- Novo Nordisk Inc. (Louisville, KY)
- …Externally, the CMCS I maintains relationships with physicians, physician assistants, nurse practitioners, medical assistants, pharmacists, nurses and other ... events. Our ambition is to advance broad cardiometabolic disease management by bringing exciting new therapies to market to...of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems, and Local Clinics and uses… more
- 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
- Surgery Care Affiliates (New Albany, IN)
- …package to support your health, well-being, and financial future. Our offerings include medical , dental, and vision coverage, 401k plan with company match, paid time ... they will. Responsibilities We are actively hiring for an Registered Nurse (RN) Inpatient. Nightshift 6:45pm-7:15am. Rate includes shift differentials + Promote… more
- Molina Healthcare (Louisville, 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 (Fort Knox, KY)
- Summary The Robley Rex VA Healthcare System is actively recruiting for a Registered Nurse with the Daytime Clinical Contact Center in Primary Care located at the Ft. ... for remote (virtual) or telework. Responsibilities CCC Triage Registered Nurse (RN) interprets the philosophy and goals of virtual...the veteran for care based on their symptoms, past medical history, the use of decision support tools, and… 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
- 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
- BrightSpring Health Services (Louisville, KY)
- …of HIPAA and OSHA regulations + Demonstrated proficiency in computer-based data management programs, electronic medical record (EMR) systems, and Microsoft ... Company Abode Care Partners Overview Are you a licensed nurse practitioner (NP) looking for a new opportunity? We...structure, you will have the opportunity to grow your medical skills while providing personalized care to seniors and… more
- Fresenius Medical Center (Louisville, KY)
- …communicated to and implemented by the facility staff. + Maintains integrity of medical records and other FMS administrative and operational records. + Complies with ... the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member...**STAFF:** + Responsible for implementation of FMS staffing, and medical supply models, to provide quality patient care, and… more
- BrightSpring Health Services (Louisville, KY)
- Our Company Abode Care Partners Overview The Nurse Care Manger is an LPN who plays a crucial role in delivering patient-centered care by focusing on clinical ... care planning, and patient education. Working closely with field-based providers, the Nurse Care Manager assesses patient needs, coordinates care, and ensures that… more
- St Croix Hospice (Jeffersonville, IN)
- Registered Nurse (RN) - On-Call Nights & Weekends / 7 On & 7 Off Job Details Level Experienced Job Location Jeffersonville IN - Jeffersonville, IN Position Type Full ... Time Education Level 2 Year Degree Job Category Nurse The On-Call Registered Nurse organizes and directs hospice care and is experienced in nursing, with… more
- Molina Healthcare (Louisville, KY)
- …may be required. * Serves as a clinical resource for utilization management , chief medical officer, physicians, and member/provider inquiries/appeals. * Provides ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support for internal appeals clinical...Central time Remote position **Essential Job Duties** * Performs clinical/ medical reviews of previously denied cases in which a… more
- CenterWell (Bardstown, KY)
- …Health Registered Nurse ** , you will: + Provide admission, case management , and follow-up skilled nursing visits for home health patients. + Administer on-going ... meaningful impact every day as a CenterWell Home Health nurse . You'll provide personalized, one-on-one care that helps patients...care and case management for each patient, provide necessary follow-up as directed… more
- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **Job Summary** The Delegation Oversight Nurse provides support for delegation oversight quality improvement activities. Responsible for ... proficient, self-directed, autonomous and experience working from home. Care Management & Waiver Service Auditing experience is highly preferred. Work… more
- Elevance Health (Louisville, KY)
- ** Nurse Case Manager II** **Work Schedule** **: M-F... Case Manager I** I is responsible for care management within the scope of licensure for members with ... assessments to identify individual needs and a specific care management plan to address objectives and goals as identified... plan and modifies as necessary. + Interfaces with Medical Directors and Physician Advisors on the development of… more
