- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...make an impact** **Required Qualifications** + Active unrestricted Compact Registered Nurse , (eNLC) license (RN) with no… more
- CVS Health (Frankfort, KY)
- …health clinician with Kentucky state licensure (LCSW, LPCC, LMFT, LPAT) or a Registered Nurse (RN) with active current and unrestricted Kentucky state license ... every day. **Position Summary** This is a fully **remote** Utilization Review Clinical Consultant. **Must reside in...of an Associate's in Nursing or Diploma RN for Registered Nurses **Anticipated Weekly Hours** 40 **Time Type** Full… more
- Fresenius Medical Center (Georgetown, KY)
- …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... FMCNA Compliance Program, and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions to ensure continuity of… more
- Fresenius Medical Center (Madisonville, KY)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- CVS Health (Frankfort, KY)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …by the state of Kentucky or hold license in a compact state as a Registered Nurse . ACLS preferred. Required Certifications: Basic Life Support (BLS) must be ... Registered Nurses are accountable for providing safe and...of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Resolving… more
- Bon Secours Mercy Health (Paducah, KY)
- …excellence. **Summary of Primary Function/General Purpose of Position** The Surgical Services Registered Nurse (RN) delivers patient care utilizing the nursing ... optimal outcome for the patient. + Anticipates the scrub nurse 's needs and opens sterile packs, operates equipment, and...safety and privacy of all persons. * Understanding and utilization of office and clinical technologies. *… more
- Evolent (Frankfort, KY)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals.… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …JSMC policy and procedure. Required Skills Required Licenses: Licensed Practical Nurses / Registered Nurse LPN or RN licensed in Kentucky. Certification as ... Assists in the completion of the nursing history. Delivers appropriate care. Utilization of critical thinking skills in prioritization of care. Participates in the… more
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