• Complex Case Manager

    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
    Highmark Health (09/07/24)
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  • Case Manager RN

    CVS Health (Frankfort, KY)
    …compact licensure **Preferred Qualifications :** * Bilingual - Spanish * Certified Case Manager **Educational Requirements:** * Associates Degree or Nursing ... enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we… more
    CVS Health (10/03/24)
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  • Telephonic Case Manager

    Sedgwick (Frankfort, KY)
    …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with ... the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
    Sedgwick (09/28/24)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Georgetown, KY)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (08/11/24)
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  • Manager , Care Management (Ltss/ABD)

    Humana (Frankfort, KY)
    …_(Washington DC, MD, WV, KY, TN & NC)_ **.** + An active, unrestricted, Registered Nurse ( RN ) license or Licensed Mental Health Professional (LMHP) ... help us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management (LTSS-ABD) who will lead a team of nurses and behavior health… more
    Humana (09/21/24)
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  • Infusion Referral Nurse - REMOTE

    Prime Therapeutics (Frankfort, KY)
    …this program is provided by the Manager , Patient Programs. **Responsibilities** + Registered Nurse ( RN ). + 5 years of post-degree clinical experience. ... - Nursing Education - Preferred: Bachelors - Nursing **Certifications** Certifications - Required: RN - Registered Nurse , State and/or Compact State… more
    Prime Therapeutics (09/15/24)
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