- Cardinal Health (Frankfort, KY)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- National Youth Advocate Program (Louisville, KY)
- …the Office of Refugee Resettlement (ORR), NYAP's **Post Release Services (PRS) Intensive Case Manager Level 3** provides post release services focused on ... and intensive case management. The PRS Intensive Case Manager Level 3 will additionally connect...experience. May be licensed, or eligible for licensure. + Bilingual in English and Spanish. + Prior experience with… more
- Humana (Frankfort, KY)
- …or MSN degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see Language ... community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses...homes. Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
- Humana (Frankfort, KY)
- …part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage ... EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather...there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid, and/or… more
- GE Appliances, a Haier company (Louisville, KY)
- …or Team Manager . + Complete consumer reviews for satisfaction before case closure. + Meet work schedule demands and obligations with compliance, integrity, and ... Tuition reimbursement Gym membership reimbursement Career growth opportunities **Position** Bilingual Spanish Inbound Customer Service Agent - Consumer Relations… more
- CVS Health (Frankfort, KY)
- …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 ... needs 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… more
- CAI (Frankfort, KY)
- Case Manager , RN **Req number:** R6346 **Employment type:** Full time **Worksite flexibility:** Remote **Who we are** CAI is a global technology services firm ... enterprise. **Job Summary** We are looking for a motivated Case Manager , RN ready to take us...member needs, and develop tailored care plans Preferred: + Case Management Certification (CCM or equivalent) + Bilingual… more
- CVS Health (KY)
- …members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Molina Healthcare (Bowling Green, KY)
- …(provider/plan profiling, member drug profile reviews, medication protocols/criteria, and case -by- case interventions). * Articulates pharmacy management policies ... staff, medical affairs staff, and providers. * Reviews and analyzes Pharmacy Benefit Manager (PBM) reports to track general trends in drug utilization and identify… more
- ABM Industries (Louisville, KY)
- **Overview** The Assistant General Manager is responsible for overseeing day-to-day operations at assigned facilities (campus, warehouse, office building or ... and respond to urgent client needs, including occasional evening/weekend hours ** Bilingual is a plus** **Working Environments and Travel Requirements:** Physical… more