- Elevance Health (Louisville, KY)
- ** Medical Management Nurse ** **Location: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training ... members in different states; therefore, Multi-State Licensure will be required.** The ** Medical Management Nurse ** is responsible for review of the most… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …and copying of all paperwork. Coordinates with nursing supervisor and/or materials management for supply items that cannot be obtained from the Pyxis. Ensures ... High School Graduate or GED equivalent. Required Licenses Certified Nurse Assistant preferred. CPR/BLS certified. Required Experience Minimum Work Experience… more
- CVS Health (Frankfort, KY)
- …position does require a weekend schedule. **Required Qualifications** + Registered Nurse + Education: Diploma RN acceptable;Associate degree/BSN preferred, 3+ years ... of experience as a Registered Nurse , 1+ years of clinical experience in acute or...acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience + Must… more
- Molina Healthcare (Covington, KY)
- **Job Description** **Job Summary** The Medical Review Nurse provides support for medical claim and internal appeals review activities - ensuring alignment ... supporting our Appeals and Grievances department. We are seeking a Registered Nurse with previous Appeals experience. The candidate must have strong organizational… more
- HCA Healthcare (Frankfort, KY)
- …**Are you passionate about delivering patient-centered care?** Submit your application for Medical Surgical Nurse position and spend more time at the ... clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Frankfort...within 30 days of employment start date + Registered Nurse + Associate Degree Frankfort Regional Medical … more
- Evolent (Frankfort, KY)
- …criteria sets (ie, Milliman, InterQual) + Minimum of one year of experience with medical management activities in a managed care environment + UM/UR experience + ... Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are performed… more
- Amergis (Georgetown, KY)
- Amergis Healthcare Staffing is seeking a Medical /Surgical Registered Nurse to assume responsibility and accountability for the application of the nursing process ... and the delivery of patient care. The nurse demonstrates ability to make clinical judgments in an...management of patient care. Requirements: + Current Registered Nurse License for the state in which the … more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- JOB SUMMARY The Certified Registered Nurse Anesthetist (CRNA) administers general, regional and monitored anesthesia care for scheduled and emergency surgical and ... period. The CRNA may supervise, instruct, and provide feedback to student nurse anesthetists to ensure patient safety. ESSENTIAL FUNCTIONS: + Provides pre-anesthetic… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …BHU Registered Nurse to join our team at the JSH Medical Center. This full-time, regular/at-will position is integral to providing high-quality nursing care ... our hospital's policies and procedures. As a BHU Registered Nurse , you will be responsible for a wide range...certification + Knowledge of MRI patient care observation and management + Understanding of PCA pain management … more
- Amergis (Middlesboro, KY)
- Medical -Surgical Registered Nurse (RN) The Medical -Surgical RN is a skilled and compassionate nursing professional responsible for delivering comprehensive ... care to adult patients with a wide range of medical conditions and surgical needs. This role requires strong...Provide preoperative and postoperative care, including wound care, pain management , and mobility support + Educate patients and families… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Jennie Stuart Health is seeking a dedicated and compassionate Certified Nurse Assistant / Mental Health Tech to join our team at the JSH Medical Center. This ... is expected. The position is based at the JSH Medical Center and does not offer per diem. Required...School Graduate or GED equivalent. + Successful completion of Nurse Aide course or equivalent. + Active registration with… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- …care and clinic provider appointments within the scope of the license practical nurse . Required Skills Customer Services: + Ability to communicate clearly and calmly ... with callers. + Maintains communication between medical staff, administrative staff, and/or patient/families. Clinical Services: + Manages nurse -directed patient… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- The Hospitalist Nurse Practitioner (NP) provides direct medical care to patients requiring hospitalization. They chart medical history, assess health status, ... keeping it up to date as diagnoses and evaluation continue. The Hospitalist Nurse Practitioner also orders tests, collects data regarding the patients' status, and… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Join our Oncology Team as a Nurse Practitioner, providing compassionate, patient-focused care in a collaborative and mission-driven environment. This role emphasizes ... guidance in person or by phone Document all encounters accurately in the medical record Collaborate with providers and the care team to support safe, high-quality… more
- CenterWell (Frankfort, KY)
- …collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria ... clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …the EDRP application. Former EDRP participants ineligible to apply. Responsibilities This Assistant Nurse Manager is accountable to the Nurse Manager CLC. The ... of patient care in the area/unit and for the management and supervision of staff. This includes the authority... leadership skills and clinical skills of a registered nurse at the same grade. The nurse … more
- CenterWell (Frankfort, KY)
- …collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria ... experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work… 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
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …will coordinate care with a focus on patient education, self- management , and customer satisfaction. Strong leadership, experience, and innovative problem-solving ... components. Coordinates patient care with a focus on education, self- management , and customer satisfaction. Administers medications and procedures according to… more
- HCA Healthcare (Frankfort, KY)
- …and serving over 31.2 million patient interactions every year, nurses at Frankfort Regional Medical Center have the opportunity to make a real impact. As a(an) ER ... Nurse you can be a part of change. **Benefits** Frankfort Regional Medical Center, offers a total rewards package that supports the health, life, career and… more