- 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
- 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 (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
- 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
- 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
- Centene Corporation (Frankfort, KY)
- …in secure settings.** **Behavioral Health and Physical Health Experience** ** Case management experience** **Position Purpose:** Develops, assesses, and facilitates ... in secure settings.** **Behavioral Health and Physical Health Experience** ** Case management experience** **Education/Experience:** Requires a Master's degree in… more
- Sharecare (Frankfort, KY)
- …to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they ... the disease management program intervention guidelines. A Disease Management Nurse is supervised by an Operations Manager ...during the training period will be evaluated on a case by case basis and must be… 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