• 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 ... more
    ChenMed (01/20/25)
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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 ... 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 ... more
    Molina Healthcare (01/25/25)
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  • Manager , Healthcare Services (Remote)

    Molina Healthcare (Louisville, KY)
    …Please include your experience on your resume.** **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and oversight of ... more
    Molina Healthcare (02/09/25)
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  • Manager , HCS Clinical Policy - Medicare…

    Molina Healthcare (Louisville, KY)
    …of the following activities: utilization management (prior authorizations, inpatient /outpatient medical necessity, etc.). Makes recommendation for enterprise ... more
    Molina Healthcare (02/14/25)
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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 ... more
    Signature Healthcare (02/12/25)
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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 ... more
    Molina Healthcare (01/21/25)
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