• 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 ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… more
    Humana (09/12/25)
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  • Utilization Management Onsite…

    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 ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...This hybrid position will have limited hours working at home at the leader's discretion. This is an Onsite… more
    Humana (08/27/25)
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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 ... RUG system. Previous experience with MDS and assessment preferred Hospital Case Management /Hospital Utilization Management . Obtaining authorizations from… more
    Signature Healthcare (10/01/25)
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  • RN, Manager, Utilization Management…

    Humana (Frankfort, KY)
    …a part of our caring community and help us put health first** The Manager, Utilization Management Nursing (LTSS Utilization Management Leader) utilizes ... communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines and… more
    Humana (09/28/25)
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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 (09/12/25)
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  • Utilization Management - Behavioral…

    Humana (Frankfort, KY)
    …part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments… more
    Humana (09/27/25)
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  • Disease Management Nurse - Remote

    Sharecare (Frankfort, KY)
    …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...minimum. + This position will be based in a home office which must satisfy all HIPAA requirements. Sharecare… more
    Sharecare (09/13/25)
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  • Nurse Practitioner

    ChenMed (Louisville, KY)
    … management programs, clinical meetings and other meetings. The Nurse Practitioner will adhere to strict departmental goals/objectives, standards of performance, ... management programs, clinical meetings and other meetings. The Nurse Practitioner will adhere to strict departmental goals/objectives, standards of performance,… more
    ChenMed (08/13/25)
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  • Field Nurse Practitioner (Boise, ID)

    Molina Healthcare (Lexington, KY)
    …receptive including home , nursing facilities, and "pop up" clinic. The Nurse Practitioner will be required to work primarily in non-clinical settings and provide ... 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a home health,...home health as a licensed clinician, especially in management of chronic conditions + Experience with underserved populations… more
    Molina Healthcare (09/17/25)
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  • Field Nurse Practitioner (Pocatello, ID)

    Molina Healthcare (Bowling Green, KY)
    …(EMR) experience. Preferred Qualifications * Experience as a registered nurse or nurse practitioner in a home health, community health or public health ... in home health as a licensed clinician, especially in management of chronic conditions. * Experience with underserved populations facing socioeconomic barriers… more
    Molina Healthcare (09/25/25)
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