- Elevance Health (Louisville, KY)
- **Hours of this position: Mon - Friday 8am - 5pm CST or 8am - 5pm EST** The Med Mgmt Nurse is responsible for review of the most complex or challenging cases ... judgment to determine whether treatment is medically necessary and provides consultation to Medical Director on cases that are unclear or do not satisfy relevant… more
- Humana (Louisville, KY)
- …us put health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Nurse 2 who will utilize clinical nursing skills to support the ... and/or benefit administration determinations for Humana's Kentucky Medicaid Plan. The Utilization Management Nurse 2 work assignments are varied and frequently… more
- Chemours (Louisville, KY)
- … management for prolonged or complex illnesses/injuries. The Occupational Health Nurse will maintain medical records in accordance with established ... guidelines. The Occupational Health Nurse role performs medical screenings such as...compliance with regulatory and corporate guidelines. The Occupational Health Nurse will interact with employees, line management ,… more
- ChenMed (Louisville, KY)
- …and we need great people to join our team. * The Acute Care Nurse is responsible for achieving positive patient outcomes, managing quality of care across the ... families as they navigate through external providers and healthcare systems. The Acute Care Nurse is an important member of the Hospital & Community Care Teams and… more
- Gentiva (New Albany, IN)
- …Patient Care Manager Senior and will maintain primary control and professional management of each patient. + Act as primary liaison between physician, patient/family ... assessment and performance improvement programs. **About You** **Hospice Registered Nurse Requirements:** + Hospice heart: compassionate, kind and empathetic to… more
- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, ... including home, nursing facilities, and "pop up" clinic. The Nurse Practitioner will be required to work primarily in...required to work primarily in non-clinical settings and provide medical care to all levels of patients. Some programs… 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 (NP) acts as part of the clinical...is responsible for providing direct patient care in ChenMed/Jencare medical centers, nursing homes, skilled nursing facilities (SNF) and… more
- Fresenius Medical Center (Radcliff, 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
- Surgery Care Affiliates (New Albany, IN)
- …and differentiated ways as part of Optum and with our new Specialty Management Solutions business. + We have pioneered a physician-led, multi-site model of practice ... opportunities for YOU. Responsibilities We are actively hiring for a Registered Nurse (RN) PACU. Primary Responsibilities: + Assess patient status throughout the… more
- Fresenius Medical Center (Louisville, KY)
- …Test. + Preferred but not required: + 3+ years supervisory or project/program management experience. + Med /surg or ICU/CCU experience. **PHYSICAL DEMANDS AND ... **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- CenterWell (New Albany, IN)
- …teamwork and providing a positive and welcoming environment for all. Responsibilities: The Nurse Practitioner (NP) works in our team-based care environment. We are a ... of doctors, advanced practice professionals, Pharm D, Care Coach Nurse , MA, Behavioral health specialist, Quality based Coder, Referral...accordance with standards of care. . Follows level of medical care and quality for patients and monitors care… more
- Elevance Health (Louisville, KY)
- …+ Prior managed care and case management experience preferred. Knowledge of medical management process and ability to interpret and apply member contracts, ... experience, disease management experience, and minimum of 1 year in Nurse Care Mgr II role or equivalent experience; or any combination of education and… more
- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- …Healthcare System, Louisville, Kentucky is currently recruiting for a Licensed Practical Nurse in Women's Health at the Newburg VA Clinic. Responsibilities The PACT ... at the Newburg VA Clinic, Louisville, KY. a. Population Management (longitudinal management of a patient panel...full, active and unrestricted licensure as a licensed practical nurse or vocational nurse in a State,… 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
- Surgery Care Affiliates (Louisville, KY)
- …support person. + Providing education regarding the expected psychosocial response, nutritional management , medical management , pain management , wound ... as part of Optum and with our new Specialty Management Solutions business. + We have pioneered a physician-led,...YOU. Responsibilities We are actively hiring for an Registered Nurse (RN) PreOp. + Promote the mission, vision, and… more
- 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 and DRGs… more
- Harrison Healthcare Center (Corydon, IN)
- …offer positions in a variety of shifts to meet your needs! WHAT WE OFFER Medical , Dental, Vision Insurance * Company Paid Uniforms * Generous Paid Time Off Policy * ... Read on to discover more about the role of Nurse Aide! Qualifications & Experience Requirements + High school...hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management … more
- YesCare Corp (Louisville, KY)
- …an accredited School of Nursing. + Current valid state license for Registered Nurse . + Possesses an active CPR certification. + Remains knowledgeable about specific ... **Responsibilities** Below is a list of your responsibilities as a **Registered Nurse (RN)** with YesCareat theLouisville Detention Center in Louisville, Ky: **Sign… more
- ChenMed (Louisville, KY)
- …slots, follow-up patients 1 slot), CGCAHPS (patient experience), clinical gaps closures, and medical cost measures. Each PCP will have goals for these metrics and ... their care teams. Culture is very important in the medical centers and because PCP's are leaders in our...with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as required… more
- Elevance Health (Louisville, KY)
- …8am - 5pm PST or 10am - 7am CST or 11am - 8pm EST.** The Nurse Care Mgr I is responsible for collaborating with healthcare providers and/or consumer to drive ... personalized health management and improve health outcomes for optimal consumers. Performs...appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions and extensions of stay,… more