• Complex Case Manager

    Highmark Health (Frankfort, KY)
    …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (01/25/25)
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  • Registered Nurse - Care…

    Veterans Affairs, Veterans Health Administration (Lexington, KY)
    Summary The RN Care Manager is an essential...level degree in Nursing may have opportunity to become registered as a nurse with a state ... component of the PACT Initiative (Patient Aligned Care Teams). The RN Care Manager provides nursing assessment, telephone triage with advice per protocol,… more
    Veterans Affairs, Veterans Health Administration (01/16/25)
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  • Registered Nurse - Med/Surg…

    Veterans Affairs, Veterans Health Administration (Lexington, KY)
    …to apply. Responsibilities This 1.0 FTEE registered nurse (staff nurse ) is directly responsible to the designated manager in the assigned ... Medical/Surgical area (5Tele); the registered nurse is responsible and accountable for the provision of...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
    Veterans Affairs, Veterans Health Administration (01/15/25)
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  • Registered Nurse Care Manager

    Intermountain Health (Frankfort, KY)
    **Job Description:** Full Time, Monday-Friday 08:00-17:00 PST. The nurse care manager works collaboratively with physicians and other members of the health care ... improve the health of patients with chronic conditions or complex needs. The position educates patients and caregivers to...round at hospitals as needed. **Minimum Qualifications** + Current RN license in state of practice. + Two years… more
    Intermountain Health (01/24/25)
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  • Case Manager , Ltss ( RN )

    Molina Healthcare (Lexington, KY)
    **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who lives in OHIO and must be licensed for the state of OHIO. This position will ... member's health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have … more
    Molina Healthcare (01/18/25)
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  • Case Manager ( RN )

    Molina Healthcare (Lexington, 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) To all current Molina employees: If… more
    Molina Healthcare (01/19/25)
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  • RN Transition of Care Coach - OH Licensure

    Molina Healthcare (Lexington, KY)
    **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must have a current active unrestricted RN license in the state of OH ... (Compact Licensure)_ _Case Manager RN will work in remote setting...population who have recently been admitted into Hospital. The Case Manager will support our members to… more
    Molina Healthcare (01/21/25)
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  • Telephonic Case Manager

    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
    Sedgwick (01/22/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Lexington, KY)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (01/25/25)
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  • Manager , Care Management (Ltss - ABD)

    Humana (Frankfort, KY)
    …in a bordering state/district (Washington DC, MD, WV, KY, TN & NC).** + Active Registered Nurse ( RN ) license, or Licensed Mental Health Professional (LMHP) ... help us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Care Management (LTSS-ABD) who will lead teams of nurses and behavior health… more
    Humana (01/25/25)
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  • Care Manager - Remote

    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
    Sharecare (01/17/25)
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  • Assistant Nurse Manager - ICU

    Veterans Affairs, Veterans Health Administration (Lexington, KY)
    Summary This Assistant Nurse Manager is accountable to the Nurse Manager ICU/PCU. The ANM has 24-hour, 7-days/week shared accountability for the ... performance management leadership skills and clinical skills of a registered nurse at the same grade. The...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
    Veterans Affairs, Veterans Health Administration (01/16/25)
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  • Excess Risk Managed Care Clinician

    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
    Highmark Health (11/25/24)
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