- Highmark Health (Frankfort, KY)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Frankfort, KY)
- …**Monday July 21st, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Sharecare (Frankfort, KY)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Clinical Registered Nurse coordinates with the Primary ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager … more
- ChenMed (Louisville, KY)
- …providers. We're rapidly expanding and we need great people to join our team. The Registered Nurse , Care Line, is responsible for providing telephonic triage ... directional patient care advice for general and specific illnesses, health related...license and as possible given technology and medium. The registered nurse collaborates with primary caregivers and… more
- CVS Health (Frankfort, KY)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience in ... position consists of working intensely as a telephonic case manager with patients and their care team...a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- Public Consulting Group (Frankfort, KY)
- …learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager ... Proven working experience in case management, including as a nurse , medical, mental health care manager...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
- Public Consulting Group (Frankfort, KY)
- …independently and on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + ... of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The… more
- Humana (Louisville, KY)
- …with leader approval. **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in the state of Kentucky with no ... and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the...and members, to determine appropriateness of services. The UM RN will use clinical knowledge, communication skills, and independent… more
- Molina Healthcare (Louisville, KY)
- …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is responsible for developing, ... implementing, and monitoring the success of quality improvement interventions. The Manager works to coordinate resources and training within the health plan and… more
- Highmark Health (Frankfort, KY)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Molina Healthcare (Louisville, KY)
- …Practical Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse ( RN ) Program or a bachelor's degree in Nursing. ... as well as Molina Healthcare business needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of… more
- Cardinal Health (Frankfort, KY)
- …Rheumatology (Rheum) Customer Success contributes to Cardinal Health_** The Clinical Manager for our Rheumatology (Rheum) Customer Success team is responsible for ... the EVP of Provider Solutions. In this role, the Manager will be held primarily accountable for the overall...that will lead our Rheum program. **Location** - Fully remote with the expectation of 15-20% travel. Travel does… more
- CenterWell (Frankfort, KY)
- …your skills to make an impact** **Required Experience/Skills:** + Current and unrestricted Registered Nurse licensure (in the state of practice) _preferred._ + ... operations to ensure the following: operational efficiencies, quality of patient care , regulatory compliance, support of business development & patient base growth,… more
- Humana (Frankfort, KY)
- …presentations to senior leaders **Preferred Qualifications** + Bachelor's degree + Certified Case Manager + Registered Nurse + Licensed Social Worker ... caring community and help us put health first** The Care and Service Coordination Strategy and Growth Professional II...PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training… more