Utilization Management RN - Care Coordination & MCO Liaison
Signature HealthCARE LLC
Signature HealthCARE in Louisville, KY is seeking an Registered Nurse with robust case management experience to collaborate with MCOs, care teams, and families. You will coordinate resident care, assess needs, verify authorizations, and ensure accurate reporting and billing using Case Management software. Requirements include an active RN license, an associate degree (bachelor’s preferred), knowledge of Medicare payment methodologies and MDS, and at least three years of hospital, SNF, or acute #J-18808-Ljbffr Signature HealthCARE
- ...Solutions Health Network in New Albany is hiring a Registered Nurse (RN) Hospital Liaison. This role involves providing healthcare coordination services to patients, assisting in their transition of care. You will collaborate with facility personnel and physicians,...Suggested
- UofL Health is seeking a Utilization Review RN to support the Utilization Management process. The role involves clinical recommendations on medical necessity... ...continued stay, screening against payor guidelines, and coordinating with physicians and case managers for approvals...Suggested
$15 - $18.69 per hour
...Client Service Coordinator The Client Service Coordinator ("CSC")... ...clients, and coordinates the care of clients and pets in a happy... ...and history in the computer, utilizing proper collars and tags for identification... ...future appointments. Manage the finances by maintaining...SuggestedHourly payMinimum wageFull timeTemporary workPart timeFlexible hours- ...Summary The Registered Nurse (RN) liaison in Home Infusion plays a... ...for patients and families, coordinates, educates patients, and promotes... ...of patients receiving care by home infusion. Job Description... ...administration, and how to manage potential side effects. Provide...SuggestedWork experience placementLocal areaAll shiftsMonday to Friday
$75k - $82k
...states. Our continuum of care includes skilled... ...Overview Collaboration with Managed Care Organizations (MCO) and care providers is... ...care givers, and external Utilization Management Nurses. Coordinate internal and external... ...Difference Registered Nurse (RN) in good standing with...Suggested- Signature HealthCARE is seeking an experienced Registered Nurse to lead case management activities, coordinating care with MCOs and internal teams to ensure appropriate services for residents. The role emphasizes assessment, authorization, documentation, and interdisciplinary...
- ## Registered Nurse (RN) Hospital LiaisonApplylocations: New... ...apart from other post-acute care providers. We’re dedicated to... ...SUMMARY**The Post-Acute Care Coordinator provides patient healthcare coordination... ...and coordination of case management* Functions as a resource...Monday to Friday
- ...New Albany, IN, is looking for a Registered Nurse (RN) Hospital Liaison to facilitate patient healthcare coordination services. The role requires effective... ...and teamwork while ensuring smooth transitions of care within the health system. The ideal candidate will...
- Encompass Health Corporation in Louisville, Kentucky, is seeking an Admissions Liaison to coordinate a compassionate admissions process. This role offers a chance to make a meaningful impact in a supportive environment, overseeing referrals and scheduling for inpatients...
- ## RN Utilization Review, Peace HospitalApplylocations: Louisville, Kentuckytime... ...other highly skilled health care professionals—UofL Health is... ...support the Utilization Management functions. They are... ...appropriate level of care; coordinates care in conjunction with other...Work at officeShift workDay shift
- ..., you’ll experience a caring, supportive community... ...OVERVIEW The Clinical Liaison is a member of the Sales... .... They develop and manage communications between... ...case management and/or utilization management. Previous... ...gender‑affirming care coordination. Tuition & Student Loan...Weekly payLocal areaImmediate start
$60k
...Rehabilitation Program Liaison is responsible for... ...Physical Therapy clinical care team and increasing... ...the aligned Regional Manager of Operations. Primary... ...: Referral Management Coordinator and Regional Manager to... ...and patient care. Daily utilization of OP360 and Trilliant...Work experience placementWork at officeLocal area- ...based non-profit agency in Louisville is seeking an Office & Case Manager Liaison to serve as a central support link between case managers,... ...focused environment. Work is Monday to Friday with occasional on-call support required. #J-18808-Ljbffr Kulima Care Family ServicesWork at officeMonday to Friday
$25 per hour
...Staff Development Coordinator RN Job Category: Clinical Services Requisition Number: STAFF... ...infection prevention practices. Data Management and Analysis: Monitor, track, audit,... ...everything we do. As leaders in senior care, we are not just doing a job but following...Full time$71.1k - $97.8k
...Overview Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and evaluates members’ needs to achieve and... ...met. Required Qualifications Licensed Registered Nurse (RN) in the state of Indiana without restrictions. At least...Temporary workRemote workMonday to FridayNight shiftWeekend work$71.1k - $97.8k
...Become a part of our caring community Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and evaluates member's needs and requirements... ...Licensed Registered Nurse (RN) in the state of Indiana without restrictions...Full timeTemporary workApprenticeshipWork at officeRemote workHome officeMonday to FridayNight shift- ...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,... .... This role emphasizes patient-centered care and regulatory compliance. #J-18808-Ljbffr...Full time
- ...experienced and detail-oriented MDS Coordinator - RN (Registered Nurse) to RAI/... ...a team dedicated to quality care and compliance excellence!... ...of assessments (OBRA, PPS, Managed Care) Coordinate with... ...accuracy Participate in the utilization review, case mix management,...ApprenticeshipCasual workRelocationMonday to FridayShift workWeekend workDay shift
$158.39k - $193.99k
...Description The Patient Access Liaison (PAL) is a field‑based... ...healthcare providers, and sites of care in navigating insurance... ...Affairs, Advocacy, Marketing, Case Management, and Site of Care teams to... ...patient access initiatives. Coordinate with internal and external partners...Work at officeLocal areaRemote workFlexible hoursNight shift$29.2 - $38 per hour
...apply for the Medical and Lab Liaison role at Zoetis 4 days ago... ...organizational and time management skills Ability to balance... ...and humankind by advancing care for animals. As a Fortune... ...Admissions Family Support Coordinator - Louisville, KY RN School | Louisville, KY |...Full timeReliefWork at officeImmediate startRemote workFlexible hoursWeekend work- ...Summary The Medical Science Liaison (MSL) role is a field based,... ...(HCPs) and medical experts, manage, and develop their territory... ...excellence, and/or systems of care to drive impact within the assigned... ...Support Strategic Alliances Utilization Management (UM) Value...Local area
- ...Clinical Evaluation Liaison Job Category: Office Requisition... ..., performing level of care evaluations for... ...in a timely manner. Coordinates the patient admission,... ...payers, external case managers, and others as requested... ...Experience: Prefer 6 months of RN, LPN, LMHC or Social...Part timeWork experience placementWork at officeRemote work
- Molina Healthcare in Louisville, KY seeks an RN with care management experience to coordinate member care across settings. You will assess, plan, implement, and monitor care with a multidisciplinary team, including home visits when needed. Ideal candidates hold an active...
- UofL Health is seeking a part-time RN Case Manager at the Frazier Rehab Institute in Louisville, KY. The role involves coordinating admission assessments, care plans, and discharge planning within the interdisciplinary team. The RN Case Manager will document in the EMR...Part time
- Humana Healthy Horizons in Indiana seeks a Care Coordinator 2 (Field Care Manager 2) to assess and evaluate members’ needs to achieve and maintain optimal wellness. The role serves the Indiana Pathways for Aging program, helping hoosiers age at home and access services...Remote job
- Humana Healthy Horizons in Indiana is seeking a Care Coordinator 2 (Field Care Manager 2) who assesses and evaluates members’ needs to achieve and/or maintain optimal wellness. The role serves members of Indiana Pathways for Aging, helping Hoosiers age at home and access...Remote jobWork from home
- ...Clinical Research Coordinator I -RN New Albany, IN Iterative Health is a healthcare technology... ...directly in the communities where care is delivered across gastrointestinal, hepatology... ...role is at the heart of every study managing patient interactions, ensuring protocol...Work at office
- Nazareth-Home in Louisville, Kentucky, is seeking an experienced MDS Coordinator (RN) for its Clifton campus. This role focuses on implementing the... ...with federal and state regulations while overseeing care planning and assessments. Join a dedicated team offering competitive...Shift workWeekend work
$37 - $40 per hour
...Registered Nurse (RN) Opportunity at Hillcrest Village... ...The American Health Care Association recently... .... Each day, our nurses utilize their nursing skills to... ...facility teams to ensure coordinated and comprehensive... ...Proficient medication management skills. Ability to conduct...Full timePart timeShift workNight shiftWeekend work- ...Kulima Care Family Services is a faith-based, non-profit agency. Kulima is dedicated... .... Position Summary The Office & Case Manager Liaison serves as the central support and communication... ...accurate documentation, and the timely coordination of services. The Liaison supports the...Work at officeMonday to Friday
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