- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- CVS Health (Frankfort, KY)
- …And we do it all with heart, each and every day. **Position Summary** Job Summary: The Care Manager - Registered Nurse is a key member of our Special Needs ... . Meets regulatory requirements within specified timelines. . The Care Manager RN supports other...skills. **Required Qualifications** . Must have active and unrestricted Registered Nurse ( RN ) licensure in… more
- Sharecare (Frankfort, KY)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- ChenMed (Louisville, KY)
- …providers. We're rapidly expanding and we need great people to join our team. The Registered Nurse , Care Line, is responsible for providing telephonic triage ... directional patient care advice for general and specific illnesses, health related...license and as possible given technology and medium. The registered nurse collaborates with primary caregivers and… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …of the EDRP application. Former EDRP participants ineligible to apply. Responsibilities This Assistant Nurse Manager is accountable to the Nurse Manager ... include effective labor and performance management leadership skills and clinical skills of a registered nurse at the same grade. The nurse provides… more
- Molina Healthcare (Covington, KY)
- …and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... to overarching strategy to provide quality and cost-effective member care . This position will be supporting our Appeals and...our Appeals and Grievances department. We are seeking a Registered Nurse with previous Appeals experience. The… more
- CenterWell (Frankfort, KY)
- …**Use your skills to make an impact** **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license with authorization to practice in ... individual circumstances and company policy. **This is not a remote or work-from-home position. This position requires you to...insurance and reliable transportation. + Two years as a Registered Nurse ( RN ) with at… more
- Sharecare (Frankfort, KY)
- …that will positively impact the greater team and aid in their personal development as a Care Manager . + Provide performance management for the team of Care ... of Sharecare with leadership practices. **Qualifications:** + Current licensure as a Registered Nurse is required; Compact state preferred + Bachelor's degree… more
- Humana (Frankfort, KY)
- … care experience **OR** A current, valid, and unrestricted nursing license to include: ** Registered Nurse ( RN )** with; + Must have clinical experience in: ... community and help us put health first** The Telephonic Care Manager (Autism Care Navigator)...Extensive analytical skills + Bilingual a plus **Work at Home/ Remote Requirements** : To ensure Home or Hybrid Home/Office… more
- Centene Corporation (Frankfort, KY)
- …management experience** **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs ... members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental… more
- Humana (Frankfort, KY)
- …help us put health first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and providers, with full accountability ... from strategy to execution. The Lead Product & Strategy Manager - Provider Practice Management role is a critical member of the multidisciplinary clinical… more
- Sedgwick (Louisville, KY)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus **This Field Case Manager will cover our Louisville, KY ... have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE OF THE ROLE:**...on the health and lives of others, and a remote work environment that allows face to face interaction… more
- Humana (Frankfort, KY)
- …each day between 6AM and 9AM in their home time zone. **Required Qualifications** + Active Registered Nurse ( RN ) license in the state they reside. + Minimum ... caring community and help us put health first** The Nurse Auditor 2 performs clinical audit/validation processes to ensure...as ER, OR, Pre-op, PACU,L&D, mother-baby, behavioral health, SNF, care manager /discharge manager , LTC, rehab,… more
- CenterWell (Frankfort, KY)
- …initiatives. **Use your skills to make an impact** + Current and unrestricted Registered Nurse licensure (in the state of practice) _preferred_ + Minimum ... operations to ensure the following: operational efficiencies, quality of patient care , regulatory compliance, support of business development & patient base growth,… more
- CenterWell (Frankfort, KY)
- **Become a part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN who will collaborate with other health care ... Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care...+ Career development opportunities Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- CenterWell (Frankfort, KY)
- …their lives, the lives of our patients, and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health ... Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care...culture and much more. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- CenterWell (Frankfort, KY)
- …and help us put health first** Who We Are Humana's CenterWell Senior Primary Care Organization is one of the largest and fastest growing value-based care , ... who need it the most. We're a fast-growing organization changing how clinical care is delivered - using innovation, data, and technology to keep patients healthier.… more