- Elevance Health (Louisville, KY)
- …week in-person with patients, members or providers in Clark County.** 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 (Louisville, KY)
- RN Nurse Case Manager II (10:30am - 7:00pm Central Time) JR144435 **Work Hours:** Monday - Friday, 10:30am - 7pm Central Time **Locations** : This ... 50 miles of one our open PulsePoint locations. The ** Nurse Case Manager ll** is...which would provide an equivalent background. + Current, unrestricted RN license in state of residence required. + Multi-state… more
- Elevance Health (Louisville, KY)
- Nurse Case Manager I **Location:** This position will work a virtual model. **Our Ideal candidate will live within a 50-mile radius and a 1-hour commute to ... 11:30 am- 8:00 pm EST. Monday thru Friday. The ** Nurse Case Manager I** is...which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Multi-state licensure… more
- Elevance Health (Louisville, KY)
- ** Nurse Case Manager II** **Location:** Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal ... of one of our Elevance Health PulsePoint locations. The ** Nurse Case Manager II** will...which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required, Multi-state licensure is… more
- Elevance Health (Louisville, KY)
- ** Nurse Case Manager II** **Location: This is a virtual position. The ideal candidate would reside within 50 miles of an Elevance Health Pulse Point ... late evening 11:30am to 8:00pm EST per month.** The ** Nurse Case Manager II** is...which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Current and… more
- Elevance Health (Louisville, KY)
- **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Ideal candidates will reside within 50 miles of an Elevance Health Pulse Point ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is...which would provide an equivalent background. + Current, unrestricted RN license in applicable state(s) required. + Multi-state licensure… more
- 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 ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is...which would provide an equivalent background. + Current, unrestricted RN license in applicable state required. + Multi-state licensure… more
- Molina Healthcare (Louisville, KY)
- …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
- Molina Healthcare (Louisville, KY)
- …identifying opportunities for improvement. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational ... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of ...**Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare… more
- Molina Healthcare (Louisville, KY)
- …identifying opportunities for improvement. **Job Qualifications** **REQUIRED EDUCATION** : Registered Nurse or equivalent combination of Licensed Vocational ... has responsibility for the selection, orientation and mentoring of new staff. + Performs and promotes interdepartmental/ multidisciplinary integration... Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of … more
- Molina Healthcare (Louisville, KY)
- …knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's ... or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified… 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
- CenterWell (Frankfort, KY)
- …Field Clinical Educator is accountable for the growth and retention of new hires. **Essential Functions:** + Teaches, mentors, and coaches clinicians. + Demonstrates ... admission of patients, assessment, and development of care plans, case management, coordination of care and other clinical care...clinical care duties. + Oversees and supervises orientation of new hires in partnership with the branch leaders and… more
- BrightSpring Health Services (Louisville, KY)
- …resources, delivering training, conducting assessments, and developing personalized care plans. As case load allows, this role will also support other high risk ... our highest risk populations. Responsibilities + Along with the Value Based Program Manager and Director of Care Management, builds out the Abode Care Partners GUIDE… more