• Case Manager (RN) (Must Reside…

    Molina Healthcare (Louisville, KY)
    …and cost-effective based on the severity of illness and the site of service. This case manager needs to have experience working with pediatrics and be willing to ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) Pediatric experience and willingness to… more
    Molina Healthcare (02/20/25)
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  • Complex Nurse Field Case Manager

    CVS Health (Louisville, KY)
    …care more personal, convenient and affordable. **Position Summary:** The Complex Nurse Case Manager is responsible for assessing members through regular and ... of the member to facilitate and support the member's improved health. The Case Manager develops a proactive course of action to address issues presented to… more
    CVS Health (03/08/25)
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  • (Registered Dietician) Health Management…

    Molina Healthcare (Louisville, KY)
    **Job Description** **Job Summary** The Molina Population Health Management Case Manager uses clinical judgment, knowledge, and direct hands-on member care ... or behavioral health settings. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : Certified Case Manager (CCM) Certified Diabetes Educator To all current… more
    Molina Healthcare (03/04/25)
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  • Nurse Case Manager II

    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 candidate ... 50 miles of one of our Elevance Health PulsePoint locations. The **Nurse Case Manager II** will be responsible for care management within the scope of licensure… more
    Elevance Health (03/13/25)
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  • RN Nurse Case Manager II (10:30am…

    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 position is ... reside within 50 miles of one our open PulsePoint locations. The **Nurse Case Manager ll** is responsible for telephonic care management within the scope of… more
    Elevance Health (03/13/25)
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  • Telephonic Nurse Case Manager II

    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 ... within 48 hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for performing care management within the scope of… more
    Elevance Health (03/13/25)
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  • Family Case Manager

    State of Indiana (Jeffersonville, IN)
    Family Case Manager Date Posted: Feb 14, 2025 Requisition ID: 457106 Location: Jeffersonville, IN, US, 47130 Work for Indiana Begin a fulfilling career with the ... culture of safety and transparency + Continuous improvement Role Overview: The Family Case Manager represents DCS and supports families in a local or central DCS… more
    State of Indiana (02/15/25)
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  • High Fidelity Wraparound Case

    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 (01/16/25)
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  • Registered Nurse (RN) Case Manager

    St Croix Hospice (Jeffersonville, IN)
    Registered Nurse (RN) Case Manager Job Details Level Experienced Job Location Jeffersonville IN - Jeffersonville, IN Education Level 2 Year Degree Job Shift Day ... toward self-sufficiency and optional comfort care. + Acts as RN Case Manager when assigned by Clinical Supervisor and assumes responsibility to coordinate… more
    St Croix Hospice (02/13/25)
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  • RN Field Case Manager

    Sedgwick (Louisville, KY)
    …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Field Case Manager **Looking for** **experienced** **Workers Comp RN Field ... Case Manager Nurses across multiple cities in the country to...please apply!** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured… more
    Sedgwick (03/13/25)
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  • Part Time Home Health Nurse Case

    Select Medical (Jeffersonville, IN)
    …KORT in New Albany, IN is seeking a Part Time Home Health nurse case manager . KORT is Kentucky/Indiana's premier provider of outpatient physical and occupational ... HHA's. * 10. Notify the physician and other personnel (Clinical Supervisor, PT, Case Manager ) of change in the patient's condition. * 11. Perform skill outline… more
    Select Medical (02/07/25)
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  • Case Manager

    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
    BrightSpring Health Services (03/06/25)
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  • LTSS Service Coordinator ( Case

    Elevance Health (Louisville, KY)
    …highly preferred + Experience managing a community and/or facility-based care management case load, highly preferred + BA/BS degree field of study in health ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
    Elevance Health (03/07/25)
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  • Manager , Healthcare Services (Remote)

    Molina Healthcare (Louisville, KY)
    …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and oversight of integrated… more
    Molina Healthcare (03/07/25)
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  • Remote Program Manager , HCS - RN…

    Molina Healthcare (Louisville, KY)
    …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... **JOB DESCRIPTION** Program Manager for Healthcare Services available for either RN...one or more of the following areas: utilization management, case management, care transition and/or disease management. + Minimum… more
    Molina Healthcare (03/04/25)
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  • RN - CA Licensure - Transition of Care Coach

    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
    Molina Healthcare (01/21/25)
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  • Trainer - Clinical Services - Utilization Review…

    Molina Healthcare (Louisville, KY)
    …or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified ... development, implementation, and delivery of training curriculum for Utilization Management, Case Management, and LTSS staff. Leads and manages classes, adapting to… more
    Molina Healthcare (03/13/25)
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  • LPN/LVN Novice Nurse

    Maxim Healthcare Services (Louisville, KY)
    …patient/client status to the Director of Clinical Services and/or Clinical Supervisor / Case Manager or licensed designee + Documents all physician ... medical record and + communicates this information as needed + Attends case conferences, team meetings, education in-services as required + Supports professional… more
    Maxim Healthcare Services (03/11/25)
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  • Delegation Oversight Nurse (Must Reside in AZ)

    Molina Healthcare (Louisville, KY)
    …Certified Clinical Coder + Certified Medical Audit Specialists (CMAS) + Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM) ... needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the team. This includes, but is not limited… more
    Molina Healthcare (03/06/25)
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  • Clinical Appeals Nurse (RN): Texas and New Mexico…

    Molina Healthcare (Louisville, KY)
    …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... Professional in Healthcare Quality + other healthcare certification To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and… more
    Molina Healthcare (02/09/25)
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