- Humana (Louisville, 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 ... benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the state of… more
- Signature Healthcare (Louisville, KY)
- …communication with leadership, patients, families, internal care givers, and external Utilization Management Nurses. + Coordinate internal and external health ... billing. What you Need to make a Difference + Registered Nurse (RN) in good standing with...Previous experience with MDS and assessment preferred Hospital Case Management /Hospital Utilization Management . Obtaining… more
- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- …Louisville KY is current recruiting for a Specialty Care Outpatient Staff Registered Nurse - Nuclear Cardiology. Responsibilities Specialty Care Outpatient Staff ... Registered Nurse (RN) is responsible for providing...and coaching on wellness, disease prevention, and chronic care management . The nurse will assist in directing… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- Summary Registered Nurse Case Managers are directly responsible to designated supervisors in the assigned areas. They are responsible for the provision of ... continuity of care, access, utilization management , clinical guideline implementation and monitoring...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The Utilization Management (UM) Director, Clinical Strategy and Practice for Medicaid builds ... of how organization capabilities interrelate across the function or segment. The Utilization Management (UM) Director, Clinical Strategy and Practice for… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- Summary The Registered Nurse Transfer coordinator is directly responsible for the facilitation and monitoring of the community hospital referrals to the VA ... for collaborating with other staff for appropriate oversight and management of emergency care received through community hospitals. Responsibilities...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- CVS Health (Frankfort, KY)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse (RN) with at least 1...Specialty Pharmacy** **.** **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- CVS Health (Frankfort, KY)
- …SEE REQUIRED QUALIFICATIONS FOR LICENSING DETAILS_** This is a fulltime remote Utilization Management Clinical Consultant opportunity with Aetna Better Health of ... to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking...LMFT, LPAT_** **_) - OR - Active unrestricted Compact Registered Nurse (RN) license with psychiatric specialty… more
- Sharecare (Frankfort, KY)
- …cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible for early identification of those ... learn more, visit www.sharecare.com . **Job Summary:** The Clinical Registered Nurse has the responsibility for supporting...disease management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …Registered Nurses Must be licensed by the state of Kentucky as a Registered Nurse , as well as NRP/BLS/ACLS certified. Required Experience Minimum Work ... signs, starting IV and drawing blood, vaginal exams, pain management and obtaining pertinent information and able to document...of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Resolving… more
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