• Nurse Manager of Inpatient

    Catholic Health Initiatives (Bardstown, KY)
    …+ **Must be able to demonstrate advanced skills and abilities of a registered nurse , practicing within the nursing scope of practice.** + **Must have ability ... to define problems, collect data, establish facts, and draw valid conclusions.** + **Also, be able to interpret an extensive variety of instructions and deliver successful results.** + **Critical thinking and problem solving skills and must be moderately… more
    Catholic Health Initiatives (01/24/25)
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  • Assistant Nurse Manager

    Veterans Affairs, Veterans Health Administration (Louisville, KY)
    …Healthcare System, Louisville, Kentucky is currently recruiting for a Assistant Nurse Manager -Med-Surg/Tele 6S in Louisville, Kentucky 603. Responsibilities The ... Assistant Nurse Manager (ANM) supports the ...requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse more
    Veterans Affairs, Veterans Health Administration (01/16/25)
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  • Acute Care Nurse

    ChenMed (Louisville, KY)
    …Community Care Manager for home visit once discharge to home from either inpatient or skilled nursing facility (SNF). + Implements the ACM Coaching program ... discharge to all stakeholders including patient, patient's family or designee, PCP, Center Manager and Community Care Nurse . + Documents the appropriate date… more
    ChenMed (01/20/25)
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  • Nurse Care Manager Senior - LGBTIA+/…

    Elevance Health (Louisville, KY)
    ** Nurse Care Manager Senior - LGBTIA+/ Transgender...experience is strongly preferred. + AS or BS in nursing preferred. + Certification as a Case Manager ... work **12:30 PM** **to 9 PM EST** **.** The ** Nurse Care Manager Senior** is responsible for...quality, cost-effective care through assessing the medical necessity of inpatient admissions, outpatient services, out of network services, and… more
    Elevance Health (01/03/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Louisville, KY)
    **Diagnosis Related Group Clinical Validation Auditor-** **Registered Nurse ** **Location:** This position will work a hybrid model (remote and office). Ideal ... Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions… more
    Elevance Health (01/01/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Louisville, KY)
    …including DRG Validation, Itemized Bill Review, Appropriate Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical ... per policy/protocol. **JOB QUALIFICATIONS** Graduate from an Accredited School of Nursing **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** + Minimum 3 years… more
    Molina Healthcare (01/25/25)
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  • Unit Manager LPN

    Signature Healthcare (Louisville, KY)
    …long-term care facility is noted for its Center for Advanced Diabetes Care, inpatient and outpatient rehab, in-house dialysis, wound care, as well as 24-hour skilled ... nursing care for recently hospitalized and chronically ill patients....being met while also supervising and supporting our Certified Nurse Assistants (CNAs) and other staff in the delivery… more
    Signature Healthcare (12/25/24)
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  • RN - CA Licensure - Transition of Care Coach

    Molina Healthcare (Louisville, KY)
    **JOB DESCRIPTION** _For this position we are seeking a (RN) Registered Nurse who must have a current active unrestricted RN license in the state of CA._ _Case ... Manager RN will work in remote setting supporting our...will support our members to ensure successful transition from inpatient to outpatient. Excellent computer skills and attention to… more
    Molina Healthcare (01/21/25)
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  • Utilization Management Representative I

    Elevance Health (Louisville, KY)
    …+ Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service ... requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (01/24/25)
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  • Utilization Management Reprsentative II

    Elevance Health (Louisville, KY)
    …+ Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service ... given. + Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. +...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (01/15/25)
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  • Utilization Management Representative I

    Elevance Health (Louisville, KY)
    …+ Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service ... requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (01/15/25)
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