Job Market Guide: Case Manager Ii jobs in Lexington

Competition
Desired Skills
Years of Experience
Years of Experience distribution graph for Case Manager Iis in Lexington. Case Manager Iis in Lexington have between ${} and ${} years of experience, averaging $${} years of experience.

12 Case Manager Ii jobs in Lexington

Cincinnati, OH
In this role, you will Perform duties related to the day-to-day operations of the High Risk Case Management functions to include working with members identified as high risk to identify needs and goals to achieve empowerment and improved quality of life.
industry
Healthcare IT
experience
Less than 5 years

Cincinnati, OH
In this role, you will develop and implement a case management plan, including a waiver service plan, in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
industry
Insurance
experience
Less than 5 years

Elizabethtown, KY
Performing accurate OASIS collection, ensuring the medication profile remains current, ensuring lab values have been reported to the physician timely, attending weekly case conference and monthly case manager meetings are key responsibilities of this role.
industry
Healthcare IT
experience
Not Specified

Cincinnati, OH
Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
industry
Insurance
experience
Less than 5 years

Cincinnati, OH
The Case Manager - RN is responsible for the coordination of health care decisions by using a systematic approach to assure treatment plans that improve quality and outcomes, coordination of care across the continuum; promotion of cost-effective care within the allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and appropriate discharge plans.
industry
Patient Care
experience
Not Specified

Cincinnati, OH
Promote integration of services for members including behavioral health care and long term services and supports/home and community to enhance the continuity of care for Molina members.
industry
Insurance
experience
Less than 5 years

Cincinnati, OH
The Case Manager - RN is responsible for the coordination of health care decisions by using a systematic approach to assure treatment plans that improve quality and outcomes, coordination of care across the continuum; promotion of cost-effective care within the allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and appropriate discharge plans.
industry
Patient Care
experience
Less than 5 years

RN Case Manager

SPRINGDALE, OH
Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
industry
Managed Care & Health Insurance
experience
Less than 5 years

Clinical Case Manager

Louisville, KY
In this role, you will be responsible for the tracking and managing of members identified as Intensive Case Management (ICM) who may be high risk, high utilizing, at significant clinical risk or under-utilizing services.
industry
Patient Care
experience
Less than 5 years

Cincinnati, OH
The Registered Nurse (RN) Field Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individuals benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
industry
Insurance
experience
Less than 5 years

Louisville, KY
In this role, you will be recovering revenue associated with disputed/denied clinical claims or those eligible for clinical review.
industry
Biotech/Pharma
experience
5 - 7 years

Louisville, KY
In this role, the selected candidate will be utilizing Milliman criteria to determine if patients are in the correct hospital setting; making "welcome home" calls to ensure that discharged member receive the necessary services and resources.
industry
Health & Fitness
experience
Less than 5 years