• RN , Manager , Utilization…

    Humana (Frankfort, KY)
    **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
    Humana (09/28/25)
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  • Clinical Learning Facilitator - Utilization…

    Molina Healthcare (Louisville, KY)
    … RN or Clinical Social Worker/Counseling License. + Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified Professional ... licensing mandate. + At least 2 years in case, disease or utilization management ; managed care; or medical/behavioral health settings. + One year of training… more
    Molina Healthcare (09/17/25)
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  • Dialysis Clinical Manager Registered…

    Fresenius Medical Center (Georgetown, KY)
    …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
    Fresenius Medical Center (08/21/25)
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  • Dialysis Clinical Manager Registered…

    Fresenius Medical Center (Madisonville, KY)
    **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
    Fresenius Medical Center (09/06/25)
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  • Case Manager , Registered…

    CVS Health (KY)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
    CVS Health (10/02/25)
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  • Registered Nurse , Remote Triage,…

    ChenMed (Louisville, KY)
    …rapidly expanding and we need great people to join our team. The Registered Nurse , Remote Triage, is responsible for providing telephonic triage directional ... and assessments within license and as possible given technology and medium. The registered nurse collaborates with primary caregivers and others on the… more
    ChenMed (09/17/25)
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  • Registered Nurse , ER, Emergency…

    ChenMed (Louisville, KY)
    …rapidly expanding and we need great people to join our team. The Registered Nurse , Telehealth is responsible for providing telephonic triage directional patient ... issues, client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. The incumbent in this role… more
    ChenMed (09/27/25)
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  • RN Clinical Manager , Home Health

    CenterWell (Fort Mitchell, KY)
    …license, auto insurance and reliable transportation. + Two years as a Registered Nurse with at least one-year of management experience in a home care, ... put health first** $10k Sign on Bonus The **Clinical Manager ** coordinates and oversees all direct care patient services...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
    CenterWell (08/13/25)
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  • RN Care Manager

    AdventHealth (Manchester, KY)
    …safe transitions, patient satisfaction, patient safety, readmission prevention and length of stay management . The RN Care Manager communicates daily with the ... competencies of this role. The RN Care Manager facilitates the collaborative management of patient...physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge… more
    AdventHealth (08/29/25)
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  • SKY Complex Care Manager - Case…

    CVS Health (Frankfort, KY)
    …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 ... contact to assess, plan, implement and coordinate all case management activities with members to evaluate the medical and...facilitate and support the member's improved health. The Case Manager develops a proactive course of action to address… more
    CVS Health (10/01/25)
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