- Highmark Health (Frankfort, KY)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Pediatric Complex Case Management** This job owns and conducts oversight over a specified ... and / or health insurance experience **Preferred** + **Pediatric Complex Case Management Experience** + Advanced training...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- Summary The Case Management (CM) Registered Nurse ( RN ) executes position responsibilities that demonstrate leadership, experience, and creative ... approaches in providing complex patient management. Responsibilities Provides patient management, care coordination,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Somatus (Madisonville, KY)
- …settings. + 2+ years healthcare related experience. + Current, unrestricted compact Registered Nurse license + Requires all teammates to maintain current, ... well-being + Community engagement opportunities + And more! The RN Care Manager is a critical member...and physicians. This position will be working closely with complex renal patients in their home, dialysis center, by… more
- Molina Healthcare (Louisville, 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) BILINGUAL SPANISH PREFERRED** To all… more
- Elevance Health (Louisville, KY)
- …contracts, member benefits, and managed care products preferred. + Certification as a Case Manager is preferred. + Previous work from home/remote experience is ... business hours, 8:30 am - 5:00 pm.** **The Transplant Nurse II** is responsible for providing case ...and to promote effective use of resources for more complex medical transplant issues. + Ensures medically appropriate, high… more
- CenterWell (Lexington, KY)
- …infection control and attendance **Use your skills to make an impact** **Required Qualifications** + Registered Nurse ( RN license) + Minimum of 4 years of ... triage guidance and supportive consultation to other team members, handling escalated complex cases + Develop care plans leveraging 5Ms Geriatric best practice… more
- 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
- Humana (Frankfort, KY)
- …**Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety... RN Care Managers. Day In The Life RN SNP Care Manager - YouTube (https://www.youtube.com/watch?v=0jjvY9dTpCg)… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …customer satisfaction throughout the continuum of care. Responsibilities The Registered Nurse - Nurse Manager (OR) demonstrates sound decision-making and ... Summary The Nurse Manager of the Operating Room...Nurse Operating Room certification through Association of PeriOperative Registered Nurse Physical Requirements: It is VA… more
- Evolent (Frankfort, KY)
- …Required + Licensed Clinical Social Worker (LCSW), Licensed Mental Health Counselor (LMHC), or Registered Nurse ( RN ), Required + 3-5 years of behavioral ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...population. **What You'll Be Doing:** + The Behavioral Health Case Manager (LCSW or LMHC) will connect… more
- CenterWell (Frankfort, KY)
- …+ Bachelor's Degree + 3-5 years of clinical acute care experience + Licensed Registered Nurse ( RN ) in the appropriate state with no disciplinary ... community and help us put health first** The Care Manager , Telephonic Nurse 2 , in a...IN, FL or AZ **Preferred Qualifications:** + Experience with case management, discharge planning and patient education for adult… more
- Sharecare (Frankfort, KY)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence… 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
- J&J Family of Companies (Frankfort, KY)
- …Site or Cell & Gene therapy Treatment Center/Site of Care Certification and Activation + RN license or Advanced Practice degree ( Nurse Practitioner / PA / PharmD ... Johnson & Johnson is recruiting for a field-based Site Activation CAR-T Senior Manager , Cell Therapy Experience Lead to support the United States. This is a field… more
- Gilead Sciences, Inc. (Louisville, KY)
- …for providers to enroll patients in Gilead patient support programs. Work directly with case managers to resolve complex patient access questions in a timely ... the lives of patients with life-threatening illnesses worldwide. The **Sr.** **Field Reimbursement Manager - HIV Prevention (** **Sr. FRM)** plays a critical role in… more
- Chemours (Louisville, KY)
- …injury and illness and assist in case management for prolonged or complex illnesses/injuries. The Occupational Health Nurse will maintain medical records in ... team. This position will report directly to the **Regional Nurse Manager ** at our **Louisville, KY** location....hazard assessments + Interact with site HR, Safety, Plant Manager , and Leave Coordinator + Case manage… more
- Elevance Health (Louisville, KY)
- …The Med Mgmt Nurse is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment ... with diagnosis. + Provide consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate. May make recommendations on… more
- Bon Secours Mercy Health (Paducah, KY)
- …Nurse Liaison (CNL) functions in the role of expert clinician, educator, consultant, case manager , and researcher. In collaboration with the medical staff and ... members of the health care team to problem solve complex clinical situations for specialty needs of patients. 2....or related health care field (preferred) **Licensure/Certification:** + Current RN License in the state of Kentucky Many of… more
- Elevance Health (Louisville, KY)
- …planning experience preferred. + AS or BS in nursing preferred. + Certification as a Case Manager is preferred. For candidates working in person or remotely in ... - 7am CST or 11am - 8pm EST.** The Nurse Care Mgr I is responsible for collaborating with...activities within the scope of licensure for members with complex and chronic care needs. Primary duties may include,… more