- National Youth Advocate Program (Louisville, KY)
- …the Office of Refugee Resettlement (ORR), NYAP's **Post Release Services (PRS) Intensive Case Manager Level 3** provides post release services focused on ... and intensive case management. The PRS Intensive Case Manager Level 3 will additionally connect...degree in social work, psychology, sociology, or other relevant behavioral science in which direct clinical experience… more
- Molina Healthcare (Louisville, 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
- CVS Health (Frankfort, KY)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Elevance Health (Louisville, KY)
- …for clinical operational aspects of a program. + Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers ... ** Behavioral Health Medical** **Director-Psychiatrist** **Appeals** **Location:** This role...manager . + May be responsible for an entire clinical program and/or independently performs clinical reviews.… more
- Molina Healthcare (Louisville, 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 (Louisville, KY)
- …a current active unrestricted license in the state of KY Case Manager will work remotely supporting Medicaid Behavioral health population. Excellent computer ... software program(s) proficiency. **PREFERRED QUALIFICATIONS:** * Certified Case Manager (CCM). * Experience in behavioral health care management.… more
- Molina Healthcare (Louisville, KY)
- …Nurse who lives in Kentucky and must be licensed for the state of Kentucky Case Manager RN will work with KY Medicaid population providing telephonic case ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Molina Healthcare (Louisville, KY)
- …program(s) proficiency. Preferred Qualifications **LVN is preferred for this role.** * Certified Case Manager (CCM). To all current Molina employees: If you are ... integrated delivery of member care across the continuum, including behavioral health, long-term care, and population health-related education and services… more
- Molina Healthcare (Louisville, 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 the… more
- Elevance Health (Louisville, KY)
- …office visits with providers and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering ... oversight from immediate manager . + May be responsible for an entire clinical program and/or independently performs clinical reviews. + Typically has program… more
- Molina Healthcare (Louisville, 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
