- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- …the enhancement of nursing. The Chief Nurse of Surgical Services assumes 24/7 responsibility for the service line(s) for which they are responsible ... Healthcare System, Louisville, Kentucky is currently recruiting for a Chief Nurse - Surgical Services ...all aspects of care that fall under the operations service line, providing administrative oversight and direction in the… more
- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes - ensuring that appeals requests are ... policies and procedures, and medically appropriate clinical guidelines. Assesses appropriateness of services , length of stay and level of care provided to members.… more
- Molina Healthcare (Louisville, KY)
- …procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. + ... to providers. + Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. + Identifies and reports quality of… more