RN Utilization Review Specialist
UofL Health, Inc.
UofL Health, Inc. is seeking a Registered Nurse for Utilization Review at Peace Hospital in Louisville, Kentucky. This full-time position involves managing the Utilization Management functions, including clinical recommendations and communication with physicians and payors. The ideal candidate will have a Bachelor of Science in Nursing and at least two years of nursing experience, with additional experience in utilization management preferred. This role emphasizes patient-centered care and regulatory compliance. #J-18808-Ljbffr UofL Health, Inc.
- ...delivering patient-centered care to each and every patient each and every day. Job Description Position Summary and Purpose The Utilization Review RN performs activities which support the Utilization Management functions. They are responsible for the delivery of the...SuggestedWork at officeShift work
- ...pride in each other and our work. Job Summary: The Peer-to-Peer Specialist is responsible for managing all aspects of insurance peer-to-... ...barriers and recommend improvements that align with the Utilization Management Department's goals and objectives. This position reports...SuggestedFull timeWork at office
- ...SRI Tech SolutionsJob Title: WFM Systems Specialist (Genesys & TTEC Aria WFM Adapter)... ...AHT, Abandonment, Occupancy, Shrinkage, Utilization, Service Levels.Systems & IntegrationConfigure... ...ManagementLead WFM cadences: capacity reviews, weekly staffing calls, intraday...SuggestedFull timeTemporary workDay shift
- ...seeking Disaster Recovery Public Assistance Specialists to join our dedicated team. This... ...coordination of project documentation for FEMA review and approval. This position will be... ...scope accuracy, and cost reasonableness.Utilize FEMA Grants Portal: Track project progress...SuggestedWork at officeLocal areaWorldwideRelocation packageFlexible hours
$2,250 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY Agency... ...prioritizes, and implements the plan of care, reviewing and revising the plan as indicated.... ...patient/family and interdisciplinary services, utilizing resources appropriately to support the...SuggestedFull timeContract workShift workDay shift$2,257 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY Agency... ...prioritizes, and implements the plan of care and reviews and revises the plan as indicated.... .../family and interdisciplinary services; utilizes resources appropriately to support the needs...Full timeContract workShift workDay shift$2,293 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY Agency:... ...prioritize, and implement the plan of care. Review and revise the plan as indicated.... ...families, and interdisciplinary services. Utilize resources appropriately to support the needs...Full timeContract workShift workNight shift$1,512 - $1,557 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY Agency... ...prioritizes and implements the plan of care and reviews and revises the plan as indicated.... ...patient/family & interdisciplinary services; utilizes resources appropriately to support the...Full timeContract workWork experience placementImmediate startShift work$50k
...their access to therapy. The Reimbursement Specialist works in a dynamic and compassionate... ...regulation or guidance. Patient Assistance: Review of patient assistance enrollment forms... ...inbound callers through resolution utilizing answers to frequently asked questions or...Full timeTemporary workWork at officeImmediate start$7.25 per hour
...Requisition: 2026-194285 Prior Authorization Specialist Job Locations US-KY-LOUISVILLE... ...to five business days Tracks and reviews all claims in QuickBase and sends excel... ...resolution of claim rejections as needed Utilizes Frameworks, QuickBase, Docutrack, and...Hourly payFull timeLive inWork at officeFlexible hoursShift work- ...prior authorization within four to five business days. Track and review all claims in QuickBase and send an Excel tracking spreadsheet... ...Operations. Adjudicate and resolve claim rejections as needed. Utilize Frameworks, QuickBase, Docutrack, and CoverMyMeds to complete...Flexible hoursShift work
$2,293 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY Agency... ...prioritizes, and implements the plan of care, and reviews and revises the plan as indicated.... .../family and interdisciplinary services. Utilizes resources appropriately to support the...Full timeContract workShift workNight shift$2,293 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY Agency... ...comfort, education, and satisfaction. The RN utilizes educational and professional experiences... ..., and implements the plan of care, and reviews and revises the plan as indicated....Full timeContract workShift workNight shift$24.28 - $32.44 per hour
...Technical Services Building Systems Specialist IIThe Technical Services Building Systems Specialist... ...in site surveys, documentation review, and due diligence activities to determine... ...of the commissioning process.• Actively utilize the CxAlloy software to document...Full timeWork at officeRemote work- ...Strength and Conditioning Specialist Responsibilities Administer and refine effective... ...equipment use. Participate in meetings to review and evaluate physical training programs... ...equipment and facilities are organized, utilized properly, and in safe working condition....For contractorsFor subcontractorWorldwide
$2,129 per week
...Registered Nurse (RN) | Mother Baby Location: Louisville, KY Agency: Cynet... ...prioritizes, and implements the plan of care, reviewing and revising it as indicated. The RN... ...and interdisciplinary services. The RN utilizes resources appropriately to support the needs...Full timeContract workShift workNight shiftWeekend work$2,236 per week
...Registered Nurse (RN) | Telemetry Location: Jeffersonville, IN Agency: Cynet... ...prioritizing, and implementing the plan of care and reviewing and revising the plan as indicated. -... ..., and interdisciplinary services. - Utilizing resources appropriately to support the...Full timeContract workShift workNight shift$2,268 per week
...Registered Nurse (RN) | Telemetry Location: Louisville, KY Agency: Cynet Health... ..., and implements the plan of care, and reviews and revises the plan as indicated.... ...families, and interdisciplinary services. Utilizes resources appropriately to support the needs...Full timeContract workShift workNight shiftWeekend work$1,548 per week
...Registered Nurse (RN) | Telemetry Location: Louisville, KY Agency: TalentBurst... ...and implements the plan of care and reviews and revises the plan as indicated. Collaborates... .../family & interdisciplinary services; utilizes resources appropriately to support the needs...Full timeContract workWork experience placementImmediate startShift work$2,473 per week
...Registered Nurse (RN) | Labor & Delivery Location: Louisville, KY Agency: Cynet... ...and implements the plan of care. The RN reviews and revises the plan as indicated. The... ...as interdisciplinary services. The RN utilizes resources appropriately to support the needs...Full timeContract workShift workWeekend workDay shift- ...to enhance efficiency, quality, safety, and cost effectiveness. Utilize Lean, Six Sigma, Kaizen and like methodologies to eliminate... ...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-1...Work experience placementWork at office
- Position Purpose The Asset Protection Specialist is primarily responsible for preventing financial... ...assigned store/multiple stores. They utilize tools to minimize loss to the Company,... ...incidents of theft and fraud, reviewing CCTV and exception reports, monitoring the...
$21.63 per hour
...Program Administration Funds Specialist Mentor Community Services, a part of the Sevita... ...procedures, audit individuals' accounts, review reconciliations, and report mismanagement... ...served, including room and board, rent, utilities, medical co-payments, and others,...Hourly payFull time$19.18 - $30.14 per hour
...Anticipated End Date: 2026-08-17 Position Title: Recovery Specialist Associate - Call Center Job Description: Recovery Specialist... ...party/worker’s compensation subrogation files. Identifies, reviews, sets up or closes health insurance subrogation claims via...Temporary workWork experience placementWork at officeLocal areaMonday to FridayShift work2 days per week1 day per week- ...infrastructure and storage capacity/site capabilities. Reviews and analyzes infrastructure management and storage program utilization, and advises management on problem areas and... ...Summary To qualify for a Storage Specialist, your resume and supporting documentation...Full timeRemote work
$100k - $186k
...Family Group: Retail GroupJob Description: The Transformation Specialist plays a key role in shaping and performing bp’s Mobility & Convenience... ...policy. This may include pre-placement drug screening, medical review of physical fitness for the role, and background checks....Full timeTemporary workPart timeWork experience placementWork at officeLocal areaRemote workFlexible hours- ...children and families. SUMMARY The IFP Specialist will provide Intensive Family... ...families revise goals or plans as needed. • Utilize motivation enhancement strategies to... ...consultant (home visit observations, file reviews, model fidelity monitoring, consultation...Contract workWork from home10 hours per weekFlexible hoursAfternoon shift
- ...8,500 employees across a sprawling 720-acre campus. As an EHS Specialist, you’ll play a pivotal role in ensuring compliance, reducing risks... ...work plans, lock out tag out assessments, and new equipment reviews, which may require travel to the equipment manufacturer....Full timeFor contractorsWork at officeImmediate startMonday to FridayFlexible hours
- ...Components is hiring a Health, Safety, and Environment (HSE) Specialist for our Cook Compression brand, located at our Jeffersonville,... ...Always mission. Key responsibilities include:Perform compliance reviews, general risk assessments, JSA and other safety assessments to...Full timeTemporary workFor contractorsWork experience placementLocal areaFlexible hours
$19.18 - $30.14 per hour
...Recovery Specialist Associate - Call Center Recovery Specialist Associate - Call Center Anticipated End Date: 08/21/2026 Hybrid... ...party/worker's compensation subrogation files. Identifies, reviews, sets up or closes health insurance subrogation claims via phone...Work experience placementWork at officeLocal areaMonday to FridayShift work2 days per week1 day per week
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