• RN Case Manager , Home Health…

    CenterWell (Louisville, KY)
    …a part of our caring community and help us put health first** As a **Home Health RN Case Manager ** , you will: + Provide admission, case management, ... for home health patients. + Administer on-going care and case management for each patient, provide necessary follow-up as...Health experience is a plus + Current and unrestricted Registered Nurse licensure + Current CPR certification… more
    CenterWell (01/14/25)
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  • RN Case Manager -New…

    Elevance Health (Louisville, KY)
    …or providers in the following counties: Scott, Clark, Floyd, and Harrison counties.** The ** RN Case Manager ** **(LTSS Service Coordinator- RN )** is ... the scope of licensure; provides supervision and direction to non- RN clinicians participating in the member's case ,...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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  • 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...**How you will make an impact:** + Assists responsible RN in identifying members for high risk complications. +… more
    Elevance Health (01/11/25)
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  • Complex Case Manager RN

    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 (11/20/24)
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  • Registered Nurse ( RN )

    Addiction Recovery Care (Owenton, KY)
    …entrepreneurship, and stewardship are key elements of every thing we do! We are hiring a Registered Nurse for our growing team! As a Registered Nurse ... team-oriented, environment helping individuals overcome substance abuse addiction. The Registered Nurse is a vital member of...health. + Have the ability to communicate with the Case Manager and assist in ensuring the… more
    Addiction Recovery Care (12/24/24)
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  • Nurse Care Manager Senior - LGBTIA+/…

    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 ... this team, you could work **12:30 PM** **to 9 PM EST** **.** The ** Nurse Care Manager Senior** is responsible for collaborating with healthcare providers and/or… more
    Elevance Health (01/03/25)
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  • Acute Care Nurse

    ChenMed (Louisville, KY)
    RN with bachelor's degree in a related clinical field preferred. + A valid, active Registered Nurse ( RN ) license in State of employment required. + A ... requires possession and maintenance of a valid driver's license. + Certified Case Manager certification is preferred. Certification through the Commission for… more
    ChenMed (10/21/24)
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  • Registered Nurse -Certified…

    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
    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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  • RN , Utilization Management Nurse

    Humana (Louisville, KY)
    …Qualifications** + **Must live within 30 miles of Lexington or Louisville, Kentucky.** + Licensed Registered Nurse ( RN ) in the state of Kentucky with no ... Healthy Horizons in Kentucky is seeking a Utilization Management Nurse 2 who will utilize clinical nursing skills to...acute care, skilled or Rehabilitation clinical setting. + Certified Case Manager (CCM) + Health Plan experience.… more
    Humana (12/03/24)
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  • Medical Claim Review Nurse ( RN )

    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
    Molina Healthcare (01/18/25)
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  • RN , Clinical Manager Home Health…

    CenterWell (Louisville, KY)
    …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... care to all patients served by the location. Receives case referrals. Reviews available patient information related to the...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
    CenterWell (01/14/25)
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  • RN , Field Care Manager Nurse

    Humana (Frankfort, KY)
    …residence within 30 to 40 miles in the state of Kentucky. + An active, unrestricted Registered Nurse ( RN ) license in the state of Kentucky. + Two (2) ... Healthy Horizons in Kentucky is seeking a Field Care Manager Nurse 2 who will assess and...experience. + Bilingual - English, Spanish. + Certification in Case Management. + Motivational Interviewing Certification and/or knowledge. **Additional… more
    Humana (11/19/24)
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  • Care Manager RN - Weekends (Remote)

    Highmark Health (Frankfort, KY)
    …resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors ... with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable state, federal… more
    Highmark Health (01/07/25)
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  • Care Manager Behavioral Health - Part Time…

    Highmark Health (Frankfort, KY)
    …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... resource utilization, identification of opportunities for referral to a Health Coach/ case management, and identification and resolution of quality issues. Monitors… more
    Highmark Health (12/12/24)
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  • Care Manager , Telephonic Behavioral Health

    Humana (Frankfort, KY)
    …managed care experience **OR** A current, valid, and unrestricted nursing license to include: ** Registered Nurse ( RN )** with; + Must have clinical experience ... and help us put health first** The Telephonic Care Manager (Autism Care Navigator) serves as a primary advocate...+ Minimum of 1 year of managed care and case management experience + An active designation as a… more
    Humana (01/16/25)
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  • Field Care Manager , Behavioral Health

    Humana (Frankfort, KY)
    …of post-degree clinical experience in behavioral health **OR** an active, unrestricted Kentucky Registered Nurse **( RN )** license with at least three years ... Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate...Abuse Disorder (SUD) patients. + Managed Care Experience. + Case Management Certification (CCM). + Experience with behavioral change,… more
    Humana (11/20/24)
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  • Care Manager - Remote

    Sharecare (Frankfort, KY)
    …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based...an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care… more
    Sharecare (01/17/25)
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  • Assistant Nurse Manager

    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
    Veterans Affairs, Veterans Health Administration (01/16/25)
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  • Senior Manager , PV Operations

    Takeda Pharmaceuticals (Frankfort, KY)
    …of contact for vendor operations and vendor oversight, including vendors performing case management, case intake (ie, Call Centers), scientific literature ... contact for vendor operations including the PV BPO vendor and/or vendors performing case management, case intake, literature review; call centers + Provide… more
    Takeda Pharmaceuticals (01/10/25)
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