Top 41 Complex care case manager Jobs in Frankfort, Ky

Complex Nurse Case Manager- Field- Must reside in Jefferson County, KY
CVS Health —Frankfort, KY
- $54,095 - $116,760 a year
- Full-time
- Bilingual
- Nursing
- Microsoft Excel
- Health insurance
- Dental insurance
Executive Care Coordinator
Valeris, Inc. —Frankfort, KY
- Full-time
- Bilingual
- Background check
- 5 years
- Health savings account
- AD&D insurance
Quick Apply
3d
Homebuilders Family Preservation Specialist / Case Manager
KVC Health Systems —Frankfort, KY
- $44,000 - $50,000 a year
- Weekends as needed
- Microsoft Word
- Clean driving record
- Microsoft Excel
Quick Apply
Clinical Director of Virtual Care Programs
Planned Parenthood GNHI —Lexington, KY
- $117,769 - $257,311 a year
- Full-time
- 5 years
- Certified Nurse Practitioner
- Travel
- Disability insurance
- Health insurance
Intermediate Care Technician - Emergency Department
US Veterans Health Administration —Lexington, KY
- $50,460 - $65,599 a year
- Online Application
- Background check
- Anatomy knowledge
- Surgery
4d
Field Reimbursement Manager (FRM) - TN/KY/WV Ecosystem
Genentech —Lexington-Fayette, KY
- $153,800 - $285,600 a year
- Online Application
- 8 years
- Bachelor's degree
- Senior level
Registered Nurse Employee Occupational Health
US Veterans Health Administration —Lexington, KY
- $63,550 - $125,246 a year
- Online Application
- Background check
- Nursing
- Doctoral degree
- COVID-19 protective measures
- Paid holidays
6d
Budget Analyst - Technical Career Field (TCF) Trainee
US Veterans Health Administration —Lexington, KY
- $40,736 - $52,957 a year
- Part-time
- Microsoft Word
- Background check
- Psychiatry
- On-the-job training
4d
Registered Nurse - Resource/Float Pool - Intermittent
US Veterans Health Administration —Lexington, KY
- $77,398 - $143,314 a year
- Online Application
- Background check
- Nursing
- Medication administration
- Paid holidays
- Dental insurance
5d
Registered Nurse - Med-Surg and Telemetry -5 Main
US Veterans Health Administration —Lexington, KY
- $64,825 - $127,694 a year
- Online Application
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Loan repayment program
Registered Nurse - ICU - Part-time - .9 FTE
US Veterans Health Administration —Lexington, KY
- $69,758 - $135,750 a year
- Part-time
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Loan repayment program
5d
Registered Nurse - Resources/Float Pool
US Veterans Health Administration —Lexington, KY
- $69,665 - $128,994 a year
- Online Application
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Dental insurance
Registered Nurse - Med-Surg and Telemetry -5 Main Part-Time .9 FTE
US Veterans Health Administration —Lexington, KY
- $64,825 - $127,694 a year
- Part-time
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Loan repayment program
Travel RN - ICU
American Traveler —Lexington, KY
- $2,136.83 a week
- 12 hour shift
- Nursing
- Surgery
- RN License
Quick Apply
Field Reimbursement Manager - Kidney (Michigan-North Ohio)
Vertex Pharmaceuticals —United States
- $136,000 - $204,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Loan repayment program
- Dental insurance
Field Reimbursement Manager - Kidney (Pacific Northwest - WA, OR, ID, WY, MT, AK)
Vertex Pharmaceuticals —United States
- $136,000 - $204,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Loan repayment program
- Dental insurance
Field Reimbursement Manager - Kidney (Northern California - San Francisco, San Jose, Sacramento)
Vertex Pharmaceuticals —United States
- $136,000 - $204,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Loan repayment program
- Dental insurance
DMS Manager
University of California San Francisco —United States
- Full-time
- Management
- HIPAA
- Analysis skills
- Disability insurance
Field Reimbursement Manager - Kidney (Great Plains - NV, UT, CO, NE, KS)
Vertex Pharmaceuticals —United States
- $136,000 - $204,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Loan repayment program
- Dental insurance
Field Reimbursement Manager - Kidney (South Florida)
Vertex Pharmaceuticals —United States
- $136,000 - $204,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Loan repayment program
- Dental insurance

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Complex Nurse Case Manager- Field- Must reside in Jefferson County, KY

CVS Health -
Frankfort, KY

Apply Now

Job Details

Full-time
$54,095 - $116,760 a year

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Trauma-sensitive practices
Individual crisis management
RN License
Driver's License
Evidence-based practice
Experience working with foster children
Working with individuals with mental health conditions
Associate's degree

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

A Brief Overview
Coordinates all case management activities with members to evaluate medical needs and to facilitate the overall wellness of members. Develops strategy to address issues to outcomes and opportunities to enhance member's overall wellness through integration. Instructs programs and procedures in compliance with network management and clinical coverage policies.

What you will do

Executes evaluation of member needs and benefit plan eligibility and facilitates member transition to the organization's programs and plans.
Applies advanced clinical judgement to incorporate strategies designed to reduce risk factors and barriers, and to address complex health indicators that impact care planning and resolution of member issues.
Handles reviews of prior claims to address potential impact on current case management and eligibility.
Creates a holistic approach to assess the need for referrals to clinical resources and to assist in determining functionality.
Ensures case management processes follow organization and regulatory requirements.
Implements systems to maximize member engagement, discern health status and needs, and to assess member levels of work capacity and restrictions.
Coaches and trains junior colleagues in techniques, processes, and responsibilities.

For this role you will need Minimum Requirements

Basic awareness of problem solving and decision making skills
Must Reside in Jefferson County KY.

RN Position, MUST RESIDE IN JEFFERSON COUNTY.

Position Summary:

The Complex Nurse Case Manager is responsible for assessing members through regular and consistent in person or telephonic contact to assess, plan, implement and coordinate all case management activities with members to evaluate the medical and psychosocial needs of the member to facilitate and support the member’s improved health. The Case Manager develops a proactive course of action to address issues presented to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness. Services strategies policies and programs are comprised of network management and clinical coverage policies.

This is a field-based position that requires routine regional in-state travel 80-90% of the time; use of personal vehicle is required.

Qualified candidates must have valid KY driver's license, proof of vehicle insurance, and reliable transportation. Travel to the Louisville office is also anticipated for meetings and training. This position is assigned to the Jefferson Region. Flexibility to work beyond core business hours of Monday-Friday, 8am-5pm, is required.

Evaluation of Members:

Through the use of clinical assessment tools and evaluating information/data review, conducts a comprehensive and holistic evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans.
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.
Integrates assessment data from all care partners to holistically address all physical and behavioral health conditions including co-morbid and multiple diagnoses that impact functionality and member well-being.
Creates, monitors and revise member care plans to comprehensively address member biopsychosocial care needs.
Reviews prior claims to address potential impact on current case management and eligibility.
Assessments include the member’s functional capacity and related restrictions/limitations.
Using a holistic approach, assesses the need for a referral to additional clinical resources for assistance in determining functionality.
Consults with supervisor and other care partners to overcome barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management.
Utilizes case management processes in compliance with regulatory and company policies and procedures.
Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.
Helps member actively and knowledgably participate with their provider in healthcare decision-making.
Field-based working environment with productivity and quality expectations.
Work requires the ability to perform close inspection of handwritten and computer-generate
Sedentary work involving periods of sitting, talking, listening.
Work requires sitting for extended periods, talking on the telephone and typing on the computer.
Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment

Required Qualifications:

5+ years’ clinical practice experience.
RN with current unrestricted state licensure
Experience or detailed knowledge of the Foster Care and juvenile justice systems, Adoption Assistance, the delivery of Behavioral Health Services, Trauma-informed Care, ACEs, Crisis Intervention services, and evidence-based practices applicable to the Kentucky SKY populations, is required.
Flexibility to work beyond core business hours of Monday-Friday, 8am-5pm, is required (We are serving the needs of children and families that may require working after school, after work, etc.)
Reliable transportation required (Mileage is reimbursed per our company expense reimbursement policy
MUST Reside within Jefferson County, KY

Preferred Qualifications:

Case Management experience in an integrated model.
Bilingual preferred.
Computer literacy and demonstrated proficiency in order to navigate through internal/external computer systems, and MS Office Suite applications, including Word and Excel.
Effective communication skills, both verbal and written.

Education

Associate’s degree required
BSN preferred

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,095.00 - $116,760.00

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. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. 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.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/08/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

complex care case manager jobs in frankfort, ky

Complex Nurse Case Manager- Field- Must reside in Jefferson County, KY

Executive Care Coordinator

Homebuilders Family Preservation Specialist / Case Manager

Clinical Director of Virtual Care Programs

Intermediate Care Technician - Emergency Department

Field Reimbursement Manager (FRM) - TN/KY/WV Ecosystem

Registered Nurse Employee Occupational Health

Budget Analyst - Technical Career Field (TCF) Trainee

Registered Nurse - Resource/Float Pool - Intermittent

Registered Nurse - Med-Surg and Telemetry -5 Main

Registered Nurse - ICU - Part-time - .9 FTE

Registered Nurse - Resources/Float Pool

Registered Nurse - Med-Surg and Telemetry -5 Main Part-Time .9 FTE

Travel RN - ICU

Field Reimbursement Manager - Kidney (Michigan-North Ohio)

Field Reimbursement Manager - Kidney (Pacific Northwest - WA, OR, ID, WY, MT, AK)

Field Reimbursement Manager - Kidney (Northern California - San Francisco, San Jose, Sacramento)

DMS Manager

Field Reimbursement Manager - Kidney (Great Plains - NV, UT, CO, NE, KS)

Field Reimbursement Manager - Kidney (South Florida)

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