• Case Manager (bilingual Chinese)

    Molina Healthcare (Lexington, KY)
    …provides care coordination and assistance to member to address concerns. + Collaborates with RN case managers/supervisors as needed or required + Case ... the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Molina's...of the following: Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN)… more
    Molina Healthcare (01/25/25)
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  • Case Manager , Ltss ( RN )

    Molina Healthcare (Lexington, KY)
    **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who lives in OHIO and must be licensed for the state of OHIO. This position will ... health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have complex… more
    Molina Healthcare (01/18/25)
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  • Case Manager ( RN )

    Molina Healthcare (Lexington, KY)
    …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (01/19/25)
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  • RN Case Manager Home Health…

    CenterWell (Lexington, KY)
    …of Purpose Home Health is ready to provide You this and More! As a **Home Health RN Case Manager ** , you will: + Provide admission, case management, ... help us put health first** $10k Sign on Bonus RN - The Home Health Nurse , RN...Health experience is a plus + Current and unrestricted Registered Nurse licensure + Current CPR certification… more
    CenterWell (11/19/24)
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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 (01/22/25)
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  • Complex Case Manager RN

    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 (01/25/25)
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  • Registered Nurse ( RN )

    Addiction Recovery Care (Owenton, KY)
    …entrepreneurship, and stewardship are key elements of every thing we do! We are hiring a Registered Nurse for our growing team! As a Registered Nurse ... team-oriented, environment helping individuals overcome substance abuse addiction. The Registered Nurse is a vital member of...health. + Have the ability to communicate with the Case Manager and assist in ensuring the… more
    Addiction Recovery Care (12/24/24)
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  • RN Transition of Care Coach - OH Licensure

    Molina Healthcare (Lexington, KY)
    **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must have a current active unrestricted RN license in the state of OH ... (Compact Licensure)_ _Case Manager RN will work in remote setting...population who have recently been admitted into Hospital. The Case Manager will support our members to… more
    Molina Healthcare (01/21/25)
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  • Registered Nurse - Care…

    Veterans Affairs, Veterans Health Administration (Lexington, KY)
    Summary The RN Care Manager is an essential...level degree in Nursing may have opportunity to become registered as a nurse with a state ... component of the PACT Initiative (Patient Aligned Care Teams). The RN Care Manager provides nursing assessment, telephone triage with advice per protocol,… more
    Veterans Affairs, Veterans Health Administration (01/16/25)
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  • Registered Nurse - Med/Surg…

    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); the registered nurse is responsible and accountable for the provision of...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
    Veterans Affairs, Veterans Health Administration (01/15/25)
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  • Registered Nurse Care Manager

    Intermountain Health (Frankfort, KY)
    **Job Description:** Full Time, Monday-Friday 08:00-17:00 PST. The nurse care manager works collaboratively with physicians and other members of the health care ... round at hospitals as needed. **Minimum Qualifications** + Current RN license in state of practice. + Two years...Two years of hospital floor clinical nursing experience and/or Nurse Care Management experience. + Able to multitask and… more
    Intermountain Health (01/24/25)
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  • Excess Risk Managed Care Clinician

    Highmark Health (Frankfort, KY)
    …Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... data to assess potential stop loss and managed care claim liability, utilizing Case Management oversight techniques to ensure front line case management and… more
    Highmark Health (11/25/24)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Lexington, 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 (01/25/25)
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  • RN Clinical Manager , Home Health

    CenterWell (Lexington, KY)
    …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... community and help us put health first** The **Clinical Manager ** coordinates and oversees all direct care patient services...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
    CenterWell (11/12/24)
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  • RN , Field Care Manager Nurse

    Humana (Frankfort, KY)
    …residence within 30 to 40 miles in the state of Kentucky. + An active, unrestricted Registered Nurse ( RN ) license in the state of Kentucky. + Two (2) ... Healthy Horizons in Kentucky is seeking a Field Care Manager Nurse 2 who will assess and...experience. + Bilingual - English, Spanish. + Certification in Case Management. + Motivational Interviewing Certification and/or knowledge. **Additional… more
    Humana (11/19/24)
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  • PRN RN

    HCA Healthcare (Lexington, KY)
    …Basic Cardiac Life Support must be obtained within 30 days of employment start date + Registered Nurse + Drivers License + Associate Degree, or Registered ... any other healthcare provider. We are seeking a(an) PRN RN to join our healthcare family. **Benefits** Frankfort Regional...nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want… more
    HCA Healthcare (01/04/25)
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  • Care Manager RN - Weekends (Remote)

    Highmark Health (Frankfort, KY)
    …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
    Highmark Health (01/07/25)
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  • Manager , Care Management (Ltss - ABD)

    Humana (Frankfort, KY)
    …in a bordering state/district (Washington DC, MD, WV, KY, TN & NC).** + Active Registered Nurse ( RN ) license, or Licensed Mental Health Professional (LMHP) ... first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management (LTSS-ABD) who will lead teams of...Three (3) or more years of professional experience in case management, in Medicare and/or Medicaid, specifically in the… more
    Humana (01/25/25)
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  • Care Manager - Remote

    Sharecare (Frankfort, KY)
    …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care… more
    Sharecare (01/17/25)
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  • Manager , Operations - VBCM

    Sharecare (Frankfort, KY)
    …of Sharecare with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred. + Bachelor's degree ... more, visit www.sharecare.com . **Job Summary:** The VBCM Operations Manager will report to the Director of Clinical Care...a variety of areas such as integration activities, audits, case management and site visits in collaboration with the… more
    Sharecare (01/17/25)
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