- Elevance Health (Louisville, KY)
- ** Medical Management Nurse ** **Hours: 8am-5pm EST** **Location** : This role enables associates to work virtually full-time, with the exception of required ... for employment, unless an accommodation is granted as required by law. The ** Medical Management Nurse ** is responsible for review of the most complex or… more
- CVS Health (Frankfort, KY)
- …And we do it all with heart, each and every day. **Position Summary** The Quality Management Nurse (QM Nurse ) supports Aetna Better Health of Texas by ... Improvement Projects (PIPs), ANE oversight, and policy development. The QM Nurse collaborates across teams to analyze data, implement interventions, and monitor… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …and copying of all paperwork. Coordinates with nursing supervisor and/or materials management for supply items that cannot be obtained from the Pyxis. Ensures ... High School Graduate or GED equivalent. Required Licenses Certified Nurse Assistant preferred. CPR/BLS certified. Required Experience Minimum Work Experience… more
- Humana (Frankfort, KY)
- …of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require ... community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Humana (Frankfort, KY)
- …of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require ... and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to support the… more
- HCA Healthcare (Frankfort, KY)
- …or limits? Our Frankfort Regional Medical Center team is looking for a Medical Surgical Nurse Director. HCA Healthcare is an advanced healthcare network that ... provider dedicated to its patients, colleagues and communities. Help guide our team as a Medical Surgical Nurse Director and help us improve more lives in more… more
- Humana (Frankfort, KY)
- …of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require ... community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- HCA Healthcare (Frankfort, KY)
- …**Are you passionate about delivering patient-centered care?** Submit your application for Medical Surgical Nurse position and spend more time at the ... clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Frankfort...within 30 days of employment start date + Registered Nurse + Associate Degree Frankfort Regional Medical … more
- Cognizant (Frankfort, KY)
- …to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work related to clinical ... denial management and managing clinical denials from Providers to the...Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a… more
- Amergis (Georgetown, KY)
- Amergis Healthcare Staffing is seeking a Medical /Surgical Registered Nurse to assume responsibility and accountability for the application of the nursing process ... and the delivery of patient care. The nurse demonstrates ability to make clinical judgments in an...management of patient care. Requirements: + Current Registered Nurse License for the state in which the … more