- 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
- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- Summary The Registered Nurse First Assistant OR Circulator is responsible and accountable for all elements of the nursing process when providing and/or ... position includes First Assisting, OR circulating and surgical scrub duties. Responsibilities Registered Nurse First Assistants (RNFAs) are functioning in an… more
- 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
- Molina Healthcare (Louisville, 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 (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) To all current Molina employees: If… more
- Molina Healthcare (Louisville, 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 CA._ ... _Case Manager RN will work in remote setting supporting our Medicare/Medicaid...population who have recently been admitted into Hospital. The Case Manager will support our members to… more
- Elevance Health (Louisville, KY)
- ** Nurse Case Manager II**... is preferred. + Compact license preferred. + Kentucky RN License strongly preferred. + Case Management ... state of Kentucky. **Schedule:** 11AM - 8 PM The ** Nurse Case Manager II** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… 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
- Molina Healthcare (Louisville, 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
- 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
- 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
- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- …Healthcare System, Louisville, Kentucky is currently recruiting for a Assistant Nurse Manager -Med-Surg/Tele 4S in Louisville, Kentucky 603. Responsibilities The ... Assistant Nurse Manager (ANM) supports the ...related degrees. Preferred Experience: 2 years experience as a Registered Nurse Previous leadership experience preferred Experience… 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
- Elevance Health (Louisville, KY)
- ** Nurse Care Manager Senior - LGBTIA+/ Transgender...or BS in nursing preferred. + Certification as a Case Manager is preferred. + Certification in the ... work **12:30 PM** **to 9 PM EST** **.** The ** Nurse Care Manager Senior** is responsible for...activities within the scope of licensure for members with complex and chronic care needs. **How you will make… 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
- Elevance Health (Louisville, KY)
- …10 am - 7 pm (EST) shift rotation twice a month.** The **Medical Management Nurse ** is responsible for reviewing the most complex or challenging cases that ... consultation to the Medical Director on particularly peculiar or complex cases as the nurse deems appropriate....skills and nursing judgment and experience. + Collaborates with case management nurses on discharge planning, ensuring the patient… more