• Clinical Reviewer , Nurse

    Evolent (Frankfort, KY)
    …the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Practitioner /Physician Assistant (ARNP/NP/PA) Cardiology is responsible for support and ... with the Director of UM to ensure client satisfaction. Perform all peer clinical review activities while located in a state or territory of the United States.… more
    Evolent (11/20/25)
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  • Nurse Practitioner

    ChenMed (Louisville, KY)
    …rapidly expanding and we need great people to join our team. The Nurse Practitioner (NP) acts as part of the clinical operations team and is responsible for ... written progress notes and summaries. The Nurse Practitioner (NP) acts as part of the clinical...Introduces self to patient/family and explain nurse practitioner role. + Facilitates patient/family conferences to review more
    ChenMed (11/12/25)
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  • Nurse Practitioner

    ChenMed (Louisville, KY)
    …we need great people to join our team. ESSENTIAL JOB FUNCTIONS: The Nurse Practitioner (NP) acts as part of the clinical operations team and is responsible ... programs, clinical meetings and other meetings. The Nurse Practitioner will adhere to strict departmental...Introduce self to patient/family and explain nurse practitioner role. Facilitate patient/family conferences to review more
    ChenMed (10/28/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Louisville, KY)
    …Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist (CCDS), Certified Documentation Improvement ... **Diagnosis Related Group Clinical Validation Auditor-RN (CDI, MS-DRG, AP-DRG and APR-DRG)**...the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims. **How… more
    Elevance Health (11/12/25)
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  • Medical Director

    Molina Healthcare (Louisville, KY)
    …the Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the ... national, state, and local laws and regulatory requirements affecting the medical and clinical staff. + Marketplace UM reviews + MD licenses required for the… more
    Molina Healthcare (10/17/25)
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  • Quality Medical Coder

    BrightSpring Health Services (Louisville, KY)
    … needs and provide preventive, coordinated, and quality healthcare. With a dedicated nurse practitioner leading a personalized care plan, we strive to improve ... a detail-oriented and technically skilled Quality Medical Coder to support our clinical operations. The Part Time Coder is responsible for reviewing and assigning… more
    BrightSpring Health Services (11/20/25)
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