• 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 (03/13/25)
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  • Registered Nurse - Case

    Veterans Affairs, Veterans Health Administration (Lexington, KY)
    Summary Registered Nurse Case Managers...productive patient management. The incumbent may serve as the case manager for multiple areas in the ... level degree in Nursing may have opportunity to become registered as a nurse with a state...are not creditable as related degrees. Preferred Experience: Previous case manager experience preferred Reference: For more… more
    Veterans Affairs, Veterans Health Administration (03/22/25)
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  • Care Manager , Registered

    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 ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
    Sharecare (03/19/25)
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  • Registered Nurse - ICU

    Veterans Affairs, Veterans Health Administration (Lexington, KY)
    Summary The registered nurse (staff nurse ) is directly responsible to the designated manager in the assigned critical care area; the registered ... carrying multi-system failure in the adult population. Responsibilities The registered nurse (staff nurse ) is...(may be extended up to two years on a case -by- case -basis.) NOTE: Grandfathering Provision - All persons… more
    Veterans Affairs, Veterans Health Administration (03/15/25)
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  • Registered Nurse - Emergency…

    Veterans Affairs, Veterans Health Administration (Lexington, KY)
    Summary This position is for a Registered Nurse ( RN ) in the Emergency Room at the Lexington VA Health Care System. The RN is directly responsible to the ... nursing care to a culturally diverse Veteran population with complex needs. Must possess the knowledge and skills to...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (03/18/25)
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  • Case Manager , RN

    CAI (Frankfort, KY)
    …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! ... apply now. **Job Description** We are looking for a Case Manager , RN to provide...duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of… more
    CAI (02/01/25)
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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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  • Assistant Nurse Manager - ICU/PCU

    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 (03/22/25)
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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 ... or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified… more
    Molina Healthcare (03/13/25)
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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 (02/24/25)
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