• Case Manager

    Elevance Health (Louisville, KY)
    …week in-person with patients, members or providers in Clark County.** The ** Case Manager - LCSW/LSW/LMSW/LMHC/LMFT** (also called the **LTSS Service Coordinator - ... Clinician)** has overall responsibility for the member's case , as required by the IN PathWays for Aging...**How you will make an impact:** + Assists responsible RN in identifying members for high risk complications. +… more
    Elevance Health (03/20/25)
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  • RN Case Manager

    Elevance Health (New Albany, IN)
    …Field associates spend 4-5 days per week in-person with patients, members or providers The ** RN Case Manager ** **(LTSS Service Coordinator- RN )** is ... the scope of licensure; provides supervision and direction to non- RN clinicians participating in the member's case ,...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (02/10/25)
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  • RN Nurse Case Manager

    Elevance Health (Louisville, KY)
    RN Nurse Case Manager II (10:30am - 7:00pm Central Time) JR144435 **Work Hours:** Monday - Friday, 10:30am - 7pm Central Time **Locations** : This ... 50 miles of one our open PulsePoint locations. The ** Nurse Case Manager ll** is...which would provide an equivalent background. + Current, unrestricted RN license in state of residence required. + Multi-state… more
    Elevance Health (03/13/25)
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  • Nurse Case Manager I

    Elevance Health (Louisville, KY)
    Nurse Case Manager I **Location:** This position will work a virtual model. **Our Ideal candidate will live within a 50-mile radius and a 1-hour commute to ... 11:30 am- 8:00 pm EST. Monday thru Friday. The ** Nurse Case Manager I** is...which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Multi-state licensure… more
    Elevance Health (03/20/25)
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  • Nurse Case Manager II

    Elevance Health (Louisville, KY)
    ** Nurse Case Manager II** **Location:** Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal ... 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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  • Nurse Case Manager II (US)

    Elevance Health (Louisville, KY)
    ** Nurse Case Manager II** **Location: This is a virtual position. The ideal candidate would reside within 50 miles of an Elevance Health Pulse Point ... late evening 11:30am to 8:00pm EST per month.** The ** Nurse Case Manager II** is...which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Current and… more
    Elevance Health (03/19/25)
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  • Telephonic Nurse Case Manager

    Elevance Health (Louisville, KY)
    **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Ideal candidates will reside within 50 miles of an Elevance Health Pulse Point ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is...which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Multi-state licensure… more
    Elevance Health (03/13/25)
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  • Telephonic Nurse Case Manager

    Elevance Health (Louisville, KY)
    **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is...which would provide an equivalent background. + Current, unrestricted RN license in applicable state required. + Multi-state licensure… more
    Elevance Health (03/18/25)
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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 of Clinical Services

    St Croix Hospice (Jeffersonville, IN)
    …improvement teams and activities as assigned. Qualifications Qualifications: + Must have current Registered Nurse ( RN ) license in state(s) of practice. + ... Manager of Clinical Services Job Details Level Management...supervision of clinical personnel Essential Job Functions/Responsibilities + Receives case referrals. Reviews available patient information related to … more
    St Croix Hospice (03/21/25)
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  • Manager , Healthcare Services (Remote)

    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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  • 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 ... has responsibility for the selection, orientation and mentoring of new staff. + Performs and promotes interdepartmental/ multidisciplinary integration... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
    Molina Healthcare (02/14/25)
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  • Trainer - Clinical Services - Utilization Review…

    Molina Healthcare (Louisville, KY)
    …knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's ... or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified… more
    Molina Healthcare (03/13/25)
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  • Clinical Care Navigator

    BrightSpring Health Services (Louisville, KY)
    …resources, delivering training, conducting assessments, and developing personalized care plans. As case load allows, this role will also support other high risk ... our highest risk populations. Responsibilities + Along with the Value Based Program Manager and Director of Care Management, builds out the Abode Care Partners GUIDE… more
    BrightSpring Health Services (02/21/25)
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