Targeted Case Manager - Adults South Seven Counties ServicesTargeted Case Manager - Adults SouthLouisville, KentuckyADULT DIVISION: At least one (1) year of full-time employment experience post Bachelor’s working directly with adults or ACT population (with direct daily contact) in a human service setting, with relevant Master’s degree, no experience. Monitors client’s progress by making referrals, tracking client’s appointments, performing follow-up on services rendered, and performing periodic reassessments of client’s changing needs.
Targeted Case Manager - Adults Downtown Seven Counties ServicesTargeted Case Manager - Adults DowntownLouisville, KentuckyADULT DIVISION: At least one (1) year of full-time employment experience post Bachelor’s working directly with adults or ACT population (with direct daily contact) in a human service setting, with relevant Master’s degree, no experience. Monitors client’s progress by making referrals, tracking client’s appointments, performing follow-up on services rendered, and performing periodic reassessments of client’s changing needs.
Targeted Case Manager - Adults Assisted Outpatient Program Seven Counties ServicesTargeted Case Manager - Adults Assisted Outpatient ProgramLouisville, KentuckyADULT DIVISION: At least one (1) year of full-time employment experience post Bachelor’s working directly with adults or ACT population (with direct daily contact) in a human service setting, with relevant Master’s degree, no experience. Monitors client’s progress by making referrals, tracking client’s appointments, performing follow-up on services rendered, and performing periodic reassessments of client’s changing needs.
Case Manager Baptist Health Rehabilitation HospitalCase ManagerLouisville, KYJoin Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.
DD Case Manager - Michel P Waiver Seven Counties ServicesDD Case Manager - Michel P WaiverLouisville, KentuckyMonitors client’s progress by making referrals, tracking client’s appointments, performing follow-up on services rendered, and performing periodic reassessments of client’s changing needs. Bachelor’s degree in Social Work, Psychology, Sociology, Human Services, or related field as approved by Medicaid, or as required by applicable funding source.
NewCase Manager - Developmental Disabilities Seven Counties ServicesCase Manager - Developmental DisabilitiesLouisville, KentuckyMonitors client’s progress by making referrals, tracking client’s appointments, performing follow-up on services rendered, and performing periodic reassessments of client’s changing needs. Bachelor’s degree in Social Work, Psychology, Sociology, Human Services, or related field as approved by Medicaid, or as required by applicable funding source.
Case Manager II Encompass Health CorpCase Manager IILouisville, KYJoin Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patients journey. Our achievements include being named one of the Worlds Most Admired Companies and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.
NewMedical Case Manager II CorVel CorpMedical Case Manager IILouisville, KYRemote$66,941–$101,258 / yearIn addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Nurse Case Manager II Elevance Health IncNurse Case Manager IILouisville, KYThe Telephonic Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Nurse Case Manager Lead Elevance HealthNurse Case Manager LeadLouisville, KentuckyThe Telephonic Nurse Case Manager Lead is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum and ensuring member access to services appropriate to their health needs. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Nurse Case Manager II (US) Elevance HealthNurse Case Manager II (US)Louisville, KentuckyThe Telephonic Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Nurse Case Manager II Elevance HealthNurse Case Manager IILouisville, KentuckyThe Telephonic Nurse Case Manager II is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Remote 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.
Bilingual Registered Nurse (RN) Case Manager ValerisBilingual Registered Nurse (RN) Case ManagerJeffersonville, IndianaBacked 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.
NewCase Manager - Registered Nurse - South Region CVS Health CorpCase Manager - Registered Nurse - South RegionKY$60,522–$129,615 / yearAssesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client's appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate. Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care.
Case Manager Weekends Part Time Days Baptist Healthcare System IncCase Manager Weekends Part Time DaysLouisville, KYThe case management process focuses on the identification of patients who would benefit from case management services, and the activities of assessment, problem identification, care planning, care delivery, monitoring, and evaluation of the care provided, specifically for its relevance to the needs of the patient/family, and for the health care team's ability to meet the desired outcomes and established goals. The Case Manager manages a designated caseload to coordinate and complete timely assessment, planning, implementation and evaluation of discharge plans and care transitions across the continuum of care.
Reimbursement Case Manager Valeris IncReimbursement Case ManagerLouisville, KYBacked 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. These services include handling the day-to-day activities within reimbursement services, such as daily interactions with healthcare insurance companies to verify the financial aspects of healthcare services to ensure patients have access to life saving treatments they need.
RN Case Manager New Albany IN St. Croix Hospice LLCRN Case Manager New Albany INJeffersonville, INIf you are ready to be part of our deeply compassionate family of caregivers guiding extraordinary life experiences, then we invite you to join our team, where your work truly matters. You'll partner with an interdisciplinary team to develop individualized care plans, guide end-of-life conversations, and ensure comfort with professionalism and empathy.
Bilingual Case Manager (English/Spanish) ValerisBilingual Case Manager (English/Spanish)Jeffersonville, IndianaBacked 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. Personalized Case Management Provides personalized case management to patients and HCPs including outbound communication to HCPs and patients to communicate benefit coverage and next steps in obtaining coverage.
Case Manager Valeris IncCase ManagerJeffersonville, INThis rate is applied after 40 trips per month (valued at $696.80 per year) The responsibilities include, but are not limited to the following: - Relationship Management - Builds trusted relationships with patients, prescribers, client stakeholders through proactive communication, timely and accurate execution of deliverables and demonstrated relentless passion for helping patients - Manages all relationships in a manner that adheres to healthcare laws and regulations - Communications - Performs program welcome calls to patients - Performs post Benefits Investigation calls to patients and physicians explaining coverage options - Manages all client inquiries unable to be determined by client through reporting - Manages HCP inquiries, as applicable, pursuant to business rules - Inbound Call Management - Manages inbound calls as directed by the program-approved FAQs - Triage patients to internal or external resources as appropriate - Personalized Case Management - Provides personalized case management to patients and HCPs including outbound communication to HCPs and patients to communicate benefit coverage and next steps in obtaining coverage - Leverages electronic tools to identify benefits and payer coverage; completes manual benefit investigation as needed - Identifies and communicates patient's plan benefit coverage including the need for prior authorization, appeal, tier exception, and/or formulary exclusions - Uses electronic resources to obtain benefit coverage outcome and if needed, outbound call to payers and HCPs to follow up on proper submission and/or outcome - Coordinates nurse teach with field-based nurse educators, as applicable to program - Supports adherence services through coordination of nurse follow up, as applicable to program - Identifies peer support resources for patients - Coordinates shipment of product through patient assistance program and/or bridge program from the PharmaCord pharmacy - Proactively communicates needs for reverification of prior authorization or re-enrollment for patient assistance program - Reports adverse events, Product complaints, special situation reports and/or medical inquiries received in accordance with SOPs and the Business Rules - Documents all activities within the PharmaCord Lynk system in accordance with business requirements. Backed 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.