Insurance Sales Representative (Remote/Hybrid | Local Territory) The Compass Business GroupInsurance Sales Representative (Remote/Hybrid | Local Territory)Radcliff, KentuckyRemoteOur mission-driven team thrives on service, integrity, and results empowering you to make a meaningful impact while building a successful career. At Compass Business Group, we help protect families, teams, and small businesses through supplemental insurance solutions.
NewSenior Healthcare Network Consultant Humana IncSenior Healthcare Network ConsultantKYRemote$78,400–$107,800 / yearWork at Home Requirements To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
Account Executive - Healthcare UpMarket Zoom Communications IncAccount Executive - Healthcare UpMarketKYRemoteWe set out to build the best collaboration platform for the enterprise, and today help people communicate better with products like Zoom Contact Center, Zoom Phone, Zoom Events, Zoom Apps, Zoom Rooms, and Zoom Webinars. As part of our award-winning workplace culture and commitment to delivering happiness, our benefits program offers a variety of perks, benefits, and options to help employees maintain their physical, mental, emotional, and financial health; support work-life balance; and contribute to their community in meaningful ways.
Diagnostic Radiologist, Hybrid, Remote and Onsite, Board Certified Greenberg-Larraby, Inc. (GLI)Diagnostic Radiologist, Hybrid, Remote and Onsite, Board CertifiedLouisville, KYRemoteThis position offers the flexibility of working from home while maintaining occasional presence onsite to collaborate with the clinical team and participate in patient care activities. Greenberg-Larraby, Inc. (GLI) is seeking a Board Certified Diagnostic Radiologist for a hybrid role combining remote and onsite work.
Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseKYRemote$71,100–$97,800 / yearWork-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
Case Manager, Registered Nurse - Fully Remote CVS Health CorpCase Manager, Registered Nurse - Fully RemoteKYRemote$54,095–$155,538 / yearBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues.
Registered Nurse, Remote Triage, Emergency, ER Telehealth mornings ChenMed LLCRegistered Nurse, Remote Triage, Emergency, ER Telehealth morningsLouisville, KYRemote$64,583–$92,262 / yearThe Registered Nurse, Telehealth is responsible for providing telephonic triage directional patient care advice for general and specific illnesses, health related issues, client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. Aids in enhancing the quality and effectiveness of the organization's telehealth practices and professional nursing practice through successful utilization and improvement of outcomes that demonstrate program effectiveness.
Registered Nurse, Remote Telehealth, ER, Emergency Triage, Weekends ChenMed LLCRegistered Nurse, Remote Telehealth, ER, Emergency Triage, WeekendsLouisville, KYRemote$64,583–$92,262 / yearThe Registered Nurse, Telehealth is responsible for providing telephonic triage directional patient care advice for general and specific illnesses, health related issues, client counseling, patient advocacy, health education and referral and resource management to ChenMed patients and their families. Aids in enhancing the quality and effectiveness of the organization's telehealth practices and professional nursing practice through successful utilization and improvement of outcomes that demonstrate program effectiveness.
Prior Authorization RN Humana IncPrior Authorization RNKYRemote$71,100–$97,800 / yearThe self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
NewRemote Oncology Certified Registered Nurse (OCN - RN) Case Manager ValerisRemote Oncology Certified Registered Nurse (OCN - RN) Case ManagerJeffersonville, IndianaRemoteBacked by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Due to an increase in hiring scams, please be aware that if you are selected to move forward in our hiring process, a member of our Talent Acquisition team will contact you directly using an official @valeris.com and/or @echo.newtonsoftware.com email address regarding next steps in our interview process.
Clinical Competency & Quality Nurse Humana IncClinical Competency & Quality NurseKYRemote$78,400–$107,800 / yearTo ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. The Care Integration Clinical Competency & Quality Nurse is a Center of Excellence (CoE) position responsible for ensuring the clinical quality and provider & patient engagement effectiveness for the Clinical Care RN role through nursing chart and recorded visit audits, competency assessments, remediation oversight and talent management.
NewRemote Registered Nurse (RN) Case Manager ValerisRemote Registered Nurse (RN) Case ManagerLouisville, KentuckyRemoteBacked by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. calling and working with the patient’s insurance payer to determine coverage benefits, anticipated out-of-pocket costs associated with their therapy and resources for financial assistance, where applicable based upon needs communicated by the patient.
Care Manager, Telephonic Nurse 2 Humana IncCare Manager, Telephonic Nurse 2KYRemote$71,100–$97,800 / yearAs the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. In this pivotal role, you will support our Patient Management Program, focusing on individuals with specialized and complex health conditions, including autoimmune disorders, pulmonary diseases, neuromuscular disorders, infectious diseases, cancers, and other rare conditions.
Utilization Management Nurse Consultant (Weekend) CVS Health CorpUtilization Management Nurse Consultant (Weekend)Work At Home, KYRemote$29.10–$62.32 / hourEducation: Diploma RN acceptable; Associate degree/BSN preferred, 3+ years of experience as a Registered Nurse, 1+ years of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience. Position Summary: Utilize your clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor, and evaluate options to facilitate appropriate healthcare services and benefits for members.
NewOncology Nurse Navigator Onco360Oncology Nurse NavigatorLouisville, KentuckyRemoteOnco360 is a unique Oncology Pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. Oncology Nurse Navigator Position Responsibilities:Communicate with patients helping them understand the disease, treatment plan and possible side effects.
(RN) Care Review Clinician - Weekend Role (REMOTE) Molina Healthcare Inc(RN) Care Review Clinician - Weekend Role (REMOTE)Louisville, KYRemoteResponsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorLouisville, KYRemote$75,000–$90,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
Transfer Center/Triage Nurse Baptist Healthcare System IncTransfer Center/Triage NurseKYRemoteProvides interventions for nurse triage, facilitates patient transfers from inside and outside the organization, bed placement and other telephonic nursing functions within the transfer center as needed. Essential Duties: Provides telephonic nursing care by assessing patient/caller needs for nurse triage, tele-monitoring, service referrals, bed placement, and transfers.
ABA UM Clinical Consultant CVS Health CorpABA UM Clinical ConsultantKYRemotestrong>Education: Masters Level of Education resulting in independent Behavioral Health licensure (LCSW, LPCC, LMFT, LPAT, LP, LBA) or an Associates degree in Nursing with a KY or compact state Registered Nurse (RN) License with psychiatric specialty or behavioral health experience. Anticipated Weekly HoursTime TypePay Range The typical pay range for this role is: This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
Utilization Management Nurse Consultant - Fully Remote CVS Health CorpUtilization Management Nurse Consultant - Fully RemoteKYRemote$26.01–$74.78 / hourBenefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
NewMedicaid Product Manager Humana IncMedicaid Product ManagerKYRemote$104,000–$143,000 / yearWork at Home Requirements To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Work at home requirements: To ensure Home or Hybrid Home/Office employees', the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: We require at minimum a download speed of 25 Mbps and an upload speed of 10 Mbps; we suggest a wireless, wired cable or DSL connection.
Urgent Care Nurse Practitioner Included Health IncUrgent Care Nurse PractitionerKYRemotep>We're seeking board certified Nurse Practitioners licensed in Kentucky (multi licensed strongly preferred) with broad clinical expertise and a passion for improving healthcare access and quality. In this role, you'll deliver virtual comprehensive care to patients of all ages across a wide range of conditions, while working closely with our provider and support teams.