Utilization Management RN - Care Coordination
Signature HealthCARE, LLC
Signature HealthCARE, LLC in Louisville, KY seeks an experienced RN Case Manager to coordinate care with Managed Care Organizations and internal teams. You will assess resident needs, authorize services, and ensure accurate reporting and billing. A strong background in case management and Medicare/MDS is essential for success in this role. The position offers full-time hours, opportunities for professional growth, and a comprehensive benefits package. #J-18808-Ljbffr Signature HealthCARE, LLC
- ...Nurse with a strong background in case management. You will collaborate with hospital, SNF and rehab teams, assess resident care needs, coordinate with MCOs, and ensure accurate billing... ...Management software. Requires an active RN license, an Associate degree, and three...Suggested
$75k - $82k
...states. Our continuum of care includes skilled nursing,... ...Overview Collaboration with Managed Care Organizations (MCO) and... ...care givers, and external Utilization Management Nurses. Coordinate internal and external... ...Difference Registered Nurse (RN) in good standing with...Suggested$71.1k - $97.8k
...Care Coordinator 2 (Field Care Manager 2) Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and evaluates... ...Required Qualifications Licensed Registered Nurse (RN) in the state of Indiana without restrictions At least...SuggestedTemporary workWork at officeRemote workHome officeMonday to FridayNight shift- ...RN, Clinical Informatics Nurse Are you an RN... ...to transform patient care? Home of the Innocents... ...leads all aspects of EHR coordination and optimization under... ..., Health Information Management, physicians, external... ...documentation, maximum EHR utilization, and care that meets...SuggestedFull timeLocal areaAfternoon shift
$21 per hour
CareHarmony’s Intake Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed Practical Nurse - LPN Nurse (LPN) (NLC) (LVN) with at least 3 years...SuggestedRemote jobFull timeWork experience placementWork at officeHome officeMonday to FridayShift workDay shift$1,620 per week
...The RN Case Manager is responsible for coordinating continuum of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical regime. Minimum Requirements: Current RN licensure in state practicing...Weekly payFull timeContract workWork at officeLocal area- ...RN – Psych Seven Healthcare are seeking a dedicated RN specializing in child psychiatric care for a travel assignment in Louisville, KY. This is... ...busy, requiring proactive management and effective de-... ...Administering IM injections and utilizing verbal de-escalation techniques...Weekly payFlexible hours
- ...Travel House Supervisor RN Company: Fusion... ...shifts to ensure quality care, patient safety, and smooth... ..., patient flow management, crisis intervention, and... ...to hospital policies Coordinate and monitor patient admissions... ...efficiency Utilize electronic health records...Temporary workShift work
- ...nursing assessment and care to patients with both... ...expertise of two Neuroscience Coordinators. New Graduate Nurses... ...is an entry-level management position responsible... ...charge nurse as he/she utilizes critical thinking... ...Requirements: Active Kentucky RN License required....Full timeShift workNight shift
- ...Registered Nurse Pain Management Breckenridge Ambulatory Surgery Center 40 Hours Weekly... ...nursing process for each assigned to his/her care regardless of age (i.e. infancy to... ...Standards serve as guidelines for nurses as they utilize critical thinking and clinical reasoning...Full timeDay shift
- ...Clinic Nurse RN Are you an RN who thrives in a dynamic, community-based care setting and finds purpose in advocating for medically... ...care on- and off-site, lead coordination of complex medical... ...team, and neighborhood nurse managers, providing direct resident care...Full timeLocal areaMonday to FridayDay shift
$80.61k - $120.91k
...Telephonic Nurse Case Manager II This role enables... ...greater access to care for our members, greater... ...developing, implementing, coordinating, monitoring, and... ...Assists with development of utilization/care management... ...Current, unrestricted RN license in applicable...Full timeTemporary workLocal areaMonday to FridayDay shift1 day per week- ...Elevate Your MDS Coordinator Career with Us! Are you a compassionate and skilled MDS Coordinator looking for an opportunity to provide exceptional care? Look no further! We offer experienced RN MDS Coordinators the chance to collaborate with some of the brightest...Daily paidFlexible hours
- Humana is seeking an Utilization Management Nurse 2 in Kentucky to review medical necessity, determine level of care, and support discharge planning for Medicaid members. The role requires clinical judgment, cross-functional collaboration, and adherence to state regulations...Remote jobWork from home
$150k
...Our Vision: Constella Care supports people with serious mental... ...tangled together Develop and manage longitudinal treatment plans... ...members where they are Coordinate closely with primary care practices... ...avoidable ED and inpatient utilization for your members over time...Full time- ...RN Supervisor Baptist Health Medical Group CBC Oncology... ...and patients to ensure patient care needs are met to ensure quality... ...inspections. Collaborates with the Manager/Director in assuming... ...maintaining confidentiality and utilizing appropriate channels, with staff...Full timeDay shift
- ...Care Management Supervisor The Care Management Supervisor is responsible for oversight and management... ...care, and organizational issues. Utilizes the management process (plan, organize,... ...Job Description: Education: Must have RN with a BSN. Master's Degree in Nursing,...Local area
- ...RN Team Leader The RN team leader is accountable to his/her... ...standards of quality patient care on the assigned unit in an effective... ...team leader assigns duties, coordinates work efforts, promotes... ...care Assists the charge RN/Manager/Director with appropriate input...Immediate start
- ...RN Team Leader The RN team leader is accountable to his/her... ...standards of quality patient care on the assigned unit in an effective... ...team leader assigns duties, coordinates work efforts, promotes... ...care Assists the charge RN/Manager/Director with appropriate input...Immediate startFlexible hours
- ...Join Team Trilogy At Trilogy, you'll experience a caring, supportive community that values each team member. We prioritize meaningful... ...where you belong and thrive! Position Overview The MDS Coordinator (RN) is responsible for overseeing the resident assessment and...Weekly payLocal area
- ...Staff Nurses - F/T Under New Management--Hellenic Senior Living - Helping,Assisting, & Caring for Seniors! Exciting & rewarding... ...for a Staff Nurse (LPN or RN)! Competitive pay... ...abilities by: Assistingwith the coordination and supervision of quality...Temporary workShift work
- ...4, 2026 at 4:00 AM Are you a wound care expert who finds purpose in both clinical... ...a Wound Care Nurse to lead and coordinate the Skin and Wound Management Program at the Kosair for Kids Complex... ...’s Degree in Nursing; unencumbered RN license in Kentucky. BSN preferred...Full timeMonday to FridayAfternoon shift
- ...RN Case Manager Our client, a healthcare company, is looking for an RN Case Manager for their... ...members. Collaborate with primary care providers to ensure the implementation... ...such as housing and transportation). Coordinate care transitions as needed. Coordinate...
- ...Referral Coordination Team Registered Nurse The Referral Coordination... ...(RCT) Registered Nurse (RN) is responsible for executing... ...directing timely, coordinated care. The RCT RN possesses... ..., clinical review criteria, utilization management standards, clinical documentation...Permanent employmentWork at officeRemote workRelocation packageMonday to Friday
- ...or revise content as needed. Utilizes outside resources for content... ...▪Collaborates with department managers to develop competencies required... ...limited disruption of resident care, and ample opportunity for... ...be a graduate of an approved RN program. ▪Two years of experience...Weekend work
- Our Company Abode Care Partners Overview The Director... ...The Director will help build, manage, and scale a high-quality... ...behavioral health conditions, care coordination, and support for medically... ...optimization, emergency department utilization reduction, and total cost of...Full time
$17.45 - $26.2 per hour
...Core Clinical Coordinator Explore opportunities with Home Office, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members... ...Exceptional organizational, time management, communication, and telephone skills....Hourly payMinimum wageFull timeWork experience placementWork at officeLocal areaHome officeFlexible hours- ...assigned unit, ensuring top-quality care and compliance with... ...our success. They’re not just managers; they’re passionate advocates... ...or geriatric settings as an RN . At least 1 year of nursing... ...and accuracy. Resident Care Coordination : Oversee resident assessments...Full timeLocal areaHome officeNight shiftWeekend work
- ...outcomes by leading a world-class Care Team. Our empowered and... ...our success. They’re not just managers; they’re passionate advocates... ...Qualifications Must hold a current RN license in the state of... ...minimum data set). The MDS Coordinator participates in the Resident Assessment...Local areaHome office
$27 - $30 per hour
...staffing firm is seeking an experienced RN Case Manager in Louisville, Kentucky. This... ...collecting clinical history, and developing care plans. Candidates must hold an active nursing... ...experience. The role focuses on coordinating care, tracking progress, and collaborating...Hourly pay
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