- 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
- 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
- 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
- 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
- Addiction Recovery Care (Washington County, KY)
- …entrepreneurship, and stewardship are key elements of every thing we do! We are hiring a PRN 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
- 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
- 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
- CenterWell (Bardstown, 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 (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
- 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