- Insmed Incorporated (Louisville, KY)
- …Women™, Best Workplaces for Millennials™, and Best Medium Workplaces™ lists.OverviewAs a Pharmaceutical Case Manager , you will play a critical role within Insmed ... This is not a supervisory position.ResponsibilitiesResponsibilities: Patient Support & Case Management: Manage the patient journey, from initial prescription receipt… more
- 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
- Molina Healthcare (Louisville, KY)
- …waiver services. **Preferred License, Certification, Association** Active and unrestricted Certified Case Manager (CCM) To all current Molina employees: If ... members on Waiver program. This position will have a case load and manage members enrolled in this program....who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are… more
- CenterWell (Louisville, KY)
- …of our caring community and help us put health first** As a **Home Health RN Case Manager ** , you will: + Provide admission, case management, and follow-up ... for home health patients. + Administer on-going care and case management for each patient, provide necessary follow-up as...patient, provide necessary follow-up as directed by the Clinical Manager . + Confer with physician in developing the initial… more
- 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
- 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 (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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- Travelers Insurance Company (Frankfort, KY)
- …with insured based on application of policy information to facts or allegations of each case . + Consult with Manager on use of Claim Coverage Counsel as needed. ... as strategically appropriate. + Complete outside investigation as needed per case specifics. + Utilize evaluation documentation tools in accordance with department… more
- 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
- 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
- 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
- Molina Healthcare (Louisville, KY)
- …our Medicare/Medicaid population who have recently been admitted into Hospital. The Case Manager will support our members to ensure successful transition ... Association** Active, unrestricted Transitions of Care Sub-Specialty Certification and/or Certified Case Manager (CCM) To all current Molina employees: If… more
