- Catholic Health Initiatives (Bardstown, KY)
- …+ **Must be able to demonstrate advanced skills and abilities of a registered nurse , practicing within the nursing scope of practice.** + **Must have ability ... to define problems, collect data, establish facts, and draw valid conclusions.** + **Also, be able to interpret an extensive variety of instructions and deliver successful results.** + **Critical thinking and problem solving skills and must be moderately… more
- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- …Healthcare System, Louisville, Kentucky is currently recruiting for a Assistant Nurse Manager -Med-Surg/Tele 6S in Louisville, Kentucky 603. Responsibilities The ... Assistant Nurse Manager (ANM) supports the ...requirement for graduation from an approved school of professional nursing to warrant an appointment as a Nurse… more
- ChenMed (Louisville, KY)
- …Community Care Manager for home visit once discharge to home from either inpatient or skilled nursing facility (SNF). + Implements the ACM Coaching program ... discharge to all stakeholders including patient, patient's family or designee, PCP, Center Manager and Community Care Nurse . + Documents the appropriate date… more
- Elevance Health (Louisville, KY)
- ** Nurse Care Manager Senior - LGBTIA+/ Transgender...experience is strongly preferred. + AS or BS in nursing preferred. + Certification as a Case Manager ... work **12:30 PM** **to 9 PM EST** **.** The ** Nurse Care Manager Senior** is responsible for...quality, cost-effective care through assessing the medical necessity of inpatient admissions, outpatient services, out of network services, 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… more
- Molina Healthcare (Louisville, KY)
- …including DRG Validation, Itemized Bill Review, Appropriate Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical ... per policy/protocol. **JOB QUALIFICATIONS** Graduate from an Accredited School of Nursing **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** + Minimum 3 years… more
- Signature Healthcare (Louisville, KY)
- …long-term care facility is noted for its Center for Advanced Diabetes Care, inpatient and outpatient rehab, in-house dialysis, wound care, as well as 24-hour skilled ... nursing care for recently hospitalized and chronically ill patients....being met while also supervising and supporting our Certified Nurse Assistants (CNAs) and other staff in the delivery… more
- Molina Healthcare (Louisville, 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 CA._ _Case ... Manager RN will work in remote setting supporting our...will support our members to ensure successful transition from inpatient to outpatient. Excellent computer skills and attention to… more
- Elevance Health (Louisville, KY)
- …+ Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service ... requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Louisville, KY)
- …+ Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service ... given. + Refers cases requiring clinical review to a nurse reviewer; and handles referrals for specialty care. +...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Elevance Health (Louisville, KY)
- …+ Determines contract and benefit eligibility; provides authorization for inpatient admission, outpatient precertification, prior authorization, and post service ... requests. + Refers cases requiring clinical review to a Nurse reviewer. + Responsible for the identification and data...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more