Skip to main content

Case Manager Jobs in Kentucky

562 jobs

Registered Nurse - ENT Case Coordinator/Manager - Surgery Service Lexington, KY Duties: A surgical case manager/service coordinator is a professional Registered nurse who is self-directed and possesses effective skills in clinical assessment, critical thinking, problem resolution, and interpersonal relations and communication. He/she uses the nursing process and evidence-based practice while de...

Description: Challenge brings out the best in us. It also attracts the best. That's why you'll find some of the most amazingly talented people in health care here. Bring your skills and talents to a role where you'll have the opportunity to make an impact on a huge scale. This is the place to do your life's best work.(sm) This is a field based position traveling to physician practices. Case manag...

Job Description Your Talent. Our Vision. At Anthem, Inc., it's a powerful combination, and the foundation upon which we're creating greater care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve at...

To drive paid therapy outcomes for patients, providers, pharmaceutical company representatives and healthcare service companies for specialty prescription drugs with reimbursement and billing challenges. Conduct full medical and pharmacy Benefit Investigations Make outbound calls to Insurance Payers, Specialty Pharmacies to obtain patient’s benefits Assists offices with billing issues and claims/...

Job Description Your Talent. Our Vision. At Anthem, Inc., it's a powerful combination, and the foundation upon which we're creating greater care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve at...

To drive paid therapy outcomes for patients, providers, pharmaceutical company representatives and healthcare service companies for specialty prescription drugs with reimbursement and billing challenges. Conduct full medical and pharmacy Benefit Investigations Make outbound calls to Insurance Payers, Specialty Pharmacies to obtain patient’s benefits Assists offices with billing issues and claim...

This position is responsible to act as liaison between family, DCBS, community partners, and others as identified to ensure continuity of care to assigned cases. Caseloads will be assigned based on divisional needs for the following programs: Independent Living, Treatment Foster Care, In-Home Services, and Outpatient/Drug and Alcohol. This will be accomplished through the following: Direct invol...

We are currently seeking an Integrated Disability Case Manager to support our dedicated customer in Louisville working at home performing all inclusive disability mgt. (STD, FMLA,LTD and WC). Main responsibilities will include but are not limited to: • Classifying quality of diagnoses, treatment plans, conformance with treatment plan and rate of recovery. • Keeping return to work a priority the...

Position Description: We are currently seeking an Integrated Disability Case Manager to support our dedicated customer in Louisville working at home performing all inclusive disability mgt. (STD, FMLA,LTD and WC). Main responsibilities will include but are not limited to: • Classifying quality of diagnoses, treatment plans, conformance with treatment plan and rate of recovery. • Keeping re...

Horizon Adult Care and EOE, has the following job opportunity available: In Clay Co. Case Manager: Requirements: Registered Nurse or Licensed Social Worker with a minimum of one year experience; or an unlicensed Social Worker with a Master’s Degree and a minimum of two years of geriatric care management experience. Must be able to communicate and facilitate care along a continuum through ...

Associate, Bachelor, or Master Degree in Nursing Licensed Registered Nurse in CO or Compact State Required 2 years of experience as an RN required SUMMARY OF JOB RESPONSIBILITIES: 1. This position is responsible for case management services for patients assigned to their case load. The case management role includes: 2. Ensuring the patientâ??s medical, psychosocial, resource and spiritual needs...

Case Manager Enthusiastic, energetic, outgoing, self-motivated and detail-oriented individual needed to provide case management services. In-region travel is required and is reimbursed at standard rates. QUALIFICATIONS: Bachelor’s degree in Behavioral Health Science (particularly Psychology, Sociology, Social Work), and one year experience with adults with some sort of mental illness and/or d...

To drive paid therapy outcomes for patients, providers, pharmaceutical company representatives and healthcare service companies for specialty prescription drugs with reimbursement and billing challenges. Coordinate care for patients using the program Conduct Benefit Investigations as necessary Answer inbound calls to the case manager queue Communicate with key medical practice accounts, sales rep...

To drive paid therapy outcomes for patients, providers, pharmaceutical company representatives and healthcare service companies for specialty prescription drugs with reimbursement and billing challenges. Coordinate care for patients using the program Conduct Benefit Investigations as necessary Answer inbound calls to the case manager queue Communicate with key medical practice accounts, sales ...

JOB DESCRIPTION: Summary Provides case management of Intensive Supervision Appearance Program (ISAP) participants from entry to release by administering the program’s policies and procedures as defined by the Department of Homeland Security (DHS) contract. This position may serve as a team lead in a large ISAP office, a senior level Case Specialist, or an individually operating Case Specialist ...

This position is responsible to act as liaison between family, DCBS, community partners, and others as identified to ensure continuity of care to assigned cases. Caseloads will be assigned based on divisional needs for the following programs: Independent Living, Treatment Foster Care, In-Home Services, and Outpatient/Drug and Alcohol. This will be accomplished through the following: Direct invol...

This position is responsible to act as liaison between family, DCBS, community partners, and others as identified to ensure continuity of care to assigned cases. Caseloads will be assigned based on divisional needs for the following programs: Independent Living, Treatment Foster Care, In-Home Services, and Outpatient/Drug and Alcohol. This will be accomplished through the following: Direct invol...

Responsibilities From pre-admission through payment, this key position is responsible for patient case management including care management, discharge planning, UR, and fiscal/payer management. Required is a keen awareness of community and government agencies, insurance benefit coverage, DRG/CMG payment systems. RN preferred/related health care professions considered with at least 3 years medical...

Work Location: United States-Kentucky-Frankfort-Frankfort Regional Medical Center Schedule: PRN/Per Diem 1. Monitors LOS for appropriate Level of Care 2. Utilizes Condition Codes to assure proper documentation and Level of Care as necessary 3. Educates on economical impact on healthcare choices; •Educates on economical impact on healthcare choices; assures timely progressing to appropriate le...

Work Location: United States-Kentucky-Frankfort-Frankfort Regional Medical Center Schedule: Full-time 1. Monitors LOS for appropriate Level of Care 2. Utilizes Condition Codes to assure proper documentation and Level of Care as necessary 3. Educates on economical impact on healthcare choices; •Educates on economical impact on healthcare choices; assures timely progressing to appropriate level...