- Elevance Health (Louisville, KY)
- ** Clinical Review Nurse I** **National Government Services** is a proud member of Elevance Health's family of brands. We administer government contracts for ... Friday 8 am - 5 pm EST or CST. Hours are flexible.** The ** Clinical Review Nurse I** is responsible for reviewing and making medical determinations as… 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 ... miles of one of our PulsePoint locations. The **Diagnosis Related Group Clinical Validation Auditor** is responsible for auditing inpatient medical records to ensure… more
- Elevance Health (Louisville, KY)
- ** Nurse and CPC - Clinical Fraud...opportunities for fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records ... locations. **Hybrid Workplace Strategy:** 1-2 days in office per week The ** Clinical Fraud Investigator II** is responsible for identifying issues and/or entities… more
- Fresenius Medical Center (Louisville, KY)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- Elevance Health (Louisville, KY)
- …outpatient precertification, prior authorization, and post service requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for ... I** will be responsible for coordinating cases for precertification and prior authorization review . **How you will make an impact:** + Managing incoming calls or… more
- ChenMed (Louisville, KY)
- …degree in a related clinical field preferred. + A valid, active Registered Nurse (RN) license in State of employment required. + A minimum of 2 years' ... people to join our team. * The Acute Care Nurse is responsible for achieving positive patient outcomes, managing...diagnosis during acute stay and provide PCP documentation to review and add to patient problem list. + Contacts… more
- ChenMed (Louisville, KY)
- …our team. The Nurse Practitioner (NP) acts as part of the clinical operations team and is responsible for providing direct patient care in ChenMed/Jencare ... This position may require participation in risk and quality management programs, clinical meetings and other meetings. The Nurse Practitioner will adhere… more
- CenterWell (Louisville, KY)
- …clinicians and provides feedback to the clinician. + Works with clinicians to review application of clinical documentation and forms. + Reviews Orientation ... and help us put health first** As an **RN** ** Nurse Preceptor** , you will: + Position is responsible...you will: + Position is responsible for providing practical clinical experience and guidance to field clinicians to include… more
- CareerStaff Unlimited (Jeffersonville, IN)
- Licensed Practical Nurse - LPN - Home Health Invest in your future by discovering a facility in Jeffersonville, IN with resources, technology, and opportunities that ... impact the rest of your healthcare career. Licensed Practical Nurse 's are valued members of the care team that...and 401(k) * Guaranteed Weekly Direct Deposit * 24/7 Clinical Services Team & Unparalleled Support * Bonus Programs… more
- CenterWell (Louisville, KY)
- …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 ... team consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse , MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and… more
- BrightSpring Health Services (Louisville, KY)
- …available immediately Updated Available Schedule: Friday-Sunday 6pm-6am CST This Registered Nurse provides On-Call and Triage for the assigned population in ... (web) chat, or email + Ensure compliance with state/local/payer requirements through review of documentation + Provide coaching and education related to the health… more
- Wellpath (La Grange, KY)
- …month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and ... unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care...of care support. **How you make a difference** The Nurse Supervisor is responsible for the direct supervision of… more
- YesCare Corp (Louisville, KY)
- …every 3rd week** Below is a list of your responsibilities as a ** Nurse Practitioner (NP/ARNP)** withYesCare: + Provides typical community standard care based on ... evidenced based medicine for clinical services required including but not limited to sick...in-service education of staff as requested. Participates in monthly review of quality of care and chart reviews as… more
- Elevance Health (Louisville, KY)
- **Telephonic Nurse Case Manager II** **Location: This is a virtual position. Candidates must reside within 50 miles of an Elevance Health Pulse Point location.** ... hours of receipt and meet the criteria._** The **Telephonic Nurse Case Manager II** is responsible for care management...a health-related field and minimum of 5 years of clinical experience; or any combination of education and experience,… more
- Fresenius Medical Center (Louisville, KY)
- …regulations at: https://content.intranet.fmcna.com/regulatory-affairs/wp-content/uploads/sites/46/2019/05/Pre-Licensed- Nurse -50-State- Review ... of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a...for other staff members. + Routinely meets with the Clinical Manager to discuss personnel and patient care status,… more
- YesCare Corp (Louisville, KY)
- …**Responsibilities** Below is a list of your responsibilities as a **Registered Nurse Charge** with YesCare at the Louisville Detention Center in Louiville, KY ... and other members of the interdisciplinary team to develop and initiate health review . + Supervises the preparation of records of nursing care and other treatments… more
- CenterWell (Louisville, KY)
- …policies and standards. + Assesses staff education needs based on own the review of clinical documentation in addition to feedback and recommendations by ... health first** + Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed. + Conducts/delegates...Utilization Review staff. Upon completion of the assessment, creates and… more
- HCA Healthcare (Louisville, KY)
- …in Nursing (BSN) Degree . **Experiential Qualifications:** Minimum of two (2) years of clinical experience as a Registered Nurse **and** per State Board of ... are currently looking for an ambitious Nursing Faculty - Clinical to help us reach our goals. Unlock your...effectively in the healthcare environment. + Participates in the review of the curriculum to ensure integrity, rigor, and… more
- Molina Healthcare (Louisville, KY)
- **KNOWLEDGE/SKILLS/ABILITIES** + Performs monthly auditing of registered nurse and other clinical functions in Utilization Management (UM), Case Management (CM), ... in managed care, medical or behavioral health settings. + Two years of clinical auditing/ review experience. To all current Molina employees: If you are… more
- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **_For this position we are seeking a (RN) Registered Nurse with previous experience in Hospital Acute Care, Concurrent Review / Utilization ... compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence based clinical… more