- 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
- Elevance Health (Louisville, KY)
- ** Medical Management Nurse ** **Hours: 8am-6pm flexible start time** **Location** : This role enables associates to work virtually full-time, with the ... for employment, unless an accommodation is granted as required by law. The ** Medical Management Nurse ** is responsible for review of the most complex or… more
- HCA Healthcare (Frankfort, KY)
- …or limits? Our Frankfort Regional Medical Center team is looking for a Medical Surgical Nurse Director. HCA Healthcare is an advanced healthcare network that ... provider dedicated to its patients, colleagues and communities. Help guide our team as a Medical Surgical Nurse Director and help us improve more lives in more… more
- Humana (Frankfort, KY)
- …of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require ... community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Humana (Frankfort, KY)
- …of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require ... and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to support the… more
- Humana (Frankfort, KY)
- …of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require ... community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- HCA Healthcare (Frankfort, KY)
- …**Are you passionate about delivering patient-centered care?** Submit your application for Medical Surgical Nurse position and spend more time at the ... clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Frankfort...within 30 days of employment start date + Registered Nurse + Associate Degree Frankfort Regional Medical … more
- Amergis (Georgetown, KY)
- Amergis Healthcare Staffing is seeking a Medical /Surgical Registered Nurse to assume responsibility and accountability for the application of the nursing process ... and the delivery of patient care. The nurse demonstrates ability to make clinical judgments in an...management of patient care. Requirements: + Current Registered Nurse License for the state in which the … more
- Cognizant (Frankfort, KY)
- …to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work related to clinical ... denial management and managing clinical denials from Providers to the...Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing medical necessity denials for resolution. You will be a… more
- Molina Healthcare (Lexington, KY)
- …set schedule) Looking for a RN with experience with appeals, claims review, and medical coding. **Job Summary** Provides support for medical claim and internal ... quality and cost-effective member care. **ESSENTIAL 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, ... management programs, clinical meetings and other meetings. The Nurse Practitioner will adhere to strict departmental goals/objectives, standards of performance,… more
- Fresenius Medical Center (Louisville, KY)
- …care to dialysis patients, in either a chronic or acute setting. + Medical /surgical nursing preferred. + Supervisory or management experience preferred. + ... compliance, and regulatory requirements and programs. As the Charge Nurse , manages the daily decisions to ensure continuity of...direct patient care staff + Promote efficient use of medical supplies. + Attend and participate in monthly Quality… more
- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- …VA Healthcare System, Louisville, Kentucky is currently recruiting for a Chief Nurse -Surgical Services Louisville, Kentucky 603. Responsibilities The Chief Nurse ... who possesses a wide range of experience and leadership ability. The Chief Nurse of Surgical Services provides senior leadership and oversight for daily clinical and… more
- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- …System, Louisville, Kentucky is currently recruiting for a Registered Nurse -Referral Coordination Team Louisville, Kentucky 603. Responsibilities The Referral ... Coordination Team (RCT) Registered Nurse (RN) is responsible for executing a streamlined approach to receiving, triaging, and directing timely, coordinated care. The… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …Former EDRP participants ineligible to apply. Responsibilities The Inpatient Staff Registered Nurse (RN) is responsible for all elements of the nursing process in ... and evaluating care. The RN focuses on patient education, self- management , and customer satisfaction. Collaborates with interdisciplinary teams, administers… 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 - Cardiology (NP) acts as part of...is responsible for providing direct patient care in ChenMed/Jencare medical centers, nursing homes, skilled nursing facilities (SNF) and… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …EDRP application. Former EDRP participants ineligible to apply. Responsibilities The Nurse Practitioner practices to the full extent of their education, training, ... are outlined in the clinical privileges that correspond with this position. The Nurse Practitioner has prescriptive authority for a panel of patients or program as… more
- HCA Healthcare (Frankfort, KY)
- …and serving over 31.2 million patient interactions every year, nurses at Frankfort Regional Medical Center have the opportunity to make a real impact. As a(an) Step ... Down Unit Nurse you can be a part of change. **Benefits** Frankfort Regional Medical Center, offers a total rewards package that supports the health, life,… more
- Molina Healthcare (Louisville, KY)
- JOB DESCRIPTION Job Summary Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel ... quality and cost-effective member care. Essential Job Duties * Provides general medical care and care coordination to various and/or specific patient member… more
- HCA Healthcare (Frankfort, KY)
- …and serving over 31.2 million patient interactions every year, nurses at Frankfort Regional Medical Center have the opportunity to make a real impact. As a(an) ICU ... Nurse PRN you can be a part of change. **Benefits** Frankfort Regional Medical Center, offers a total rewards package that supports the health, life, career and… more