- Elevance Health (Louisville, KY)
- ** Clinical Review Nurse I - Medicare Part A** National Government Services is a proud member of Elevance Health's family of brands. We administer government ... Friday 8 am - 5 pm EST or CST. Hours are flexible.** The ** Clinical Review Nurse I** is responsible for reviewing and making medical determinations as… more
- Fresenius Medical Center (Radcliff, KY)
- …or federal surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
- Fresenius Medical Center (Louisville, KY)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- Molina Healthcare (Louisville, KY)
- …identified by the Payment Integrity analytical team; requires decision making pertinent to clinical experience + Documents clinical review summaries, bill ... **JOB DESCRIPTION** **Job Summary** Utilizing clinical knowledge and experience, responsible for review...Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate… more
- ChenMed (Louisville, KY)
- …degree in a related clinical field preferred. + A valid, active Registered Nurse (RN) license in State of employment required. + A minimum of 2 years' ... people to join our team. * The Acute Care Nurse is responsible for achieving positive patient outcomes, managing...diagnosis during acute stay and provide PCP documentation to review and add to patient problem list. + Contacts… more
- ChenMed (Louisville, KY)
- …our team. The Nurse Practitioner (NP) acts as part of the clinical operations team and is responsible for providing direct patient care in ChenMed/Jencare ... This position may require participation in risk and quality management programs, clinical meetings and other meetings. The Nurse Practitioner will adhere… more
- CenterWell (Louisville, KY)
- …clinicians and provides feedback to the clinician. + Works with clinicians to review application of clinical documentation and forms. + Reviews Orientation ... and help us put health first** As an **RN** ** Nurse Preceptor** , you will: + Position is responsible...you will: + Position is responsible for providing practical clinical experience and guidance to field clinicians to include… more
- Elevance Health (Louisville, KY)
- Nurse Audit Lead - Carelon Payment Integrity **Location:** The ideal candidate will live within 50 miles of one of our pulse point locations and will work on a ... is determined to recover, eliminate, and prevent unnecessary medical-expense spending. The ** Nurse Audit Lead** is responsible for leading a team of clinicians… more
- Wellpath (La Grange, KY)
- …month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and ... unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care...of care support. **How you make a difference** The Nurse Supervisor is responsible for the direct supervision of… more
- YesCare Corp (Louisville, KY)
- …of Corrections. Below is a list of your responsibilities as a ** Nurse Practitioner (NP/ARNP)** withYesCare: + Provides typical community standard care based on ... evidenced based medicine for clinical services required including but not limited to sick...in-service education of staff as requested. Participates in monthly review of quality of care and chart reviews as… more
- Vatica Health (Louisville, KY)
- …is seeking clinically experienced and detailed-oriented nurses to join our team. As a Nurse Consultant, you will collect, review and analyze patient data to ... Requirements + Minimum of 3 years of recent adult health clinical experience as a Registered Nurse (RN)- preferably in critical care (ie, ICU/CCU/MICU) and/or ED… more
- Elevance Health (Louisville, KY)
- ** Nurse Medical Management I** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance Health, Inc. family of companies, it's a powerful ... with 10 am - 7 pm (EST) shift rotation twice a month.** The ** Nurse Medical Management I** is responsible for collaborating with healthcare providers and members to… more
- Wellpath (La Grange, KY)
- …month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and ... unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care...care support. **How you make a difference** The Registered Nurse (RN) in this roleis responsible formanaging the sick-call… more
- Fresenius Medical Center (Louisville, KY)
- …regulations at: https://content.intranet.fmcna.com/regulatory-affairs/wp-content/uploads/sites/46/2019/05/Pre-Licensed- Nurse -50-State- Review ... of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a...for other staff members. + Routinely meets with the Clinical Manager to discuss personnel and patient care status,… more
- YesCare Corp (Louisville, KY)
- …**Responsibilities** Below is a list of your responsibilities as a **Registered Nurse Charge** with YesCare at the Louisville Detention Center in Louiville, KY ... and other members of the interdisciplinary team to develop and initiate health review . + Supervises the preparation of records of nursing care and other treatments… more
- Elevance Health (Louisville, KY)
- **Diagnosis Related Group Clinical Validation Auditor** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within ... miles of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure… more
- BrightSpring Health Services (Louisville, KY)
- …Reporting to the SVP Pharmacy Operations, the Vice President of Patient Care and Clinical Services is a key member of the senior leadership team and contributes to ... This leader drives the creation and implementation of patient care and clinical policies and procedures, ensures adoption of new features and functionality of… more
- Molina Healthcare (Louisville, KY)
- …a (RN) Registered Nurse with previous experience in Acute Care, Concurrent Review / Utilization Review / Utilization Management and knowledge of Interqual / ... compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence based clinical… more
- Molina Healthcare (Louisville, KY)
- …compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence based clinical ... in consistent and efficient manner. + Makes appropriate referrals to other clinical programs. + Collaborates with multidisciplinary teams to promote Molina Care… more
- Fresenius Medical Center (Louisville, KY)
- …direct patient care staff on appropriate programs under the supervision of a nurse . + Provides developmental support to applicable clinical and facility staff. ... for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training...Related** + Participates in the recruitment process for new clinical staff + Assists with clinical orientation… more