• Field Care Manager

    Humana (Frankfort, KY)
    …and help us put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate ... the care and wellbeing of members. The Field Care Manager , Behavioral Health...experience in behavioral health **OR** + Active, unrestricted Kentucky Registered Nurse **( RN )** license with… more
    Humana (03/09/25)
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  • Registered Nurse - Progressive…

    Veterans Affairs, Veterans Health Administration (Lexington, KY)
    nurse ) is directly responsible to the designated manager of the Progressive Care Unit (PCU); the registered nurse , provides an environment for the ... in the adult population. Responsibilities The registered nurse is responsible for assuring continuity of care...Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing… more
    Veterans Affairs, Veterans Health Administration (03/09/25)
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  • Care Manager RN (Delaware)…

    Highmark Health (Frankfort, KY)
    …+ Experience in UM/CM/QA/Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse ( RN ) license + Delaware RN license ... consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable… more
    Highmark Health (02/20/25)
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  • Remote Program Manager , HCS - RN

    Molina Healthcare (Lexington, KY)
    …materials and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Manager for Healthcare Services available for either RN or a Behavioral Health Specialist who has a...Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
    Molina Healthcare (03/04/25)
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  • Utilization Review RN

    Catholic Health Initiatives (Lexington, KY)
    Care Coordinators and other stakeholders regarding review outcomes. 5. Collaborates with facility RN Care Coordinators to ensure progression of care . 6. ... Licensure and Certifications** + State issued license as a Registered Nurse as outlined below + KentuckyRN:KY...or Compact **Preferred Licensure and Certifications** + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN more
    Catholic Health Initiatives (03/04/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Lexington, KY)
    …state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing. ... **PREFERRED EDUCATION:** Bachelors's Degree in Nursing or Health Related Field **PREFERRED EXPERIENCE:** Nursing experience in Critical Care , Emergency Medicine,… more
    Molina Healthcare (01/25/25)
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  • Manager , Transition Care Management

    Humana (Frankfort, KY)
    …a bordering state/district (Washington DC, MD, WV, KY, TN & NC).** + Active Registered Nurse ( RN ) license, **OR** Licensed Mental Health Practitioner (LHMP) ... Humana Healthy Horizons in Virginia is looking for a Manager , Transition Care Management ( Manager ,...is higher. **Preferred Qualifications** + Previous experience in a field based or a homecare-based role. + Master's degree… more
    Humana (03/04/25)
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  • Medical Surgical Nurse Manager

    HCA Healthcare (Frankfort, KY)
    …date; Graduate Degree in healthcare related field preferred. + Current licensure as a Registered Nurse ( RN ) in the state of Kentucky or compact state ... United Kingdom. We are looking for a Medical Surgical Nurse Manager for our Frankfort Regional Medical...growth, apply to join HCA Healthcare as a Med/Surg RN Manager . Unlock your leadership potential with… more
    HCA Healthcare (03/05/25)
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  • Manager , Healthcare Services (Remote)

    Molina Healthcare (Lexington, KY)
    …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Long-Term Services & Supports for Molina members. Oversees Interdisciplinary Care Team meetings. + Functions as hands-on manager... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
    Molina Healthcare (03/07/25)
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  • Manager , HCS Clinical Policy - Medicare…

    Molina Healthcare (Lexington, KY)
    …identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational ... multidisciplinary integration and collaboration to enhance the continuity of care + Functions as hands-on manager responsible... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
    Molina Healthcare (02/14/25)
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  • Surgical First Assistant

    Growth Ortho (Lexington, KY)
    …and under the direction of the Registered Nurse Promptly advises the Registered Nurse taking care of the patient about the patient's status or ... Surgical First Assistant (SFA) reports to the Operating Room Manager . Surgical First Assistant Roles and Responsibilities: Assembles supplies...by the Circulating Nurse to the sterile field to be administered by the RN more
    Growth Ortho (02/23/25)
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  • Trainer - Clinical Services - Utilization Review…

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

    CenterWell (Frankfort, KY)
    …key initiatives. **Use your skills to make an impact** **Qualifications** + Clinical ( RN , social work or other healthcare field ) training or bachelor's degree ... Education team and falls under the Clinical Excellence Department of the Primary Care Organization. This individual will serve as the face of provider education from… more
    CenterWell (03/06/25)
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