- Molina Healthcare (Lexington, KY)
- **Job Description** **Job Summary** The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring ... nursing experience, including at least 1 year of utilization review , medical claims review , long-term...or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must… more
- Fresenius Medical Center (Georgetown, KY)
- …communicated to and implemented by the facility staff. + Maintains integrity of medical records and other FMS administrative and operational records. + Complies with ... as pertinent. **STAFF:** + Responsible for implementation of FMS staffing, and medical supply models, to provide quality patient care, and makes recommendations. +… more
- HCA Healthcare (Lexington, KY)
- …at Home we support our colleagues in their positions. Join our Team as a(an) Registered Nurse Home Health and access programs to assist with every stage of ... gain certifications and job skills. Apply today for our Registered Nurse Home Health opening and continue...Nurse Home Health opening. Our team will promptly review your application. Highly qualified candidates will be contacted… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …include effective labor and performance management leadership skills and clinical skills of a registered nurse at the same grade. The nurse provides ... the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Molina Healthcare (Lexington, KY)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- HCA Healthcare (Frankfort, KY)
- …learning, clinical application, and socialization, shepherding you through the transition from student nurse to registered nurse . **Benefits** We offer a ... vary by location._** **Job Summary and Qualifications** The HCA Nurse Residency Program at Frankfort Regional Medical ...employment + Associate or Bachelor's degree in Nursing + Registered Nurse License or Graduate Nurse… more
- HCA Healthcare (Frankfort, KY)
- …next opportunity. We want your knowledge and expertise! Job Summary and Qualifications The Registered Nurse performs direct patient care within the scope of the ... Registered Nurse Practice Act. Utilizes therapeutic communication...within 90 days of employment + 1 Year of RN experience required Frankfort Regional Medical Center… more
- Molina Healthcare (Lexington, KY)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Lexington, KY)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Evolent (Frankfort, KY)
- …the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks ... are performed within the ** RN /LVN/LPN** scope of practice, under the Medical ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate,… more
- HCA Healthcare (Frankfort, KY)
- …days of employment start date + ( RN ) Registered Nurse + Associate Degree Frankfort Regional Medical Center (https://frankfortregional.com/) has provided ... and continue to learn! **Job Summary and Qualifications** The Progressive Care Registered Nurse coordinates and delivers high quality, patient-centered care. In… more
- HCA Healthcare (Frankfort, KY)
- …Cardiac Life Support must be obtained within 30 days of employment start date + ( RN ) Registered Nurse + Associate Degree No Travel Required No experience ... knowledge and expertise! **Job Summary and Qualifications** The Progressive Care Registered Nurse coordinates and delivers high quality, patient-centered care.… more
- Humana (Frankfort, KY)
- …an impact** **Use your skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN )** in the (appropriate state) with no ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and… more
- HCA Healthcare (Lexington, KY)
- …DeterminationsSupervisory experience preferredCertifications, Licenses, and other Special RequirementsCurrent/Active Registered Nurse ( RN ) License within ... regarding deficiencies or OASIS corrections (with feedback from Quality Review Specialist) to ensure the medical records...we encourage you to apply for our Clinical Manager RN opening. We promptly review all applications.… more
- YesCare Corp (Lexington, KY)
- …Treatment program. + Other duties as assigned. **Key Qualifications** + Active State Registered Nurse Licensure + Certified Addiction Registered Nurse ... regulations. + Available for conferences on all shift and responsive to medical and other disciplines. + Obtain and maintain proper licensure/certification according… more
- Fresenius Medical Center (Shelbyville, KY)
- …effective dialysis therapy for assigned patients under the direct supervision of a registered nurse . Participates in the implementation and evaluation of patient ... as your own._ **Connect with your goals and change lives** **with Fresenius Medical Care North America.** Here, we make connections that empower patients, their… more
- HCA Healthcare (Frankfort, KY)
- …within 6 months of employment start date + ( RN ) Registered Nurse + Associate Degree **Benefits** Frankfort Regional Medical Center, offers a total ... **Description** **7,500k Sign on bonus for qualified RN Candidates!** **Introduction** Do you have the career...encourage you to apply for our Same Day Surgery Nurse opening. We review all applications. Qualified… more
- Humana (Frankfort, KY)
- …each day between 6AM and 9AM in their home time zone. **Required Qualifications** + Active Registered Nurse ( RN ) license in the state they reside. + Minimum ... independent determination of the appropriate courses of action. The Nurse Auditor 2 validates and interprets medical ...clinical and coding experience to conduct a clinical validation review of the inpatient medical record to… more
- Cardinal Health (Frankfort, KY)
- …interactions **_Qualifications_** + 2-4 years of experience, preferred + Current, unrestricted Registered Nurse license, required + Bachelor's degree in related ... to meet the needs of an individual patient. **_Job Summary_** The Nurse , Individualized Care promotes high-quality patient care and treatment through patient… more
- Datavant (Frankfort, KY)
- …+ 3+ years of CDI experience + 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS ... you will play a pivotal role in elevating the impact of our medical record documentation. You will conduct daily evaluations and engage in direct communication… more