- Highmark Health (Frankfort, KY)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote ** This job has primary ownership and oversight over a specified panel of members ... interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are...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
- 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 (Frankfort, KY)
- …+ Licensed Marriage and Family Therapist (LMFT) + Licensed Behavior Specialist + Registered Nurse . **Preferred** + None **SKILLS** + Working knowledge of ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote - Part Time - Weekends Required.** This job implements the effective utilization… more
- 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
- 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
- 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 (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...to troubleshoot and resolve basic technical difficulties in a remote environment. + This role is considered patient facing… 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
- 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
- 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