- 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
- 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
- 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
- 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
- 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
- Elevance Health (Louisville, KY)
- **Telephonic Nurse Case Manager II** **Sign On Bonus: $3000** **Location** : This role enables associates to work virtually full-time, with the exception of required ... in different states; therefore Multi-State Licensure will be required.** The **Telephonic Nurse Case Manager II** is responsible for performing care management … more
- YesCare Corp (Louisville, KY)
- …**Key Responsibilities** + Provide timely and effective responses to medical emergencies, including performing CPR until relieved. + Administer medications ... security and safety protocols. + Complete additional duties as assigned by management . **Key Qualifications** + Graduate of an accredited School of Nursing. +… more
- Molina Healthcare (Louisville, KY)
- JOB DESCRIPTION Job Summary Provides support for health management activities within the care management /care coordination functions. Collaborates with ... health care concerns, uses clinical judgment to provide care management or refer members to a higher level of...goals, and educates members on best practices to manage medical needs. * Provides condition-specific education designed to assist… more
- CVS Health (Frankfort, KY)
- …+ Promotes communication, both internally and externally to enhance effectiveness of medical management services (eg, health care providers, and health care ... heart, each and every day. Job Description: The Care Management Associate supports comprehensive coordination of medical ...for health care service delivery under the direction of nurse or medical director in the most… more
