• Utilization & Disease Management

    CenterWell (Frankfort, KY)
    …UM Administration Coordinator - Phone Intake contributes to administration of utilization management . The UM Administration Coordinator performs varied ... on semi-routine assignments. Shift Hours - 8a - 5 The UM Administration Coordinator - Phone Intake provides non-clinical support for the policies and procedures… more
    CenterWell (06/10/25)
    - Save Job - Related Jobs - Block Source
  • Utilization Management

    Humana (Frankfort, KY)
    …health first** The UM Administration Coordinator contributes to administration of utilization management for Humana's KY Medicaid plan. The UM Administration ... Coordinator 2 performs varied activities and moderately complex administrative/operational/customer...service or customer service, telephone experience + Experience with Utilization Review and/or Prior Authorization. preferably within a managed… more
    Humana (06/11/25)
    - Save Job - Related Jobs - Block Source
  • Staffing Coordinator

    Catholic Health Initiatives (Lexington, KY)
    …for collecting data and running reports in the schedule software. Prepare data for management to present to stakeholders. The Coordinator is also responsible for ... **Responsibilities** **Job Summary / Purpose** The Staffing Coordinator for the CHI Saint Joseph Health Staffing Center is responsible for scheduling and deployment… more
    Catholic Health Initiatives (06/12/25)
    - Save Job - Related Jobs - Block Source
  • Sepsis Coordinator

    HCA Healthcare (Frankfort, KY)
    …educator and coach for hospital and medical staff to ensure optimal care management and outcomes. The Coordinator collects, analyzes data and improves processes ... preferred This position requires progressive nursing leadership experience demonstrating solid management skills. The Quality Coordinator should have the ability… more
    HCA Healthcare (06/05/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse - Transfer Coordinator

    Veterans Affairs, Veterans Health Administration (Lexington, KY)
    Summary The Registered Nurse Transfer coordinator is directly responsible for the facilitation and monitoring of the community hospital referrals to the VA facility, ... for collaborating with other staff for appropriate oversight and management of emergency care received through community hospitals. Responsibilities Duties… more
    Veterans Affairs, Veterans Health Administration (06/07/25)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse, Case Manager - Oncology…

    CVS Health (Frankfort, KY)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... is 8:30am-5:00pm within time zone of residence.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health.… more
    CVS Health (06/01/25)
    - Save Job - Related Jobs - Block Source
  • Bariatric RN Clinical Reviewer

    Catholic Health Initiatives (Lexington, KY)
    …JOB FUNCTIONS:** Identifies pertinent patient data as it relates to weight management bariatric surgery and collaborates with a multi-disciplinary team. Quality ... Management - Extracts patient data from medical charts using...follow-up data components for the program through the effective utilization of the hospital medical record systems and through… more
    Catholic Health Initiatives (04/26/25)
    - Save Job - Related Jobs - Block Source