Utilization Review RN: Case Management Expert
UofL Health
UofL Health in Louisville, KY, is seeking a Utilization Review RN to support utilization management functions. The RN will be responsible for clinical recommendations regarding medical necessity, working collaboratively with healthcare professionals. Ideal candidates must hold an ADN and have at least two years of RN experience, alongside effective communication skills. The role emphasizes patient-centered care and compliance with healthcare regulations. Benefits include competitive salary and professional development opportunities. #J-18808-Ljbffr UofL Health
- ...Position Summary and Purpose The Utilization Review RN performs activities which support the Utilization Management functions. They are responsible for the delivery... ...The employee communicates with physician and case managers regarding payor approval/denial of admission...SuggestedReliefWork at officeShift work
- ...United States of America) Job Description The Utilization Review RN performs activities which support the Utilization Management functions. They are responsible for the... ...oversight. They communicate with physician and case managers regarding payor approval/denial of admission...SuggestedReliefWork at officeShift work
- .... is hiring a Registered Nurse for the Utilization Review at Peace Hospital in Louisville, Kentucky... ...role involves performing utilization management activities, ensuring admission and stay... ...candidates should have a nursing degree, RN licensure in Kentucky, and experience...SuggestedPart time
- University Medical Center, Inc. seeks a Utilization Review RN in Louisville, KY to perform utilization management tasks ensuring optimal healthcare delivery. You will evaluate patient admissions and coordinate with interdisciplinary teams while advocating for patient needs...Suggested
- ...Behavioral Health Nurse (RN) is a licensed... ...initial assessment visit utilizing observation/assessment... ...practitioner and Clinical Manager Manages medical illness... ...medication reviews and ensures patients and... ...Provides all aspects of case management to enhance patient...SuggestedLocal area
$32 - $36 per hour
...as a Registered Nurse (RN), where you'll bring comfort... ...and participate in case conferences Be a... ...physician Provides case management to an assigned group of... ...and procedures utilizing community resources as... ...clinical record/utilization review of medical records and...Weekly payDaily paidFull timePart timeReliefImmediate startFlexible hoursNight shiftWeekend workWeekday work$53 per hour
...healthcare settings. The Registered Nurse, or RN, is responsible for working with other... ...RN license * Must have 2 years RN Case Management experience, with experience in a long-... ...planning, clinical case management & utilization review * * Background screening as...Contract workLocal areaLong distanceFlexible hours$50k
...patient support to help better manage the stress involved in their... ...as assigned by management Utilize Valeris' values as the driving... ...Management, Call Center Case Management, a plus. ~ Case management... ...within. Exceptions will be reviewed on a case-by-case basis to...Full timeTemporary workWork at officeImmediate startHome officeMonday to Friday$29.05 - $67.97 per hour
Job Summary Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical... ...and expedited cases, inpatient, outpatient... ...regarding utilization management and long‑term services... ...experience. Registered Nurse (RN). License must be...Hourly payWork experience placementWork at office$25.08 - $51.49 per hour
Molina Healthcare in Louisville, Kentucky, is seeking a Registered Nurse to support clinical member services. The role involves assessing member services for quality and compliance with clinical guidelines, analyzing clinical service requests, and collaborating with multidisciplinary...Hourly pay- NurseCore is looking for Registered Nurses (RN) with infusion experience in Louisville, KY. The ideal candidates will provide in-home care including specialty infusions. Responsibilities include administering CPR and patient care coordination. Applicants must be licensed...Shift work
- Molina Healthcare in Louisville, KY, is seeking a Clinical Reviewer to utilize clinical knowledge for validating medical claims and ensuring compliance... ...billing and coding. Ideal candidates should possess a valid RN license, at least 2 years of nursing experience, and a strong...
$35.53 - $52.85 per hour
...receives your full attention, your expert assessment, and your... ...Responsibilities: As a Home Health RN, you will: Be a clinical... ...Innovate with technology. Utilize leading-edge tools and best... ...proven clinical expertise, strong case management abilities, and an unwavering...- ...Transitions of Care RN 100% Virtual, CareBridge - Bilingual Preferred... ...patient education and disease management interventions and for... ...Refers member to catastrophic case management. Minimum Qualifications... ...under Florida law should review the education and awareness resources...Full timeTemporary workWork at officeLocal areaShift workWeekend work1 day per week
$2,123 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 workShift workNight shiftWeekend work$1,548 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 timeWork experience placementImmediate startShift workNight shift$2,119 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 workImmediate startShift workNight shift$2,119 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 workImmediate startShift workNight shift$2,154 per week
...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY Agency... ...prioritizes, and implements the plan of care, reviewing and revising it as indicated.... ...interdisciplinary services is essential. The RN utilizes resources appropriately to support the...Full timeContract workShift workNight shift$35.53 - $52.85 per hour
...RN Home Health Partnering for a stronger, healthier world... ...receives your full attention, your expert assessment, and your... ...Innovate with technology. Utilize leading-edge tools and best practices... ...clinical expertise, strong case management abilities, and an unwavering...Full timeShift work- ...Job Description Job Description Title: RN - Tele Length of assignment: 9 Weeks... ...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...Permanent employmentContract workWork experience placementShift work
$40.08 per hour
...therapy treatment. Clinical Practice Management: Ensures accurate treatment delivery... ...the following: adheres to portal image review/approval guidelines as required by the department... ..., effective time management. Utilizes resources and controls resources through...Part timeShift workNight shiftWeekend work- Position: Remote Registered Nurse (RN) Case Manager Location: Louisville, KY / Jeffersonville... ...preferred. Nurseline triage, Call Center Utilization Management, Call Center Case... ...promotion from within. Exceptions will be reviewed on a case-by-case basis to assess business...Remote jobTemporary workWork at officeImmediate startWork from homeHome officeMonday to FridayFlexible hoursShift work
$2,166 per week
...Registered Nurse (RN) | Telemetry Location: Louisville, KY Agency: Cynet Health... ..., and implements the plan of care. Reviews and revises the plan as indicated. Collaborates... ...family and interdisciplinary services. Utilizes resources appropriately to support the...Full timeContract workShift workNight shift$2,712 per week
...Registered Nurse (RN) | Labor & Delivery Location: Louisville, KY Agency: Cynet... ..., and implements the plan of care. Reviews and revises the plan as indicated. Collaborates... .../family and interdisciplinary services. Utilizes resources appropriately to support the...Full timeContract workShift workNight shift$1,947 per week
...Registered Nurse (RN) | Post-Anesthesia Care Unit (PACU) / Pre-Post Op Location:... ...prioritizes, and implements the plan of care and reviews and revises the plan as indicated.... ...patient/family and interdisciplinary services, utilizing resources appropriately to support the...Full timeContract workShift workNight shift$2,152 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. Collaborates... ..., and interdisciplinary services; utilizes resources appropriately to support the needs...Full timeContract workShift workNight shift$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 timeWork experience placementImmediate startShift work- ...Registered Nurse (RN) | Administration / Management Location: Jeffersonville, IN Agency: Titan Medical Group Pay: Competitive weekly... ...Admin/Mgmt RN in Jeffersonville, Indiana, 47129! Travel Case Management RN Location: Jeffersonville , IN...Weekly payFull timeContract workShift work
$2,164 per week
...Registered Nurse (RN) | Telemetry Location: Jeffersonville, IN Agency: Mindlance... ...and implements the plan of care and reviews and revises the plan as indicated. Collaborates... .../family & interdisciplinary services; utilizes resources appropriately to support the...Full timeContract workImmediate startShift workNight shift
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