- CVS Health (Frankfort, KY)
- …challenges. We're uniquely positioned to meaningfully improve health outcomes and costs. As Case Manager RN, you will be responsible for assessing, planning, ... implementing, and coordinating all case management activities with members to evaluate the medical...the client and the member's provider. **Required Qualifications** + Registered Nurse that must reside in the… more
- Addiction Recovery Care (Owensboro, 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
- CenterWell (Hopkinsville, KY)
- …community and help us put health first** As a **Home Health Registered Nurse ** , you will: + Provide admission, case management, and follow-up skilled ... for home health patients. + Administer on-going care and case management for each patient, provide necessary follow-up as...Home Health experience a plus + Current and unrestricted Registered Nurse licensure + Current CPR certification… more
- CenterWell (Lexington, KY)
- …of our caring community and help us put health first** As a **Home Health RN Case Manager ** , you will: + Provide admission, case management, and follow-up ... for home health patients. + Administer on-going care and case management for each patient, provide necessary follow-up as...Health experience is a plus + Current and unrestricted Registered Nurse licensure + Current CPR certification… more
- Humana (Frankfort, KY)
- …**Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse (RN) license with no disciplinary action. + Hold ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety...EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
- Humana (Frankfort, KY)
- …us put health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager Nurse 2 who will assess and evaluate member's needs and requirements to ... the care and wellbeing of members. The Field Care Manager Nurse 2 work assignments are varied...in the state of Kentucky. + An active, unrestricted Registered Nurse (RN) license in the state… more
- ChenMed (Louisville, KY)
- …RN with bachelor's degree in a related clinical field preferred. + A valid, active Registered Nurse (RN) license in State of employment required. + A minimum of ... requires possession and maintenance of a valid driver's license. + Certified Case Manager certification is preferred. Certification through the Commission for… more
- Humana (Louisville, KY)
- …+ **Must live within 30 miles of Lexington or Louisville, Kentucky.** + Licensed Registered Nurse (RN) in the state of Kentucky with no disciplinary action ... Healthy Horizons in Kentucky is seeking a Utilization Management Nurse 2 who will utilize clinical nursing skills to...acute care, skilled or Rehabilitation clinical setting. + Certified Case Manager (CCM) + Health Plan experience.… more
- CenterWell (Elizabethtown, 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 ... put health first** $10k Sign on Bonus! 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
- 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
- Molina Healthcare (Lexington, KY)
- …STARs._ **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... **_JOB TITLE: Program Manager : HCS, Clinical Program Design, REGISTERED ...one or more of the following areas: utilization management, case management, care transition and/or disease management. + Minimum… more
- Molina Healthcare (KY)
- …program/process execution to achieve goals **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN license....**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
- Highmark Health (Frankfort, KY)
- …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
- Humana (Frankfort, KY)
- …of post-degree clinical experience in behavioral health **OR** an active, unrestricted Kentucky Registered Nurse **(RN)** license with at least three years of ... Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate...Abuse Disorder (SUD) patients. + Managed Care Experience. + Case Management Certification (CCM). + Experience with behavioral change,… more
- Molina Healthcare (Covington, KY)
- …will be supporting our Appeals and Grievances department. We are seeking a Registered Nurse with previous Appeals and Grievances experience and a clinical ... align with Molina auditing policy and protocols + Assists Manager with data for team member performance reviews +...production levels are maintained + Performs monthly auditing of registered nurse and other clinical functions in… more
- 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
- 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 ... nurses play a vital part. We know that every nurse 's path and purpose is unique. Do you want...physician's orders and under the supervision of the Clinical Manager . **What you will do in this role:** +… more
- Molina Healthcare (KY)
- **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management ... resolve/correct them. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN) Program and Associate's or bachelor's… more
- CenterWell (Lexington, KY)
- …control and attendance **Use your skills to make an impact** **Required Qualifications** + Registered Nurse (RN license) + Minimum of 4 years of experience ... care with experience in transition of care, discharge planning, etc + Case Management + Familiarity with state Medicaid guidelines and application processes… more