- Sharecare (Frankfort, KY)
- …affordable for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting the ... efficient and cost-effective manner while ensuring high quality care. The Clinical Registered Nurse coordinates with the Primary Care Provider and… more
- ChenMed (Louisville, KY)
- …We're rapidly expanding and we need great people to join our team. The Registered Nurse , Care Line, is responsible for providing telephonic triage directional ... Providing on-call coverage, the incumbent in this role provides remote clinical advice and Emergency Triage assessments...license and as possible given technology and medium. The registered nurse collaborates with primary caregivers and… more
- Molina Healthcare (Louisville, KY)
- …be supporting our Washington State Medicare plan. We are seeking a Registered Nurse with previous Case Management experience. Medicare knowledge/experience is ... are encouraged to apply. Further details to be discussed during our interview process. Remote position with 10% travel Work schedule Monday through Friday 8:00 AM to… more
- Sharecare (Frankfort, KY)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... + Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical ...to clinical learning. + Remain current on clinical knowledge via self-directed learning. **Specific Skills/ Attributes:** +… more
- BrightSpring Health Services (Louisville, KY)
- …-- 2pm-10pm CST (3pm-11pm EST) and Saturday -- 8am-4pm CST (9am-5pm EST) This Registered Nurse provides On-Call and Triage for the assigned population in ... accredited school of nursing + Current licensure as a Registered Nurse (RN) in the state of...providers. Our services are tailored to our partners, including remote physical/chart assessments, predictive care modeling, clinical … more
- CVS Health (Frankfort, KY)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse (RN) with at least 1 year of experience in a ... each and every day. **Position Summary** **This is a remote work from home role anywhere in the US...hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- Public Consulting Group (Frankfort, KY)
- …sector. To learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager. The Case Manager ... of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting… more
- Public Consulting Group (Frankfort, KY)
- …of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The ... patients make informed decisions by acting as their advocate regarding their clinical status and treatment options + Develops effective working relations and… more
- Sedgwick (Frankfort, KY)
- …college or university preferred. Current Certified Rehabilitation Counselor (CRC) or Registered Nurse (RN) license required. Current license, registration and/or ... Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Remote Accommodations Clinical Specialist- Bilingual Hindi, Japanese, Mandarin or more… more
- BrightSpring Health Services (Louisville, KY)
- …an affiliate of BrightSpring Health Services, is staffed 100% by a team of remote registered nurses trained to support the post-acute continuum with clinical ... living providers. Our services are tailored to our partners, including remote physical/chart assessments, predictive care modeling, clinical programming… more
- Humana (Frankfort, KY)
- …skills to make an impact** **Required Qualifications** + Compact licensure + Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary ... help us put health first** The SNF Utilization Management Nurse uses clinical knowledge, communication skills, and...Bilingual is a plus Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- CVS Health (Frankfort, KY)
- …(_** **_LPCC, LCSW, LMFT, LPAT_** **_) - OR - Active unrestricted Compact Registered Nurse (RN) license with psychiatric specialty or behavioral health ... - SEE REQUIRED QUALIFICATIONS FOR LICENSING DETAILS_** This is a fulltime remote Utilization Management Clinical Consultant opportunity with Aetna Better Health… more
- Humana (Frankfort, KY)
- …and programs **Use your skills to make an impact** **Required Qualifications** + Registered nurse (RN) with unrestricted licensed **OR** independent licensed ... us put health first** The Utilization Management (UM) Director, Clinical Strategy and Practice for Medicaid builds strategies for...projects. **Additional Information** This position is open to work remote **Work at Home Criteria** ** ** To ensure… more
- Highmark Health (Frankfort, KY)
- …degree in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) ... Description :** **JOB SUMMARY** This job serves as the sales team's clinical expert, providing high-level support and insights for strategic clients, aligning… more
- Zurich NA (Frankfort, KY)
- …Degree and 7 or more years of experience in the Nursing areaAND + Registered Professional Nurse license in residential area and in operational national/local ... AVP, Utilization Review & Pharmacy. This is a fully remote position, offering the flexibility of a home-based office....Pharmacy nurses who are responsible for the review of clinical services for the determination of medical necessity and… more
- CenterWell (Frankfort, KY)
- …your skills to make an impact** **Required Experience/Skills:** + Current and unrestricted Registered Nurse licensure (in the state of practice) _preferred._ + ... indicators, and people management/development. The Branch Director supervises the branch/ clinical staff. Direct responsibility of ensuring the branch meets… more
- Humana (Frankfort, KY)
- …DSNP program **Use your skills to make an impact** **REQUIRED QUALIFICATIONS:** + Registered nurse (RN) with unrestricted licensed **OR** independent licensed ... and cost containment efforts **Stakeholder Collaboration:** + Work closely with clinical teams, finance departments, and other stakeholders to ensure cohesive… more
- Humana (Frankfort, KY)
- …Therapist **(LMFT)** , Licensed Professional Counselor **(LPC)** , Psychologist **(PhD)** , Registered Nurse **(RN)** or other professional license. + Three (3) ... independent determination of the appropriate courses of action. + Utilizes clinical knowledge, communication skills, and independent critical thinking skills towards… more
- Teleflex (Louisville, KY)
- …growth. Additional call points are within nursing: PICC/VAS nurses, IV Nurse , Critical Care Nurses and Oncology Nurses. **Principal Responsibilities** * Schedule ... telephone and letters to generate orders. * Supply hospitals, physicians, and clinical staff with current product information, catalogues and samples. * Coordinate… more