- CenterWell (Danville, KY)
- …support recovery and help patients get back to the life they love. As a **Home Health RN Case Manager ** , you will: + Provide admission, case management, ... for home health patients. + Administer on-going care and case management for each patient, provide necessary follow-up as...Health experience is a plus + Current and unrestricted Registered Nurse licensure + Current CPR certification… 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 ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse … more
- Elevance Health (Louisville, KY)
- ** Nurse Case Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... month from 11:30 AM to 8:00 PM EST. The ** Nurse Case Manager II** is...which would provide an equivalent background. + Current unrestricted RN license in applicable state(s) required. + Multi-state licensure… more
- Elevance Health (Louisville, KY)
- **Telephonic Nurse Case Manager II** **Sign On Bonus: $3000** **Location** : This role enables associates to work virtually full-time, with the exception of ... members in different states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for performing care… more
- Sedgwick (Louisville, KY)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus **This Field Case Manager will cover ... **Must have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE...the client and the reimbursement source **EDUCATION AND LICENSING** RN licensure preferred; or bachelor's degree in health or… more
- Elevance Health (Louisville, KY)
- ** Nurse Case Manager I** **Hours:** **9am-5:30pm EST with 2 -3 evening shifts a month 11:30am-8pm EST** **Location** : This role enables associates to work ... an accommodation is granted as required by law. The ** Nurse Case Manager I** is...which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Multi-state licensure… more
- Catholic Health Initiatives (Lexington, KY)
- …and Responsibilities** **Job Summary / Purpose** Coordinates a system of direct case management to effectively follow patients throughout the continuum of care in ... planning functions, and monitoring of quality of service throughout the case management process. Performs direct Interqual/M&R utilization review on all acute… more
- Molina Healthcare (Louisville, KY)
- For this position we are seeking a ( RN ) Registered Nurse who...and must be licensed for the state of Kentucky Case Manager RN will work ... travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
- Molina Healthcare (Louisville, KY)
- …provides care coordination and assistance to member to address concerns. + Collaborates with RN case managers/supervisors as needed or required + Case ... the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's...of the following: Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN)… more
- Molina Healthcare (Lexington, KY)
- …transitions, behavioral health, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), ... to navigate online portals and databases. Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM),… more
- Addiction Recovery Care (Washington County, KY)
- …entrepreneurship, and stewardship are key elements of every thing we do! We are hiring a PRN Registered Nurse for our growing team! As a Registered Nurse ... team-oriented, environment helping individuals overcome substance abuse addiction. The Registered Nurse is a vital member of...health. + Have the ability to communicate with the Case Manager and assist in ensuring the… more
- Sharecare (Frankfort, KY)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care Management program in… more
- CenterWell (Bardstown, KY)
- …get back to the life they love. As a **Home Health Registered Nurse ** , you will: + Provide admission, case management, and follow-up skilled nursing ... for home health patients. + Administer on-going care and case management for each patient, provide necessary follow-up as...Home Health experience a plus + Current and unrestricted Registered Nurse licensure + Current CPR certification… more
- Molina Healthcare (Lexington, KY)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management… more
- Humana (Frankfort, KY)
- …timely intervention **Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. + ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety...EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
- ChenMed (Louisville, KY)
- …to join our team. The Community Care team is a multidisciplinary service including Registered Nurse ( RN ) Community Care nurses, Licensed Practical Nurse ... and maximizing their healthy time at home. The Register Nurse ( RN ) Community Care Nurse ...may need and to oversee appropriate patient discharge from case management. + Performs clinical and Social determination of… more
- CVS Health (Frankfort, KY)
- …evaluations, and readiness assessments. + Manage file universe reports and prepare multi-specialty case files (mock and regular). + Assist the Lead NCQA Manager ... + Experience in medical management, including Utilization Management (UM) and Case Management (CM). + Strong understanding of healthcare quality, accreditation… more
- Hologic (Lexington, KY)
- …+ Candidates with backgrounds such as Radiology Technologists, Mammography Technologists, Registered Nurses ( RN ), or other clinical professionals are strongly ... Radiology Clinical Account Manager - Louisville, KY Louisville, KY, United States...National Accounts to optimize customer experience. + Educate through case coverage, in-services and office calls to drive account… more
- HCA Healthcare (Frankfort, KY)
- …job duties. + Your role performs other duties and special projects as assigned by the RN , Nurse Manager or Director. What qualifications you will need: + ... deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at...provide direct patient care under the supervision of a Registered Nurse , and collaborate with nursing staff… more
- CommonSpirit Health at Home (Bardstown, KY)
- …embody our mission of delivering hope and healing to those we serve. As a Manager , Clinical Services you will contribute to the delivery of high quality care by ... of clinical care follows a physician's approved plan of treatment. The Manager , Clinical Services facilitates the completion of documentation to comply with… more