• Clinical Registered Nurse

    Sharecare (Frankfort, KY)
    …for all Sharecare clinicians. **Essential Job** **Functions:** **Achievement of Clinical Objectives** + Reviews status of participant's preventive health exams ... impact of the health care delivery system on the clinical and financial outcomes of the member population and...+ Minimum of 3 years recent experience in a clinical setting. + Basic knowledge of physiology and chronic… more
    Sharecare (01/08/25)
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  • Registered Nurse - Assistant Chief…

    Veterans Affairs, Veterans Health Administration (Lexington, KY)
    …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... Summary This Assistant Chief Nurse (ACN) reports to the Chief of Operations...policies, and objectives for the enhancement of administrative and clinical programs organization-wide, (3) Assist in policy-making activities as… more
    Veterans Affairs, Veterans Health Administration (01/03/25)
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  • Utilization Management Clinical Consultant…

    CVS Health (Frankfort, KY)
    …clinician with Kentucky state licensure (LCSW, LPCC, LMFT, LPAT, LP) or a Registered Nurse (RN) with active current and unrestricted Kentucky state license ... convenient and affordable. **Position Summary** This is a fully remote Utilization Review Clinical Consultant. **MUST RESIDE...Health licensure (LCSW, LPCC, LMFT, LPAT, LP) or a Registered Nurse (RN) with unrestricted state license… more
    CVS Health (01/11/25)
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  • RN, Utilization Management Nurse

    Humana (Lexington, KY)
    …+ **Must live within 30 miles of Lexington or Louisville, Kentucky.** + Licensed Registered Nurse (RN) in the state of Kentucky with no disciplinary action ... put health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Nurse 2 who will utilize clinical nursing skills to support the… more
    Humana (12/03/24)
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  • Consultant, Nurse Disability

    Lincoln Financial Group (Frankfort, KY)
    …as indicated **What we're looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where the ... Carolina); Omaha, NE (Nebraska); Work from Home **Work Arrangement:** Remote : Work at home employee residing outside of...We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization.… more
    Lincoln Financial Group (01/03/25)
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  • Care Manager Behavioral Health - Part Time…

    Highmark Health (Frankfort, KY)
    …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote - Part Time - Weekends Required.** This job implements the effective utilization… more
    Highmark Health (12/12/24)
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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, ... + Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical ...to clinical learning. + Remain current on clinical knowledge via self-directed learning. **Specific Skills/ Attributes:** +… more
    Sharecare (12/04/24)
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  • RN 3B Med Surg Tele FT Days

    Catholic Health Initiatives (Lexington, KY)
    …Integrated Care to Saint Joseph. + The new model consists of a team with a registered nurse , licensed practical nurse and an advanced patient care technician ... Care model.** **Benefits of Virtually Integrated Care (VIC) for Clinical Staff Members are outlined below:** Saint Joseph Hospital...in Nursing (ADN) from an accredited program + Active Registered Nurse Licensure in Kentucky (KY) or… more
    Catholic Health Initiatives (01/06/25)
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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 ... Group **Job Description :** **JOB SUMMARY** This job is responsible for analyzing clinical data to assess potential stop loss and managed care claim liability,… more
    Highmark Health (11/25/24)
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  • Field Care Manager, Behavioral Health

    Humana (Frankfort, KY)
    clinical experience in behavioral health **OR** an active, unrestricted Kentucky Registered Nurse **(RN)** license with at least three years of experience ... Virginia, or West Virginia.** + An active, unrestricted Licensed Masters Clinical Social Worker **(LCSW),** Licensed Professional Clinical Counselor **(LPCC)**… more
    Humana (11/20/24)
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  • Utilization Review Clinician - Behavioral Health

    Centene Corporation (Frankfort, KY)
    …required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required Pay Range: ... changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
    Centene Corporation (01/10/25)
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  • Utilization Management Behavioral Health…

    Humana (Frankfort, KY)
    …Therapist **(LMFT)** , Licensed Professional Counselor **(LPC)** , Psychologist **(PhD)** , Registered Nurse **(RN)** or other professional license. + Three (3) ... independent determination of the appropriate courses of action. + Utilizes clinical knowledge, communication skills, and independent critical thinking skills towards… more
    Humana (11/13/24)
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