• Utilization Management Nurse…

    Humana (Frankfort, KY)
    …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (01/13/26)
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  • Utilization Management Appeals…

    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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (01/18/26)
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  • Utilization Management Nurse…

    CVS Health (KY)
    …And we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedules will include weekends, ... Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must...and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and… more
    CVS Health (01/16/26)
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  • Utilization Management Nurse…

    Signature Healthcare (Louisville, KY)
    …communication with leadership, patients, families, internal care givers, and external Utilization Management Nurses. + Coordinate internal and external health ... Document all authorizations and continued stay activity in Case Management software to ensure appropriate reporting and billing +...What you Need to make a Difference + Registered Nurse (RN) in good standing with required current state… more
    Signature Healthcare (01/18/26)
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  • Utilization Management Nurse

    CenterWell (Frankfort, KY)
    …+ Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Orthopedic procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare… more
    CenterWell (01/16/26)
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  • SNF Utilization Management RN…

    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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (12/12/25)
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  • Clinical UM Nurse

    CenterWell (Frankfort, KY)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and ... **Required Qualifications** + Must be a licensed Registered Compact Nurse license (RN) with no disciplinary action and ability...volume and fast paced environment + Previous experience in utilization management + Education: BSN or bachelor's… more
    CenterWell (01/14/26)
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  • Pre-Authorization Nurse 2

    Humana (Frankfort, KY)
    …**Use your skills to make an impact** **Required Qualifications** + 2+ years Utilization Management experience + Active RN license in the state(s) in ... + A minimum of three years varied nursing experience + Previous experience in utilization management , case management , discharge planning and/or home health… more
    Humana (01/18/26)
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  • Nurse Case Manager

    Battelle Memorial Institute (Fort Campbell, KY)
    …as a case manager by a recognized certifying organization, ie, Commission for Case Management Certification or American Nurse Credentialing Center + At least two ... Research and Analytics (HRA) business line is seeking a highly motivated, full-time ** Nurse Case Manager** to join our team in support of our government customer,… more
    Battelle Memorial Institute (12/30/25)
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  • Nurse Practitioner, Cardiology

    ChenMed (Louisville, KY)
    … management programs, clinical meetings and other meetings. The Nurse Practitioner will adhere to strict departmental goals/objectives, standards of performance, ... we need great people to join our team. The Nurse Practitioner - Cardiology (NP) acts as part of...nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to ChenMed… more
    ChenMed (12/18/25)
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