• Registered Nurse - Infection…

    Veterans Affairs, Veterans Health Administration (Lexington, KY)
    …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... knowledge and guidance. Supports colleagues through knowledge sharing, while questioning clinical practices for the purpose of providing evidence-based practices, to… more
    Veterans Affairs, Veterans Health Administration (01/16/25)
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  • Pre-Authorization Registered Nurse

    Humana (Frankfort, KY)
    …professional onsite, field, or remote based opportunities. The Prior Authorization, Registered Nurse , RN, Intern will utilize Humana's Medicaid training and ... the goal to put health first? The Prior Authorization, Registered Nurse , RN, Intern will review prior...to complete medical necessity reviews for requested services using clinical judgment and refers to internal stakeholders for review… more
    Humana (01/15/25)
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  • Registered Nurse - Care Manager

    Veterans Affairs, Veterans Health Administration (Lexington, KY)
    …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... HBPC, and CCHT. Individual will be required to provide Clinical Coverage to the other Clinics in time of...Geri-PACT. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases,… more
    Veterans Affairs, Veterans Health Administration (01/16/25)
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  • Registered Nurse - Assistant Chief…

    Veterans Affairs, Veterans Health Administration (Lexington, KY)
    …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... Summary This Assistant Chief Nurse (ACN) reports to the Chief of Operations...policies, and objectives for the enhancement of administrative and clinical programs organization-wide, (3) Assist in policy-making activities as… more
    Veterans Affairs, Veterans Health Administration (01/03/25)
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  • Triage and Transitions Registered

    Intermountain Health (Frankfort, KY)
    …of hire unless you possess a minimum of fifteen (15) years of proven continuous Registered Nurse experience in an acute care setting, required + Current Colorado ... for the management of the patient population + Performs clinical triage, including a comprehensive assessment, disposition and education...Eligible: Yes + Shift Details: This position is a remote position + Location: This position is a virtual… more
    Intermountain Health (01/22/25)
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  • Assistant Nurse Manager - ICU

    Veterans Affairs, Veterans Health Administration (Lexington, KY)
    …management practices that include effective labor and performance management leadership skills and clinical skills of a registered nurse at the same ... the work of subordinates. Responsibilities This position requires both clinical / direct patient care as well as supervisory responsibilities....level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Veterans Affairs, Veterans Health Administration (01/16/25)
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  • RN, Utilization Management Nurse

    Humana (Lexington, KY)
    …+ **Must live within 30 miles of Lexington or Louisville, Kentucky.** + Licensed Registered Nurse (RN) in the state of Kentucky with no disciplinary action ... put health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Nurse 2 who will utilize clinical nursing skills to support the… more
    Humana (12/03/24)
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  • Consultant, Nurse Disability

    Lincoln Financial Group (Frankfort, KY)
    …as indicated **What we're looking for** * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where the ... Carolina); Omaha, NE (Nebraska); Work from Home **Work Arrangement:** Remote : Work at home employee residing outside of...We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization.… more
    Lincoln Financial Group (01/03/25)
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  • Investigator, Coding SIU ( Remote )

    Molina Healthcare (Lexington, KY)
    …Excel (edit/save spreadsheets, sort/filter) **Required License, Certification, Association** Licensed registered nurse (RN), Licensed practical nurse ... benefits, and medical records to document relevant findings of a post pay clinical review. This position manages documents and prioritizes case load to ensure timely… more
    Molina Healthcare (01/21/25)
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  • Care Manager- Remote

    Sharecare (Frankfort, KY)
    …within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required, ... + Actively participate in team huddles and contribute to clinical learning. + Remain current on clinical ...to clinical learning. + Remain current on clinical knowledge via self-directed learning. **Specific Skills/ Attributes:** +… more
    Sharecare (01/17/25)
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  • RN 3B Med Surg Tele FT Nights

    Catholic Health Initiatives (Lexington, KY)
    …Integrated Care to Saint Joseph. + The new model consists of a team with a registered nurse , licensed practical nurse and an advanced patient care technician ... Care model.** **Benefits of Virtually Integrated Care (VIC) for Clinical Staff Members are outlined below:** Saint Joseph Hospital...in Nursing (ADN) from an accredited program + Active Registered Nurse Licensure in Kentucky (KY) or… more
    Catholic Health Initiatives (01/17/25)
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  • Prior Authorization Specialist RN PRN

    Intermountain Health (Frankfort, KY)
    …REGISTRATION, LICENSE (*indicates primary source verification requirement) Required: + Active Registered Nurse License Preferred: + Certified Healthcare Access ... the quality and cost effectiveness of patient care using clinical acumen in preparation of documentation, audits of patient...Associate (CHAA) EXPERIENCE Required: + Licensed Registered Nurse + Minimum of 2 years'… more
    Intermountain Health (01/18/25)
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  • Excess Risk Managed Care Clinician

    Highmark Health (Frankfort, KY)
    …+ Bachelor's degree in Nursing **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Case Manager (CCM) **Language ... Group **Job Description :** **JOB SUMMARY** This job is responsible for analyzing clinical data to assess potential stop loss and managed care claim liability,… more
    Highmark Health (11/25/24)
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  • Nursing Assistant - 3N

    Veterans Affairs, Veterans Health Administration (Lexington, KY)
    …in a hospital, long term care or outpatient setting under the direction of a Registered Nurse and/or Licensed Vocational Nurse / Licensed Practical Nurse ... patient/resident care and contribute to the completion of the nurse care plan and recovery of patient/residents. 2 Ability...and overseeing/ assessing their practical experience while in a clinical setting. 3 Ability to recognize and react to… more
    Veterans Affairs, Veterans Health Administration (01/16/25)
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  • Director, Compliance Operations

    WelbeHealth (Frankfort, KY)
    …compliance with regulatory standards **Job Requirements:** + Bachelor's degree required + Registered Nurse (RN), master's degree, or other relevant advanced ... 100% REMOTE OPPORTUNITY At WelbeHealth, each participant of our...is guided by our interdisciplinary team (IDT), composed of clinical and non- clinical members who work cohesively… more
    WelbeHealth (01/23/25)
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  • Field Care Manager, Behavioral Health

    Humana (Frankfort, KY)
    clinical experience in behavioral health **OR** an active, unrestricted Kentucky Registered Nurse **(RN)** license with at least three years of experience ... Virginia, or West Virginia.** + An active, unrestricted Licensed Masters Clinical Social Worker **(LCSW),** Licensed Professional Clinical Counselor **(LPCC)**… more
    Humana (11/20/24)
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  • RN Transition of Care Coach - OH Licensure

    Molina Healthcare (Lexington, 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 OH (Compact ... Licensure)_ _Case Manager RN will work in remote setting supporting our Medicare/Medicaid population who have recently been admitted into Hospital. The Case Manager… more
    Molina Healthcare (01/21/25)
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  • Utilization Management Behavioral Health…

    Humana (Frankfort, KY)
    …Therapist **(LMFT)** , Licensed Professional Counselor **(LPC)** , Psychologist **(PhD)** , Registered Nurse **(RN)** or other professional license. + Three (3) ... independent determination of the appropriate courses of action. + Utilizes clinical knowledge, communication skills, and independent critical thinking skills towards… more
    Humana (11/13/24)
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