• Complex Case Manager

    Highmark Health (Frankfort, KY)
    …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (09/07/24)
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  • Registered Nurse Case

    CAI (Frankfort, KY)
    …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated RN Case Manager ready to take us to the next level! ... apply now. **Job Description** We are looking for a RN Case Manager to provide...duties as assigned/requested. **What You'll Need** Required: + Current Registered Nurse , licensed in the state of… more
    CAI (09/25/24)
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  • Family Clinical Advocate, Registered

    Sharecare, Inc. (Frankfort, KY)
    …clinical analytics and clinical team to identify at risk members and provide Complex Case Management and strategies for health self-management through the ... in influencing patient and provider outcomes **Qualifications:** + Current multi-state/compact Registered Nurse licensure in state of residence is required,… more
    Sharecare, Inc. (08/10/24)
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  • Nurse Case Manager II

    Elevance Health (Louisville, KY)
    …10:00am - 6:30pm ET; 1-2 late nights per month required 11:30am - 8:00pm ET The ** Nurse Case Manager II** is responsible for care management within the scope ... of licensure for members with complex and chronic care needs by assessing, developing, implementing,...**Preferred skills, capabilities, and experiences:** + Certification as a Case Manager is preferred. + Telephonic … more
    Elevance Health (09/18/24)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Louisville, KY)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (08/11/24)
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  • Manager , Care Management (Ltss/ABD)

    Humana (Frankfort, KY)
    …_(Washington DC, MD, WV, KY, TN & NC)_ **.** + An active, unrestricted, Registered Nurse ( RN ) license or Licensed Mental Health Professional (LMHP) ... help us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management (LTSS-ABD) who will lead a team of nurses and behavior health… more
    Humana (09/21/24)
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  • Infusion Referral Nurse - REMOTE

    Prime Therapeutics (Frankfort, KY)
    …this program is provided by the Manager , Patient Programs. **Responsibilities** + Registered Nurse ( RN ). + 5 years of post-degree clinical experience. ... - Nursing Education - Preferred: Bachelors - Nursing **Certifications** Certifications - Required: RN - Registered Nurse , State and/or Compact State… more
    Prime Therapeutics (09/15/24)
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  • Nurse Disease Mgmt II (US)

    Elevance Health (Louisville, KY)
    **Telephonic Nurse Disease Management II** **$2000 Sign on Bonus** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance Health, Inc. ... center setting. Responsible for participating in and delivery of more complex patient education and disease management interventions and performing health coaching… more
    Elevance Health (09/21/24)
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