is different because of our ... to none. Position Summary Diagnoses and treats mental and behavioral health conditions. Provides supervision as needed...collaboration with non-VA providers, and facilities. + Functions as case manager as needed. + Provides patient… more
- Elevance Health (Nashville, TN)
- …A proud member of the Elevance Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental ... AA/AS and minimum of 2 years of experience in health services or behavioral health ...Skills, Capabilities, and Experiences:** + Knowledge of care-coordination and case management concepts strongly preferred. + BA/BS or MBA… more
- Elevance Health (Nashville, TN)
- …of integrated Medical Management of more than one member population type of Physical Health and/or Behavioral Health with varying degrees of medical ... complexity. **How you will make an impact:** + Oversees case and utilization management execution/decision making for managed member populations. + Is accountable to… more
- Valor Health (Bowling Green, KY)
- ….4FTE - 2 days per week Position Summary Diagnoses and treats mental and behavioral health conditions. Provides supervision as needed to Mental Health ... collaboration with non-VA providers, and facilities. + Functions as case manager as needed. + Provides patient...manager as needed. + Provides patient and family health education with a focus on self-management, prevention, wellness,… more
- HCA Healthcare (Nashville, TN)
- …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 ... opportunity to make a real impact. As a(an) Home Health RN you can be a part of change....physician's orders and under the supervision of the Clinical Manager . **What you will do in this role** :… more