- Elevance Health (Louisville, KY)
- ** Medical Management Nurse ** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... members in different states; therefore, Multi-State Licensure will be required.** The ** Medical Management Nurse ** is responsible for review of the most… more
- CVS Health (Frankfort, KY)
- …all with heart, each and every day. **Position Summary:** The **Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes clinical skills ... to coordinate, document, and communicate all aspects of the utilization/benefit management program. **Job Duties include (but are not limited to):** + Applies… more
- Surgery Care Affiliates (New Albany, IN)
- …package to support your health, well-being, and financial future. Our offerings include medical , dental, and vision coverage, 401k plan with company match, paid time ... they will. Responsibilities We are actively hiring for an Registered Nurse (RN) Inpatient. Nightshift 6:45pm-7:15am. Rate includes shift differentials + Promote… more
- Molina Healthcare (Louisville, KY)
- **Job Description** **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal ... to provide quality and cost-effective member care. **Job Duties** + Facilitates clinical/ medical reviews of retrospective medical claim reviews, medical … more
- 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 (NP) acts as part of the clinical...is responsible for providing direct patient care in ChenMed/Jencare medical centers, nursing homes, skilled nursing facilities (SNF) and… more
- CVS Health (Frankfort, KY)
- …in the US with virtual training.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in ... URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management services that support… more
- BrightSpring Health Services (Louisville, KY)
- …of HIPAA and OSHA regulations + Demonstrated proficiency in computer-based data management programs, electronic medical record (EMR) systems, and Microsoft ... Company Abode Care Partners Overview Are you a licensed nurse practitioner (NP) looking for a new opportunity? We...structure, you will have the opportunity to grow your medical skills while providing personalized care to seniors and… more
- Fresenius Medical Center (Louisville, KY)
- …communicated to and implemented by the facility staff. + Maintains integrity of medical records and other FMS administrative and operational records. + Complies with ... the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member...**STAFF:** + Responsible for implementation of FMS staffing, and medical supply models, to provide quality patient care, and… more
- BrightSpring Health Services (Jeffersonville, IN)
- Our Company Adoration Home Health and Hospice Overview The Behavioral Health Nurse is a licensed professional who provides direct and indirect patient care services ... independently at home; and supervises and directs the efforts of the Licensed Practical Nurse and Home Health Aides when involved in the patient plan of care.… more
- CenterWell (Bardstown, KY)
- …Health Registered Nurse ** , you will: + Provide admission, case management , and follow-up skilled nursing visits for home health patients. + Administer on-going ... meaningful impact every day as a CenterWell Home Health nurse . You'll provide personalized, one-on-one care that helps patients...care and case management for each patient, provide necessary follow-up as directed… more