RN Utilization Review Specialist: Optimize Care

UofL Health, Inc.

UofL Health, Inc. is seeking a Registered Nurse for Utilization Review in Louisville, Kentucky. This role focuses on managing the Utilization Management functions, ensuring clinical recommendations and managing communication with physicians and case managers. Candidates must have an active Kentucky RN License and two years of RN experience. The RN will promote optimal healthcare outcomes and navigate financial complexities while maintaining HIPAA compliance. Join a dynamic team dedicated to delivering patient-centered care. #J-18808-Ljbffr UofL Health, Inc.

Apply

Vacancy posted 2 days ago

Similar jobs that could be interesting for youBased on the RN Utilization Review Specialist: Optimize Care in Louisville, KY vacancy

Health Care Specialist, RN
UofL Health is seeking a Utilization Review RN in Louisville, KY, to support the Utilization Management process and ensure optimal health outcomes for patients. This role involves evaluating... ...necessity for admissions, coordinating care, and assisting in compliance with...
Suggested
UofL Health
Louisville, KY
4 days ago
Nurse (Health Care)
...pharmacists and other highly skilled health care professionals—UofL Health is focused on... ...and every day. Job Description The Utilization Review RN performs activities which support the... ...payor denials and retro reviews, promote optimal health care outcomes in accordance with...
Suggested
Work at office
Shift work
UofL Health
Louisville, KY
3 days ago
Utilization Management Peer-to-Peer Specialist
...organizations so more patients can receive the care they need. Our Vision: Our... ...work. Job Summary: The Peer-to-Peer Specialist is responsible for managing all aspects... ...recommend improvements that align with the Utilization Management Department's goals and...
Suggested
Full time
Work at office
Physician Care Coordination Consultants
Louisville, KY
1 day ago
Registered Nurse - Healthcare Specialist (Remote)
...KY. The role requires conducting investigations, reviewing medical necessity appeals, and preparing recommendations for decisions. Candidates need a current RN license and a minimum of 2 years' experience in managed care. The job allows for virtual work with flexible hours...
Suggested
Remote job
Flexible hours
Elevance Health
Louisville, KY
2 days ago
RN Virtual Care Specialist - Remote
...Practices is seeking a Transfer Center Specialist II (RN) to coordinate admissions and patient transfers... ...experience, preferably in an acute care setting. The specialist will work... ...departments, ensure adherence to protocols, and utilize effective communication skills to...
Suggested
Remote job
Full time
Memorial Physician Practices
Louisville, KY
1 day ago
RN - Registered Nurse / Graduate Nurse -Medical Care
...highly skilled health care professionals-UofL Health... ...varying age groups by utilizing the nursing process and... ...intervene to achieve safe, optimal patient and family... ...regular and systematic reviews of patient /family responses... ...: All new RN graduates will participate...
Shift work
Day shift
UofL Health
Louisville, KY
1 day ago
ICU Registered Nurse Am Shift
$29 - $47.85 per hour
...Job Description: RN Burn ICU in Louisville, KY... ...you will deliver nursing care to patients with various... ...and complex diagnoses. Utilizing the nursing process, nursing... ...in achieving safe, optimal patient and family-... ...regular and systematic reviews of patient/family responses...
Hourly pay
Shift work
Zunch Staffing
Louisville, KY
4 days ago
Travel OR RN: Operating Room Specialist
Host Healthcare, Inc. is seeking a Travel Nurse RN OR for a travel nursing assignment in Louisville, Kentucky. This position requires... ...hour shifts, 36 hours per week, in a dynamic environment providing care during surgical procedures. Benefits include referral bonuses,...
Shift work
Host Healthcare, Inc.
Louisville, KY
4 days ago
RN Care Specialist
...Services PACU (Recovery Room). This role requires providing direct nursing care for patients from admission to discharge, promoting comprehensive, evidence-based care. Ideal candidates will have RN licensure in Indiana and certifications in BLS, ACLS, and PALS....
Baptist Health
New Albany, IN
4 days ago
RN Specialist - Hand Care Clinician
UofL Health, Inc. is seeking an RN Specialist for Kleinert Kutz Hand Care in Louisville, KY. In this role, you will operate in a fast-paced environment, ensuring superior patient care while managing clinical duties and documentation. A minimum of two years' clinical experience...
UofL Health, Inc.
Louisville, KY
1 day ago
Medicaid Specialist, 250 E. Liberty, 8:00a-4:30p
## Medicaid Specialist, 250 E. Liberty, 8:00a-4:30pApplylocations: Louisville... ...other highly skilled health care professionals—UofL Health is... ...resolved • Responsible for reviewing and understanding explanation... ...responsibility amounts • Utilizes insurance websites to view and...
Work at office
Shift work
Day shift
UofL Health, Inc.
Louisville, KY
2 days ago
Remote Men's Hormone Specialist - Flexible Hours
...physician to work 100% remotely, providing care for men with hypogonadism. This role... .... You will conduct video consultations, review labs, and prescribe treatments as part of... ...mission-driven team focused on hormone optimization. The ideal candidate has an MD or DO, with...
Remote job
Flexible hours
Hone Health
Louisville, KY
3 days ago
RN, Mary and Elizabeth Hospital, Nuclear Medicine, 7a-3p
...highly skilled health care professionals—UofL Health... ...varying age groups by utilizing the nursing process and... ...intervene to achieve safe, optimal patient and family... ...regular and systematic reviews of patient/family responses... .... Experience All new RN graduates will...
Shift work
Day shift
UofL Health
Louisville, KY
4 days ago
2026 RN New Graduate Opportunities at UofL Health
## 2026 RN New Graduate Opportunities at UofL HealthApplylocations... ...is more than a health care system. It is an... ...varying age groups by utilizing the nursing process and... ...to achieve safe, optimal patient and family... ...regular and systematic reviews of patient /family responses...
Flexible hours
Shift work
UofL Health, Inc.
Louisville, KY
4 days ago
RN, ICU, Jewish Hospital, Day and Night Shift Opportunities
...microsurgery, heart and lung care, orthopedics and sports... ...varying age groups by utilizing the nursing process and... ...standards. The RN uses nursing practice,... ...age‑specific plans for optimal patient and family outcomes... ...regular and systematic reviews of patient/family responses...
Full time
Part time
Night shift
Day shift
UofL Health
Louisville, KY
2 days ago
RN, High Acuity Progressive Care Units (PCU), Jewish Hospital, Day and Night Shift Opportunities
...microsurgery, heart and lung care, orthopedics and sports... ...varying age groups by utilizing the nursing process and... ...to achieve safe, optimal patient and family centred... ...regular and systematic reviews of patient/family... .... Experience All new RN graduates will participate...
Full time
Part time
Night shift
Day shift
UofL Health
Louisville, KY
4 days ago
Associate Chief Clinical Officer
$238.83k - $341.19k
...kindness and joy? We’re different than most primary care providers. We’re rapidly expanding and we need great... ...role. Facilitates patient/family conferences to review treatment goals, optimize resource utilization, provide family education and identify needs....
Hourly pay
Full time
Work at office
Immediate start
ChenMed
Louisville, KY
8 hours ago
RN, Mary and Elizabeth Hospital, 3A Neuro PCU, Part-time, 7p-7a
...nurse that will deliver nursing care to patients of varying age groups by utilizing the nursing process and nursing practice... ...to intervene to achieve safe, optimal patient and family centered care... ...regular and systematic reviews of patient /family responses to interventions...
Part time
Shift work
Night shift
UofL Health
Louisville, KY
1 day ago
Associate Medical Officer
$238.83k - $341.19k
...kindness and joy? We’re different than most primary care providers. We’re rapidly expanding and we need great... ...role. Facilitates patient/family conferences to review treatment goals, optimize resource utilization, provide family education and identify needs....
Hourly pay
Full time
Work at office
Immediate start
ChenMed
Louisville, KY
8 hours ago
Cornea Specialist
...choice for local optometric referrals, we specialize in cutting-edge care, including treatment of retinal diseases and surgery, LASIK and... ...Trained professionals to ensure smooth clinical operations and optimal patient experiences. Research Opportunities: Participation in...
Local area
Flexible hours
EyeCare Partners
Louisville, KY
3 days ago
Precertification Specialist, Nucleus Building, 8:00a-4:30p
## Precertification Specialist, Nucleus Building, 8:00a-4:30pApplylocations: Louisville, Kentuckytime... ...and other highly skilled health care professionals—UofL Health is focused on... ...with plan rules including appropriately utilizing the CMS IP Only list. Assesses orders to...
Local area
Shift work
Day shift
UofL Health, Inc.
Louisville, KY
8 hours ago
Registered Nurse, RN - Home Health | Part Time Night Shift
$37 - $40 per hour
...Registered Nurse (RN) Registered Nurse (RN) Opportunity at... ...weekends The American Health Care Association recently recognized... ...staff. Each day, our nurses utilize their nursing skills to promote... ...For further information, please review the Know Your Rights notice...
Full time
Part time
Shift work
Night shift
Weekend work
American Senior Communities
Jeffersonville, IN
3 days ago
RN - Paid Weekly - Day Shift
$2,466.46 per month
...Nursing Profession RN Specialty OR... ...years RN experience in acute care, spine and vascular experience... ...satisfaction is fundamental. The RN utilizes educational and professional... ...the plan of care. Review and revise the plan as indicated...
Weekly pay
Shift work
Day shift
Norton Healthcare
Louisville, KY
4 days ago
Child Health Nurse, RN
...nurse is accountable for the care of a group of patients. The Registered... ..., and quality outcomes. The RN is responsible for maintaining... ...implements the plan of care, reviewing and revising the plan as... ...and interdisciplinary services, utilizing resources appropriately to support...
Cynet Health
Louisville, KY
1 day ago
RN Home Health
...RN Home Health Are you a Registered Nurse who craves more than just... ...assessment, and your compassionate care. Ample, Undivided Time: Spend quality... .... Innovate with technology. Utilize leading-edge tools and best practices to optimize care delivery and maintain precise...
CommonSpirit Health
Louisville, KY
1 day ago
Registered Nurse (RN) - Private Duty Nursing
$33 - $38 per hour
...Program Responsibilities: Utilizes the nursing process to plan,... ..., and evaluate patient/client care and/or services provided to... ...effectiveness of the intervention Reviews plan of care and program... ...Current Registered Nurse (RN) License for the state in which...
Hourly pay
Weekly pay
Contract work
Temporary work
Shift work
Night shift
Weekend work
Maxim Healthcare Service
New Albany, IN
3 days ago
Infusion Suite RN - PRN - Sat & Sun
...growth of your career.Option Care Health, Inc. is the largest independent... ...timelines for billing optimization. Completes all documentation legibly... ..., scheduling, performance reviews, discipline, etc.)No -... ...ExperienceActive and unrestricted RN license in the state of practice...
Relief
Local area
Option Care Health Inc.
Louisville, KY
3 days ago
Registered Nurse (RN) - Pediatric & Adult Home Health | Private Duty Nursing
$32 - $36 per hour
...more purpose? Join Team Select Home Care as a Registered Nurse (RN), where you'll bring comfort and... ...home health strategies and procedures utilizing community resources as applicable... ...Participates in clinical record/utilization review of medical records and quality...
Weekly pay
Daily paid
Full time
Part time
Relief
Immediate start
Flexible hours
Night shift
Weekend work
Weekday work
Team Select Home Care
Jeffersonville, IN
4 days ago
RN, Registered Nurse - Emergency Care PRN
$36.89 - $61.49 per hour
...growth of your career. Option Care Health, Inc. is the largest... ...established timelines for billing optimization. Completes all documentation... ..., scheduling, performance reviews, discipline, etc.) No - X... ...Experience Active and unrestricted RN license in the state of...
Relief
Local area
Flexible hours
Option Care Health
Louisville, KY
5 days ago
RN Hospital - Progressive Care Unit - Full Time
$44 per hour
...Registered Nurse (RN) / Progressive Care Unit (PCU) Location: Louisville, KY Float: Possible... ...with a multidisciplinary team to ensure optimal patient outcomes, using your advanced... ...response team when necessary. Utilize advanced monitoring equipment to assess...
Weekly pay
Daily paid
Full time
Work experience placement
Relief
Local area
Flexible hours
Shift work
ATC Healthcare
Louisville, KY
4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to RN Utilization Review Specialist: Optimize Care. Be the first to apply!