- 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
- Sedgwick (Lexington, KY)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign On Bonus Eligible **This Field Case Manager ... be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured...the client and the reimbursement source **EDUCATION AND LICENSING** RN licensure preferred; or bachelor's degree in health or… 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 (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
- CenterWell (Lexington, 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
- 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