- Conviva (Frankfort, KY)
- …to others. Preferred Locations: Daytona, FL, Louisville, KY, San Antonio, TX The Utilization Management Nurse utilizes clinical nursing skills to support ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse work assignments are varied… more
- Lincoln Financial Group (Frankfort, KY)
- …Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for… more
- CVS Health (Frankfort, KY)
- …the standard schedule based on business needs Preferred Qualifications: + Managed care/ utilization review experience preferred + Experience in a behavioral ... and external constituents in the coordination and administration of the utilization /benefit management function. + Utilizes clinical skills to coordinate,… more
- Molina Healthcare (Lexington-Fayette, KY)
- …Conducts effective NP meetings and set agenda with Medical director which includes review of policies and procedures, staffing issues, utilization issues, or ... access to care is available to all patients. **Knowledge/Skills/Abilities** The Nurse Practitioner Manager will work in collaboration with his/her supervising… more
- Molina Healthcare (Lexington-Fayette, KY)
- …integrated) performing one or more of the following activities: care review / utilization management (prior authorizations, inpatient/outpatient medical ... including 3 or more years in one or more of the following areas: utilization management , case management , care transition and/or disease management… more
- CenterWell (Lexington, KY)
- …review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...and reliable transportation. + Two years as a Registered Nurse with at least one-year of management … more
- J&J Family of Companies (Lexington, KY)
- …The MSL will develop in the area of Agility, applying the competencies of Change Management , Time Management and Innovation to the role. The MSL is responsible ... accurate and compliant manner (eg expense reports, documentation of activities) * Review regional and local support sales training initiatives and competencies of… more
- Teleflex (Lexington, KY)
- …territory. The incumbent is responsible for the growth of overall product utilization within their accounts including, but not limited to, selling the designated ... time in the field. * Facilitate sales growth by conducting physician, nurse , and technologist training and account in-servicing of dialysis access products. *… more
- LifePoint Health (Versailles, KY)
- …and fosters an environment that encourages professional growth. Initiates weekend case management , Utilization review screening, assists with D/C planning ... Care (Physical Training) - within 60 days of hire and renewed annuallyTrauma Nurse Core Course (TNCC) - PreferredENPC - preferredNRP - preferredNIHSS - required… more