• Program Manager , HCS RN , LMSW,…

    Molina Healthcare (Louisville, KY)
    …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
    Molina Healthcare (03/21/25)
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  • RN Field Case Manager

    Sedgwick (Louisville, KY)
    …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Field Case Manager **Looking for** **experienced** **Workers Comp ... RN Field Case Manager Nurses across multiple cities in...the next round, a recruiter will be in touch. \# nurse #fieldcasemanager # RN #workerscompensation \#LI-DV1 **​** _As… more
    Sedgwick (03/13/25)
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  • Clinical Appeals Nurse ( RN ): Texas…

    Molina Healthcare (Louisville, KY)
    …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
    Molina Healthcare (02/09/25)
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  • Manager , Healthcare Services…

    Molina Healthcare (Louisville, KY)
    …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
    Molina Healthcare (03/07/25)
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  • Nurse Case Manager II

    Elevance Health (Louisville, KY)
    ** Nurse Case Manager II**...considered. This position will work in a hybrid model ( remote and office). The ideal candidate will live within ... of one of our Elevance Health PulsePoint locations. The ** Nurse Case Manager II** will...which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required, Multi-state licensure is… more
    Elevance Health (03/13/25)
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  • Manager , HCS Clinical Policy - Medicare…

    Molina Healthcare (Louisville, KY)
    …identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational ... enhance the continuity of care + Functions as hands-on manager responsible for supervision and coordination of enterprise clinical... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
    Molina Healthcare (02/14/25)
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