- Public Consulting Group (Frankfort, KY)
- …visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will ... experience in case management, including as a nurse , medical, mental health care manager or...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… 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 ... This position consists of working intensely as a telephonic case manager with patients and their care...in a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- Elevance Health (Louisville, KY)
- …for 3 or more years are expected to hold a certification as a case manager and meet continuing education requirements to maintain licensure and certification. ... Management** is responsible for managing a team of nurse care managers engaged in assessing, developing, implementing, coordinating,...Skills** **, Capabilities, and Experiences:** + Certification as a Case Manager is preferred. + BS in… more
- Public Consulting Group (Frankfort, KY)
- …on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + Excellent knowledge ... case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The… more
- 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
- Health Advocates Network (Louisville, KY)
- Benefits We Offer: + Comprehensive health, prescription, dental, vision, life, and disability plans + Competitive pay rates + Referral opportunities ? Refer a friend ... & Cash in! + Travel reimbursement and per diem allowances + Employee discounts + Educational opportunities Health Advocates Network was founded based on a shared aspiration to improve the way healthcare staffing is done. We are a company founded by healthcare… more
- Elevance Health (Louisville, KY)
- **Telephonic Nurse Case Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... Friday **,** 8:30-5 or 9:30-6 pm EST. The **Telephonic Nurse Case Manager II** is...which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Multi-state licensure… more
- Molina Healthcare (Louisville, KY)
- …will be supporting our Washington State Medicare plan. We are seeking a Registered Nurse with previous Case Management experience. Medicare ... MS Suite and computer savvy is very helpful. The Case Manager must be able to work...health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- BAYADA Home Health Care (Bethlehem, IN)
- …County!** **_Flexible schedules, 1:1 care, and great work/life balance. Join us today!_** ** Registered Nurse ( RN ) Benefits:** + BAYADA offers a comprehensive ... referral bonuses; 401(k) with company match; and opportunities for career advancement. ** Registered Nurse ( RN ) Responsibilities:** + Follow a designated… more
- Sharecare (Frankfort, KY)
- …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based Care Management program… more
- CenterWell (Shelbyville, 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 (Louisville, KY)
- …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
- CommonSpirit Health at Home (Louisville, KY)
- …plans while adhering to clinical protocols and guidelines. + Collaborate and coordinate with the RN Case Manager and other healthcare team members to ensure ... are looking for a compassionate and skilled Licensed Practical Nurse (LPN) to join our team and help embody...feelings of patients and their families. + Participate in case conferences and in-services or special case … more
- CenterWell (Louisville, KY)
- …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... put health first** $10k Sign on Bonus The **Clinical Manager ** coordinates and oversees all direct care patient services...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
- CenterWell (Louisville, KY)
- …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... community and help us put health first** The Quality RN Professional responsible for the development, implementation and management...nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement +… more
- Highmark Health (Frankfort, KY)
- …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
- Highmark Health (Frankfort, KY)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
- Abbott (Louisville, KY)
- …degree ie, Registered Cardiovascular Invasive Specialist (RCIS), Certified Cardiology Technician, Registered nurse ( RN ) or Nurse Practitioner (NP), ... Sales Specialist (CSS) role is to provide TAVI clinical trial and commercial case support, trial enrollment & education initiatives for accounts within a defined… 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
- Elevance Health (Louisville, KY)
- **Medical Management Nurse ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... drive the future of health care. The **Medical Management Nurse ** is responsible for reviewing the most complex or...skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring the patient… more