- Catholic Health Initiatives (Lexington, KY)
- …as a specialty process in itself that reflects national standards of care. With the Director of Case Management , Executive Lead and Medical Staff Leadership, ... After reviewing the Job Description, HR policies, UR Plan and other Case Management related documents, discusses expectations of the role with the accountable… more
- Humana (Frankfort, KY)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants..., depending on the line of business. The Medical Director conducts Utilization Management or clinical validation… more
- Datavant (Frankfort, KY)
- …educational and life experiences to realize our bold vision for healthcare. The Director of Workforce Management , Forecast Planning & Capacity will provide ... ensure the organization can meet service, efficiency, and growth objectives. The Director will oversee a high-performing team of leaders, analysts, and system SMEs… more
- Capital One (Frankfort, KY)
- Director , Product Management : Capital One Shopping (Remote - Eligible) About Capital One Shopping Capital One Shopping is an industry-leading consumer technology ... from ideation through to launch + Own the business case , prioritization, and monitoring for the product experiences under...regularly worked. New York, NY: $251,400 - $286,900 for Director , Product Management Remote (Regardless of Location):… more
- Humana (Frankfort, KY)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Highmark Health (Frankfort, KY)
- …required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + ... as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases, particularly… more
- Humana (Frankfort, KY)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Frankfort, KY)
- …Geriatrics, and Hospitalist clinical specialists **Additional Information** + The Corporate Medical Director will conduct clinical case reviews of the care ... caring community and help us put health first** The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Datavant (Frankfort, KY)
- …our bold vision for healthcare. Datavant is seeking a strategic and hands-on ** Director of Quality** to lead product and supplier quality assurance efforts within ... data (RWD) solutions through tokenization, data linkage, and privacy-preserving analytics. As Director of Quality, you will own the implementation and evolution of… more
- Humana (Frankfort, KY)
- …least five years of experience post-training providing clinical services . Experience in utilization management review and case management in a health plan ... community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral… more