• Care Manager , Registered

    Sharecare (Frankfort, KY)
    …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... Case or Care Management with members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary...technologies. + This position will be based from a home office which must satisfy all HIPAA requirements and… more
    Sharecare (03/19/25)
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  • Case Manager , RN

    CAI (Frankfort, KY)
    …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! ... apply now. **Job Description** We are looking for a Case Manager , RN to provide...duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of… more
    CAI (02/01/25)
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  • RN , Home Health-PRN

    CenterWell (Shelbyville, KY)
    …and help us put health first** As a ** Home Health Registered Nurse ** , you will: + Provide admission, case management, and follow-up skilled nursing ... home health patients. + Administer on-going care and case management for each patient, provide necessary follow-up as... Health experience a plus + Current and unrestricted Registered Nurse licensure + Current CPR certification… more
    CenterWell (03/14/25)
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  • Clinical Appeals Nurse ( RN ): Texas…

    Molina Healthcare (Lexington, 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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  • Heart Failure Navigator Pharmacist or RN

    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 ... level of care possible. Primary role is that of an expert nurse , and or pharmacist with essential education.Develops/designs the cardiovascular and Thoracic service… more
    Catholic Health Initiatives (03/15/25)
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  • Manager , Utilization Management Behavioral…

    Humana (Frankfort, KY)
    case manager required. **Additional Information:** **Workstyle:** Remote work at Home **Location for Registered Nurse :** must reside in the state ... **Required Qualifications:** **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of Virginia or reside… more
    Humana (03/12/25)
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  • Field Care Manager , Behavioral Health

    Humana (Frankfort, KY)
    …of post-degree clinical experience in behavioral health **OR** + Active, unrestricted Kentucky Registered Nurse **( RN )** license with at least three years ... health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate member's needs and requirements… more
    Humana (03/09/25)
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  • Home Health Field Clinician Educator

    CenterWell (Frankfort, KY)
    …of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing the physical, emotional ... of clinicians as they apply knowledge obtained from training into the Home Health environment while following an established orientation model process. He/she… more
    CenterWell (03/20/25)
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