- CVS Health (Frankfort, KY)
- …no holidays; however, it is subject to change based on business needs.** The RN Case Manager is responsible for telephonically assessing, planning, ... implementing, and coordinating all case management activities with members to evaluate the medical...**Required Qualifications** Must have an active, current and unrestricted RN licensure in the state of residence and be… more
- 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 ... 48 hours of receipt and meet the criteria._** 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
- 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
- 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
- Elevance Health (Louisville, KY)
- ** Nurse Case Manager II** **Hours: Monday - Friday 8:00am to 4:30pm EST and 2-3 late evening 11:30am to 8:00pm EST per month.** **Location:** This role ... an accommodation is granted as required by law. The ** Nurse Case Manager II** is...which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Current and… 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
- CVS Health (Frankfort, KY)
- …performing the job functions. **Required Qualifications** - 5+ years' experience as a Registered Nurse with hospital experience; preferably in the specialty. - A ... Registered Nurse that holds an unrestricted license... Registered Nurse that holds an unrestricted license in their state...years' of case management experience. - Certified Case Manager (CCM) or obtains CCM within… 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
- Addiction Recovery Care (KY)
- …entrepreneurship, and stewardship are key elements of every thing we do! We are hiring a 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)
- …of Sharecare with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred + Bachelor's degree ... experience in Care/ Case Management + NCQA experience preferred + Certified Case Manager preferred + Prior management and supervision of a clinical team is… more
- Molina Healthcare (Owensboro, 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
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …The Nurse Ill Women Veterans Program Manager (WVPM) Registered Nurse ( RN ) executes position responsibilities that demonstrate leadership, ... level degree in Nursing may have opportunity to become registered as a nurse with a state...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
- HCA Healthcare (Bowling Green, KY)
- …confidentiality and satisfaction. What qualifications you will need: + Current licensure as a Registered Nurse ( RN ) in the state of practice or approved ... efficiently. **Are you passionate about delivering patient-centered care?** Submit your application for Registered Nurse Med Surg position and spend more time at… more
- CenterWell (Elizabethtown, 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
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- Summary The RN Care Manager is an essential...level degree in Nursing may have opportunity to become registered as a nurse with a state ... component of the PACT Initiative (Patient Aligned Care Teams). The RN Care Manager provides nursing assessment, telephone triage with advice per protocol,… more
- Molina Healthcare (KY)
- …ICT collaboration. + RNs provide consultation, recommendations, and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) To all current Molina employees: If… more
- Molina Healthcare (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