- Highmark Health (Frankfort, KY)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- CVS Health (Frankfort, KY)
- …high-risk maternity case management team and experience with this is required. The Case Manager RN is responsible for telephonically and/or face to face ... a high-risk maternity case management program. The Case Manager RN is empowered...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
- CVS Health (Frankfort, KY)
- …high-risk maternity case management team and experience with this is required. The Case Manager RN is responsible for telephonically and/or face to face ... a high-risk maternity case management program. The Case Manager RN is empowered...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
- CVS Health (Frankfort, KY)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... This position consists of working intensely as a telephonic case manager with patients and their care...in a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- Molina Healthcare (Owensboro, KY)
- …will be supporting our Washington State Medicare plan. We are seeking a Registered Nurse with previous Case Management experience. Medicare ... MS Suite and computer savvy is very helpful. The Case Manager must be able to work...health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- Summary The Resource Pool Registered Nurse ( RN ) is directly responsible to the designated manager in the assigned area. The RN is responsible and ... plan of care to promote optimal health status. The Resource Pool Registered Nurse executes position responsibilities that demonstrate leadership, experience, and… more
- Sharecare (Frankfort, KY)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
- Molina Healthcare (KY)
- **JOB DESCRIPTION** For this position we are seeking a ( RN ) Registered Nurse who lives in OHIO and must be licensed for the state of OHIO. This position will ... member's health and welfare. + Provides consultation, recommendations and education as appropriate to non- RN case managers + Works cases with members who have … more
- Highmark Health (Frankfort, KY)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
- Elevance Health (Louisville, KY)
- **Telephonic Nurse Case Manager II** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... Friday **,** 8:30-5 or 9:30-6 pm EST. The **Telephonic Nurse Case Manager II** is...management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing,… more