- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Molina Healthcare (Lexington, KY)
- …behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long...We are seeking a candidate with a WA state RN licensure to support the Washington State Plan. Candidates… more
- Highmark Health (Frankfort, KY)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Frankfort, KY)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- CVS Health (Frankfort, KY)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- CenterWell (Frankfort, KY)
- …in Nursing + 3 - 5 years of clinical acute care experience + **Licensed Registered Nurse ( RN )** in the (appropriate state) with no disciplinary action + ... health first** We are seeking a dedicated and compassionate Registered Nurse with a Bachelor of Science...in Nursing (BSN) to join our team as a Care Manager , Telephonic Nurse 2.… more
- Molina Healthcare (Lexington, KY)
- …and/or coding experience, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Medical Claim Review Nurse provides support for medical claim review activities....care . For this position we are seeking an RN with previous Inpatient Hospital, Skilled Nursing Facility experience,… more
- Molina Healthcare (Lexington, KY)
- …or home health. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Must have ... health. **Preferred License, Certification, Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager … more
- Molina Healthcare (Lexington, KY)
- …state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing. ... **JOB DESCRIPTION** Looking for a RN that has a current active unrestricted license This a remote role and can sit anywhere within the United States. Work… more
- Sharecare (Frankfort, KY)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Disease Management Nurse works with participating members to… more
- Molina Healthcare (Lexington, KY)
- …skills. + Microsoft Office suite/applicable software program(s) proficiency. **Preferred Qualifications** + Registered Nurse ( RN ). The license must be active ... **JOB DESCRIPTION** **Job Summary** The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for… more
- Highmark Health (Frankfort, KY)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Humana (Frankfort, KY)
- …**Required Qualifications** + Bachelor's degree in Nurse (BSN). + Valid and unrestricted Registered Nurse ( RN ) license in the (appropriate state) with no ... desired clinical outcomes and to enhance quality of medical care . The **Telephonic Nurse Case Manager...- 5:00 pm Eastern Standard Time. **Work Style** : Remote **Work at Home/ Remote Requirements** To ensure… more
- CenterWell (Frankfort, KY)
- …The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a ... + **Required to work every other holiday.** The **Clinical Care Coordinator** helps to ensure optimal continuity of ...work-from-home telephonic nurse position. **Essential Functions:** + Act as CenterWell Home… more
- Molina Healthcare (Lexington, KY)
- …initiating and managing member and/or community interventions (eg, removing barriers to care ) and other federal and state-required quality activities + Monitors and ... within the organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with community-based… more
- Sedgwick (Frankfort, KY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus **This Field Case Manager will cover our Northern Kentucky ... have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE OF THE ROLE:**...on the health and lives of others, and a remote work environment that allows face to face interaction… more
- Sedgwick (Frankfort, KY)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured worker, ... on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- Sedgwick (Frankfort, KY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **We are growing all across the US and are looking ... on the health and lives of others, and a remote work environment that allows face to face interaction...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- CenterWell (Frankfort, KY)
- …capabilities interrelate across the function or segment. The Regional Director, Care Integration Strategy & Program is a critical leadership role responsible ... for the success of the portfolio of Care Integration programs within the Central Region to serve...experience post Master's level training, or advanced clinical experience ( RN , LCSW, MD/DO, APRN) + Data, product, analytics and… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …technician is a clinical/technical specialist who provides cardiac monitoring and directed patient care under the supervision of the RN . This position requires ... remote telemetry, help maintain a safe environment of care , and other duties as assigned. Maintains flexibility related...making them as appropriate. Reports every shift to the manager or designees any patient care issues… more