- Molina Healthcare (Louisville, KY)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... **JOB DESCRIPTION** **Job Summary** Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Louisville, 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
- CVS Health (Frankfort, KY)
- …Services (as applicable to hiring program) or Associates degree with a Registered Nurse with Behavioral Health experience/background with 3 years experience. ... with behavioral health background. **Preferred Qualifications** + 3 years Managed care /utilization review experience preferred. + Crisis intervention skills and… more
- Veterans Affairs, Veterans Health Administration (Fort Knox, KY)
- …patient information. Completed work [should need] only a general review by a registered nurse [( RN ) or physician (MD/DO)] for [ ] appropriateness and ... Nurse activities under the direction of a Registered Nurse , requiring a broad work experience...Complete clinical reminders and reports of data findings to clinician , provider, or RN . Administer medications and… more
- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- …specialized Licensed Practical Nurse activities under the direction of a Registered Nurse , requiring a broad work experience and demonstrated skill ... decision making with minimal periodic supervision by the Registered Nurse . Duties include but are not...Complete clinical reminders and reports of data findings to clinician , provider, or RN . Administer medications and… more
- Elevance Health (Louisville, KY)
- …in different states; therefore, Multi-State Licensure will be required.** The **Medical Management Nurse ** is responsible for review of the most complex or ... **Medical Management Nurse ** **Location: Virtual: This role enables associates to...and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any… more
- Elevance Health (Louisville, KY)
- …for our communities. Join us and together we will drive the future of health care . The **Medical Management Nurse ** is responsible for reviewing the most complex ... **Medical Management Nurse ** **Location:** This role enables associates to work...and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any… more