- CVS Health (Frankfort, KY)
- …of Care: + Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... to take and manage crisis calls. **Required Qualifications:** + Unencumbered Independent Behavioral Health clinical license in the state where they reside… more
- CVS Health (Frankfort, KY)
- …of Care: + Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and ... Master's degree in Behavioral /Mental Health or related field. + Unencumbered Behavioral Health clinical license in Kentucky (LCSW, LPCC, LMFT) **Anticipated… more
- Molina Healthcare (Louisville, KY)
- …level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's Central Programs unit. ... per regulated timelines and determines who may qualify for case management based on clinical judgment, changes...Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education… more
- CVS Health (Frankfort, KY)
- …gaps in care and access. + Using a holistic approach consults with manager , medical directors, and/or other physical/ behavioral health support staff and ... do it all with heart, each and every day. **Position Summary** The Care Manager RN is responsible for driving and supporting care management and care coordination… more
- Highmark Health (Frankfort, KY)
- …Nursing **EXPERIENCE** **Required** + 7 years of any combination of clinical , case management and/or disease/condition management experience, provider operations ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are… more
- 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
- CVS Health (Frankfort, KY)
- …all with heart, each and every day. **Position Summary** The High-Fidelity Wraparound (HFW) Case Manager (CM) is a person who safeguards that the principles of ... may impact member outcomes and care planning components with appropriate engagement of clinical case management or crisis intervention as appropriate. - +… 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
- CVS Health (Frankfort, KY)
- …do it all with heart, each and every day. **Job Summary** The Care Manager RN is responsible for driving and supporting care management and care coordination ... implementing, coordinating, monitoring, and evaluating). The CM RN utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member… more
- Molina Healthcare (KY)
- …Reviews data to identify principal member needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits with team ... an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high...+ Screens members using Molina policies and processes, assisting clinical Case Management staff as they identify… more