- 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
- 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
- Molina Healthcare (Lexington, 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
- Sharecare (Frankfort, KY)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- Summary The Resource Pool Registered Nurse ( RN ) is directly responsible to the designated manager in the assigned area. The RN is responsible and ... plan of care to promote optimal health status. The Resource Pool Registered Nurse executes position responsibilities that demonstrate leadership, experience, and… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …to apply. Responsibilities This 1.0 FTEE registered nurse (staff nurse ) is directly responsible to the designated manager in the assigned ... Medical/Surgical area (5Tele or 3N); the registered nurse is responsible and accountable for...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… 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