- Centene Corporation (Frankfort, KY)
- …facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare ... throughout state of Kentucky to correctional facilities. (about 75%)** ** Behavioral Health and Physical Health ...to identify providers, specialists, and community resources needed for care including mental health and substance use… more
- CVS Health (Frankfort, KY)
- …channels. + Ability to speak to medical and behavioral health professionals to influence appropriate member care . + Utilizes influencing/motivational ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning,… more
- CVS Health (Frankfort, KY)
- …Provider Appeals & Disputes, and Network Performance Standards. + Professional experience in behavioral health care + Experience in Medical Terminology, CPT, ... and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we… more
- Molina Healthcare (Owensboro, KY)
- … and chemical dependency services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes ... member care . Essential Job Duties * Provides behavioral health oversight and clinical leadership for...Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager … more
- Elevance Health (Louisville, KY)
- ** Behavioral Health Medical** **Director-Psychiatrist** **Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... The **Medical Director** is responsible for the administration of behavioral health medical services, to ensure the...directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes. +… more
- BrightSpring Health Services (Louisville, KY)
- …(IDD) Division. Theideal candidatewill have B2B sales and Behavioral Health and Individuals with Developmental Disabilities (IDD) Care experience, with ... reports and CRM and in communicating (verbally and in writing) with IDD agencies and behavioral health organizations to assess market needs + Works with RVP of… more
- Elevance Health (Louisville, KY)
- …equivalent training and mastery and a minimum of 10 years experience in related health care analytics; or any combination of education and experience which would ... methods to identify new opportunities to improve the whole health of our members. This individual will create statistical...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …policy, demonstrates professional behavior, and supports the philosophy of Jennie Stuart Health . Job Knowledge: + Knowledge of community resources for older persons, ... of Medicare, Medicaid and insurance requirements as these relate to continuing care . Familiarity with medical terminology and conditions as these impact treatment… more
- Molina Healthcare (Louisville, KY)
- …for regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home ... must be licensed for the state of Kentucky Case Manager RN will work with KY Medicaid population providing...delivery of care across the continuum, including behavioral health and long term care… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …24-hour, 7-days/week shared accountability for the provision and evaluation of patient care in the Inpatient Behavioral Health /Residential Rehab Treatment ... EDRP participants ineligible to apply. Responsibilities This Assistant Nurse Manager is accountable to the Nurse Manager ...is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). You may be… more