• SKY Complex Care Manager

    CVS Health (Frankfort, KY)
    …compassionate. And we do it all with heart, each and every day. **Position Summary** The Complex Nurse Case Manager is responsible for assessing members ... to facilitate and support the member's improved health. The Case Manager develops a proactive course of...designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning… more
    CVS Health (10/01/25)
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  • Complex Case Manager

    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
    Highmark Health (08/22/25)
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  • Case Manager , Registered

    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 ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...Oncology or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse more
    CVS Health (10/02/25)
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  • Care Manager , Telephonic Compact…

    Humana (Frankfort, KY)
    …optimal health. **Use your skills to make an impact** **Required Qualifications** + Unrestricted Registered Nurse ( RN ) license in state of residency, with ... community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic...Milliman or Interqual + Managed care experience + Certified Case Manager (CCM) + Bilingual in English… more
    Humana (09/26/25)
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  • Care Manager , Registered

    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
    Sharecare (08/28/25)
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  • Intensive Community Manager

    ChenMed (Louisville, KY)
    …to join our team. The Community Care team is a multidisciplinary service including Registered Nurse ( RN ) Community Care nurses, Licensed Practical Nurse ... and maximizing their healthy time at home. The Register Nurse ( RN ) Community Care Nurse ...may need and to oversee appropriate patient discharge from case management. + Performs clinical and Social determination of… more
    ChenMed (10/04/25)
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  • RN Care Manager

    Molina Healthcare (Louisville, KY)
    Nurse who lives in Kentucky and must be licensed for the state of Kentucky. Case Manager RN will work with KY Medicaid population providing telephonic ... travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
    Molina Healthcare (09/07/25)
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  • Bilingual RN Care Manager - Remote,…

    Humana (Frankfort, KY)
    …timely intervention **Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. + ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety...EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
    Humana (09/26/25)
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  • RN Care Manager carceral with field…

    Molina Healthcare (KY)
    …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... behavioral health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If… more
    Molina Healthcare (09/24/25)
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  • Field Case Manager -Sign-On Bonus

    Sedgwick (Frankfort, KY)
    …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus **This Field Case Manager will cover ... **Must have as least 1.5 years of prior Field Case Manager workers compensation experience.** **PRIMARY PURPOSE...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
    Sedgwick (09/18/25)
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