- Public Consulting Group (Frankfort, KY)
- …www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible ... publicly administered Medical Fund on behalf of a state agency. The Case Manager will be charged with helping program recipients, family members, and caretakers… more
- CVS Health (Frankfort, KY)
- …all with heart, each and every day. **Position Summary** The High-Fidelity Wraparound (HFW) Case Manager (CM) is a person who safeguards that the principles of ... member outcomes and care planning components with appropriate engagement of clinical case management or crisis intervention as appropriate. - + Coordinates and… 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 ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Cardinal Health (Frankfort, KY)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... effective solutions. + Provide guidance and training to junior case managers on best practices in case ...junior case managers on best practices in case management, patient interaction, and navigating internal and external… more
- Otsuka America Pharmaceutical Inc. (Frankfort, KY)
- The Patient Nurse Case Manager (PNCM) is a dynamic, field-based role that serves as a crucial educator for patients. This position helps to execute against a ... field + Background in advocacy, counseling, nursing, or social work + Case management experience in the specific therapy area + Bilingual skills, particularly… more
- Cardinal Health (Frankfort, KY)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake,… more
- Public Consulting Group (Frankfort, KY)
- …that is safe, timely, effective, efficient, equitable, and client-centered + Handles case assignments, draft service plans, review case progress and determine ... to conduct periodic in person assessments + Facilitates multiple care aspects ( case coordination, information sharing, etc.) + Helps patients make informed decisions… 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 a care plan, encouraging behavior… more
- Cardinal Health (Frankfort, KY)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- Cardinal Health (Frankfort, KY)
- …+ Must demonstrate a superior willingness to help external and internal customers + First point of contact on inbound calls, and determines needs, and handles ... Cardinal Health Sonexus (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma,… more
- Travelers Insurance Company (Frankfort, KY)
- …with insured based on application of policy information to facts or allegations of each case . + Work with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engage in the identification, selection and direction… more
- Molina Healthcare (Lexington, KY)
- …preferred. Proficient knowledge of MS Suite and computer savvy is very helpful. The Case Manager must be able to work in a high-volume environment, possess ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
- Otsuka America Pharmaceutical Inc. (Frankfort, KY)
- …lifestyle management counseling. **Key Responsibilities** + Manage and oversee nurse case manager teams, incorporating continuing education credit opportunities ... lead our Nephrology Patient Support program. This role will oversee nurse case managers, ensuring high-quality patient care and operational excellence in our support… more
- CommonSpirit Health at Home (Lexington, KY)
- …to clinical protocols and guidelines. + Collaborate and coordinate with the RN Case Manager and other healthcare team members to ensure effective patient ... feelings of patients and their families. + Participate in case conferences and in-services or special case ...in case conferences and in-services or special case orientations. + Complete and submit all required documentation… more
- Cardinal Health (Frankfort, KY)
- …helps manufacturers rethink how far their products can go. **Accountabilities** The Case Manager supports patient access to therapy through Reimbursement Support ... Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake, investigating… more
- Molina Healthcare (Lexington, KY)
- …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... Professional in Healthcare Quality + other healthcare certification To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and… more
- Catholic Health Initiatives (Lexington, KY)
- …up appointments and cardiac rehab (if applicable) 5. Refers HF patient to Cardiac Case Manager for follow up calls 6. Assists coders and documentation ... specialists as needed with queries about heart failure in an effort to improve coding and reimbursement 7. PRN follow up phone calls to patients 8. Collaborates on the development of educational needs, presents education to both staff and others as needed 9.… more
- CommonSpirit Health at Home (Lexington, KY)
- …destination information and the home services candidates who were identified to the case manager and/or social worker. + Maintains communication with patients, ... families, and health care providers to monitor patient satisfaction. **Benefits:** + Generous annual bonus opportunity based on company performance + Excellent holiday and paid time off plans + Medical, dental, and vision plans + Tuition reimbursement for… more
- CompuCom (Frankfort, KY)
- …operating goals + Prepares reports and records on department activities for use during case management or for team/program manager as requested + Call scrubbing ... following and offering suggestions to better improve procedures and policies, case management, case dispatch, entry level technical case review and triage,… more
- Datavant (Frankfort, KY)
- …on which great engineering organizations are built. Success as an engineering manager at Datavant looks like predictably delivering great software with strong ... support their teams need to be successful. As the manager for the SmartRequest team you will be a...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more