• FML Claims Case Manager II

    Guardian Life (Frankfort, KY)
    …to be the best at what they do. **Position Objective** : The FML Claims Case Manager II is responsible for proactively managing Leave of Absence programs and ... and Disability Case Managers, Risk Management. The FML Claims Case Manager II recognizes the importance of compliance and regulatory adherence, customer… more
    Guardian Life (12/06/24)
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  • Crisis Case Manager , HSPRS

    International Rescue Committee (Louisville, KY)
    Requisition ID: req56222 Job Title: Crisis Case Manager , HSPRS Sector: Social Work Employment Category: Fixed Term Employment Type: Full-Time Compensation: USD ... children to resources in the community (Post Release Services). The Crisis Case Manager (Level 3) conducts Home Studies to determine a potential sponsor's… more
    International Rescue Committee (11/19/24)
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  • RN Case Manager -New…

    Elevance Health (Louisville, KY)
    …in the following counties: Scott, Clark, Floyd, and Harrison counties.** The **RN Case Manager ** **(LTSS Service Coordinator- RN)** is responsible for overall ... management of member's case within the scope of licensure; provides supervision and...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (01/11/25)
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  • High Fidelity Wraparound Case

    CVS Health (Louisville, KY)
    …care more personal, convenient and affordable. **Position Summary** The High-Fidelity Wraparound (HFW) Case Manager (CM) is a person who safeguards that the ... member outcomes and care planning components with appropriate engagement of clinical case management or crisis intervention as appropriate. - * Coordinates and… more
    CVS Health (12/06/24)
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  • High Fidelity Wraparound Field Case

    CVS Health (Frankfort, KY)
    …care more personal, convenient and affordable. **Position Summary** The High-Fidelity Wraparound (HFW) Case Manager (CM) is a person who safeguards that the ... member outcomes and care planning components with appropriate engagement of clinical case management or crisis intervention as appropriate. - + Coordinates and… more
    CVS Health (12/19/24)
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  • Targeted Case Manager

    Addiction Recovery Care (Springfield, KY)
    …and stewardship are key elements of every thing we do! We are hiring a Targeted Case Manager for our growing team! The Targeted Case Manager ... for purposes of ADA reasonable accommodation. All reasonable accommodation requests will be reviewed and evaluated on a case -by- case basis. Powered by JazzHR more
    Addiction Recovery Care (11/16/24)
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  • Telephonic Nurse Case Manager II

    Elevance Health (Louisville, KY)
    **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** ... within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management within the scope of licensure… more
    Elevance Health (01/10/25)
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  • LOA Case Manager I

    CVS Health (Frankfort, KY)
    …and related Colleague Services through a strong commitment to colleague experience. The Case Manager , Enterprise Absence Management will be responsible for using ... a review for the ADA, update and assign the case for Reasonable Accommodation review + Research and resolve...the customer first + All other leave of absence case management duties assigned by Case Management… more
    CVS Health (01/09/25)
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  • Case Manager

    Elevance Health (Louisville, KY)
    …the following counties: Scott, Clark, Floyd, and Harrison counties.** The ** Case Manager - LCSW/LSW/LMSW/LMHC/LMFT** (also called the **LTSS Service Coordinator ... - Clinician)** has overall responsibility for the member's case , as required by the IN PathWays for Aging...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (01/11/25)
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  • O&M Case Manager

    Sunrun (Frankfort, KY)
    …in through our commitment to diversity, inclusion and belonging. **Overview** The O&M Case Manager is responsible for coordinating effective execution of field ... and is results-driven complemented by appropriate process orientation + An excellent time manager , able to balance multiple projects and priorities on a variety of… more
    Sunrun (11/15/24)
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  • Sr Coordinator, Individualized Care ( Case

    Cardinal Health (Frankfort, KY)
    …supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the healthcare providers through the various process steps in support of their patient's journey to therapy. These steps include… more
    Cardinal Health (12/25/24)
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  • Complex Case Manager RN (Remote)

    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 a care plan, encouraging behavior… more
    Highmark Health (11/20/24)
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  • Case Manager

    BrightSpring Health Services (Louisville, KY)
    …pre-screening assessments, completion of pre-screening reports, and preparation of case proposals and other related pre-admission paperwork (ie, obtains ... levels with third party payer. + Contacts referral sources to advise them of case acceptance and provides information on the clinical team responsible for client's … more
    BrightSpring Health Services (12/10/24)
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  • Clinical Case Manager Behavioral…

    CVS Health (Frankfort, KY)
    …of available resources and optimal, cost-effective outcomes. + Telephonic clinical case management with Medicare population. + Uses Motivational Interviewing and ... engagement interventions to optimize member participation in case management programs. + Completes a Comprehensive Assessment and Plan of care. + Will document in… more
    CVS Health (01/10/25)
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  • LTSS Service Coordinator ( Case

    Elevance Health (Louisville, KY)
    …highly preferred + Experience managing a community and/or facility-based care management case load, highly preferred + BA/BS degree field of study in health ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
    Elevance Health (12/17/24)
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  • Senior Individualized Coordinator ( Case

    Cardinal Health (Frankfort, KY)
    …to learn + Prior knowledge of UCB processes and services **_Responsibilities:_** Case Managers must demonstrate a willingness to assist external and internal ... customers, create and complete applications for enrollment within program timeframes, review forms and supporting documentation thoroughly for any missing or new information, handle inbound and outbound correspondence when necessary to support the needs of the… more
    Cardinal Health (12/18/24)
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  • Case Management Processor - Remote (must…

    Molina Healthcare (Louisville, KY)
    …Reviews data to identify principal member needs and works under the direction of the Case Manager to implement care plan. + Schedules member visits with team ... Provides telephone, clerical, and data entry support for the Case Management team. + Responsible for initial review of...Management team. + Responsible for initial review of assigned case levels to assist in Case Management… more
    Molina Healthcare (01/13/25)
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  • Nurse Care Manager Senior - LGBTIA+/…

    Elevance Health (Louisville, KY)
    …is strongly preferred. + AS or BS in nursing preferred. + Certification as a Case Manager is preferred. + Certification in the American Association of Managed ... **Nurse Care Manager Senior - LGBTIA+/ Transgender Community** **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and… more
    Elevance Health (01/03/25)
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  • Acute Care Nurse

    ChenMed (Louisville, KY)
    …requires possession and maintenance of a valid driver's license. + Certified Case Manager certification is preferred. Certification through the Commission for ... Case Manager Certification (CCMC) or the American Association of Managed Care Nurses (CMCN) desired. We're ChenMed and we're transforming healthcare for seniors… more
    ChenMed (10/21/24)
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  • Excess Risk Managed Care Clinician

    Highmark Health (Frankfort, KY)
    …**LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language (Other than English):** None **Travel ... 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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