- Molina Healthcare (Lexington, KY)
- … and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... 6 PM (Team will work on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Provides support for … more
- Fresenius Medical Center (Georgetown, KY)
- …communicated to and implemented by the facility staff. + Maintains integrity of medical records and other FMS administrative and operational records. + Complies with ... as pertinent. **STAFF:** + Responsible for implementation of FMS staffing, and medical supply models, to provide quality patient care, and makes recommendations. +… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …EDRP application. Former EDRP participants ineligible to apply. Responsibilities The Inpatient Staff Registered Nurse ( RN ) is responsible for all elements of ... at the program or service level. The Inpatient Staff Registered Nurse ( RN ) is responsible...unit or a related field Additional certifications such as Medical -Surgical Nursing Certification (CMSRN) or Advanced Cardiovascular Life Support… more
- Cognizant (Frankfort, KY)
- …expectations. **What you need to have to be considered** . Educational background - Registered Nurse ( RN ) . 2-3 years combined clinical and/or utilization ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...the medical necessity determinations to the Health Plan/ Medical Director based on the review of… more
- Surgery Care Affiliates (Lexington, KY)
- …change. If you join our team, they will. Responsibilities We are actively hiring for an Registered Nurse ( RN ) PreOp PACU. + Promote the mission, vision, and ... your health, well-being, and financial future. Our offerings include medical , dental, and vision coverage, 401k plan with company...to care. + Delegate tasks according to the state Nurse Practice Act (if applicable), state board of nursing… more
- Molina Healthcare (Lexington, KY)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...specific programs supported by the plan such as utilization review , medical claims review , long-term… more
- Molina Healthcare (Lexington, KY)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Lexington, KY)
- For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state they reside This role will be doing Utilization review for ... authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted… more
- Molina Healthcare (Lexington, KY)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support...care unit, or in a telemetry type setting. UM medical review experience highly preferred. Work Hours:… more
- Molina Healthcare (Lexington, KY)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Care Review Clinician ( RN ) provides support for...requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent… more
- Molina Healthcare (Lexington, KY)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- Molina Healthcare (Lexington, KY)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Lexington, KY)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Humana (Frankfort, KY)
- …Typical work hours are Monday-Friday, 8 hours/day, 5 days/week. **Required Qualifications** + Registered Nurse ( RN ), holding an active and unrestricted ... resources, schedules and goals. The Manager, Fraud and Waste Investigator: Nurse Audit/ Review validates and interprets medical documentation to ensure… more
- HCA Healthcare (Frankfort, KY)
- …learning, clinical application, and socialization, shepherding you through the transition from student nurse to registered nurse . **Benefits** We offer a ... vary by location._** **Job Summary and Qualifications** The HCA Nurse Residency Program at Frankfort Regional Medical ...employment + Associate or Bachelor's degree in Nursing + Registered Nurse License or Graduate Nurse… more
- HCA Healthcare (Frankfort, KY)
- …next opportunity. We want your knowledge and expertise! Job Summary and Qualifications The Registered Nurse performs direct patient care within the scope of the ... Registered Nurse Practice Act. Utilizes therapeutic communication...within 90 days of employment + 1 Year of RN experience required Frankfort Regional Medical Center… more
- HCA Healthcare (Frankfort, KY)
- … PRN opening and continue to learn! **Job Summary and Qualifications** Labor and Delivery Nurse The Registered Nurse performs direct patient care within the ... scope of the Registered Nurse Practice Act. Utilizes therapeutic communication...encourage you to apply for our Labor and Delivery Nurse PRN opening. Our team will promptly review… more
- HCA Healthcare (Frankfort, KY)
- …Cardiac Life Support must be obtained within 30 days of employment start date + ( RN ) Registered Nurse + Associate Degree No Travel Required No experience ... knowledge and expertise! **Job Summary and Qualifications** The Progressive Care Registered Nurse coordinates and delivers high quality, patient-centered care.… more
- Humana (Frankfort, KY)
- …an impact** **Use your skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the (appropriate state) with no ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and… more
- HCA Healthcare (Frankfort, KY)
- …obtained within 30 days of employment start date + Registered Nurse + Associate Degree Frankfort Regional Medical Center (https://frankfortregional.com/) has ... We want you to apply! **Job Summary and Qualifications** The Progressive Care Registered Nurse coordinates and delivers high quality, patient-centered care. In… more