- Sharecare (Frankfort, KY)
- … utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants for identification ... To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and objectives of the… more
- CVS Health (Frankfort, KY)
- …with transferring patients to lower levels of care. + 1+ years' experience in Utilization Review . + CCM and/or other URAC recognized accreditation preferred. + ... AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support… more
- CVS Health (Franklin, KY)
- …+ Discharge Planning Experience + Motivational Interviewing skills + Managed Care/ Utilization Review Experience + Clinical experience and demonstrated knowledge ... do it all with heart, each and every day. **Position Summary** The Complex Nurse Case Manager is responsible for assessing members through regular and consistent in… more
- CVS Health (Frankfort, KY)
- …coordination of psychosocial wrap around services to promote effective utilization of available resources and optimal, cost-effective outcomes. **Position ... Responsibilities:** + Responsible for telephonic and/or face to face assessment, planning, implementing and...+ Through the use of clinical tools and information/data review , conducts comprehensive assessments of member's needs and recommends… more
- CVS Health (Frankfort, KY)
- …supporting the implementation of care plans to promote effective utilization of healthcare services. Promotes/supports quality effectiveness of Healthcare Services. ... and administrative duties. **Fundamental Components:** + Responsible for initial review and triage of Care Team tasks. + Identifies...for health care service delivery under the direction of nurse or medical director in the most appropriate setting… more