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  • $138k - $243k

     ..., First Party Property , General Liability, Bodily Injury, Personal Lines, Commercial Lines, and Uninsured/Underinsured Motorist (UM/UIM) litigation. Subrogation experience is a plus. The ideal candidate will bring a versatile litigation background and the ability to... 
    Suggested
    Full time
    Temporary work
    Part time
    Casual work
    Private practice
    Work at office
    Local area
    Remote work
    Work from home
    Night shift

    Jobleads-US

    Kentucky
    2 days ago
  •  ...aufregende Zeit, sich Fisher Investments anzuschließen. Da wir schneller als je zuvor wachsen, investieren wir in Führungspositionen, um neue und innovative Wege zur Verbesserung des Anlageuniversums unserer KundInnen weltweit zu entwickeln. Wir suchen einen EMEA Head... 
    Suggested

    Jobleads-US

    Kentucky
    4 days ago
  •  ...organizational and industry guidelines. Team & Work Environment This team is focused on strengthening capacity to support the UM Center of Excellence and advance QAI objectives . The team provides dedicated resources to enhance post-acute oversight, improve... 
    Suggested
    Contract work
    Remote work
    Monday to Friday
    Shift work
    Weekend work

    Pacer Group

    Kentucky
    3 days ago
  • $206.31k

     ...unrestricted California license. Current clinical license to practice or an administrative license to review Utilization Management (UM) cases. Licenses/Certifications Preferred Certification as a Certified Medical Director (CMD) Required Training Physical... 
    Suggested
    Full time
    Local area

    L.A. Care Health Plan

    Kentucky
    4 days ago
  •  ...Managed Services, Digital Workspace oder Datacenter gut aus und gehst sicher mit betriebswirtschaftlichen Kennzahlen und Kalkulationen um. Was wir Dir bieten: Strukturierte Einarbeitung: Onboarding-Veranstaltung mit weiteren neuen Kollegen. Interessantes... 
    Suggested
    Remote work

    NTT

    Louisville, KY
    2 days ago
  • $200k

     ...performance metrics that are affected by inpatient/outpatient medicine, including but not limited to various metrics such as SAIL, ORYX, LOS, UM admission and continued stay, etc. Perform other duties assigned by the Chief of Medicine or designee (i.e., Administrative... 
    Suggested
    Full time
    Contract work
    Freelance
    Work at office
    Remote work
    Relocation package
    Monday to Friday

    US Department of Veterans Affairs

    Lexington, KY
    4 days ago
  • $52.02k - $85.8k

    Job Title: Nurse Coordinator Requisition Number: RE52559 Working Title: Nurse Coordinator/UM-LOC Department Name: 40526:Interdisciplinary Human Development Work Location: Frankfort, KY Grade Level: 46 Salary Range: $52,021-85,800/year Type Of Position: Staff Position... 
    Suggested
    Full time
    Contract work
    Remote work
    Monday to Friday
    Shift work

    Inside Higher Ed

    Lexington, KY
    2 days ago
  •  ...specific Notice of Admission and continued stay reviews. Performs utilization review activities under established criteria, policies, and UM leadership oversight. The employee communicates with physician and case managers regarding payor approval/denial of admission and... 
    Suggested
    Work at office

    UofL Health

    Louisville, KY
    5 days ago
  •  ...specific Notice of Admission and continued stay reviews. \"Performs utilization review activities under established criteria, policies, and UM leadership oversight. The employee communicates with physician and case managers regarding payor approval/denial of admission and... 
    Suggested
    Work at office
    Shift work

    uoflhealth

    Louisville, KY
    1 day ago
  •  ...Baptist Health is an Equal Employment Opportunity employer. Founded in 1924 in Louisville, Kentucky, Baptist Health is a full‑spectr um health system dedicated to improving the health of the communities it serves. The Baptist Health family consists of 10 hospitals, employed... 
    Suggested
    Full time
    Temporary work
    Part time
    Local area

    Baptist Health

    Richmond, KY
    3 days ago
  •  ...Job Title ber uns Die Postbank Filialvertrieb AG bert bundesweit die 12,5 Millionen Kund*innen der Postbank rund um Finanzdienstleistungen und Non-Banking-Produkte, z. B. Post-Services. Dabei legen wir besonders viel wert auf Beratung und kollegialen Austausch auf... 
    Suggested
    Remote job
    Flexible hours

    Deutsche Bank

    Bowling Green, KY
    5 days ago
  •  ...vertriebsbegeistert und mchten Ihre Expertise im Markt fr Ersatzteile fr Busse und Straenbahnen einsetzen? Dann haben wir genau das Richtige fr Sie! Um seine Marktposition in Deutschland und sterreich weiter auszubauen, sucht unser Kunde, ein fhrender Anbieter im Ersatzteilmarkt, ab... 
    Suggested
    Home office

    Eurojob-Consulting

    Bowling Green, KY
    3 days ago
  •  ...cases requiring clinical review to a Nurse reviewer. Responsible for the identification and data entry of referral requests into the UM system in accordance with the plan certificate. Responds to telephone and written inquiries from clients, providers and in-house... 
    Suggested
    Full time
    Contract work
    Temporary work
    Work at office
    Local area
    Monday to Friday
    Shift work
    1 day per week

    Disabledperson, Inc

    Louisville, KY
    1 day ago
  •  ...cases requiring clinical review to a Nurse reviewer. Responsible for the identification and data entry of referral requests into the UM system in accordance with the plan certificate. Responds to telephone and written inquiries from clients, providers and in-house... 
    Suggested
    Full time
    Contract work
    Temporary work
    Work at office
    Local area
    Monday to Friday
    Shift work
    1 day per week

    Elevance Health

    Louisville, KY
    2 days ago
  •  ...passengers as needed through arrival and check in processes including support for passengers with special needs such as unaccompanied minors (UM), VIP passengers and passengers needing wheelchair assistance.  Assist Ramp Service Agents to ensure that wheelchairs, strollers,... 
    Suggested
    Local area
    Night shift
    Weekend work

    Choice Aviation Service Inc

    Lexington, KY
    a month ago
  • $20 - $22 per hour

     ...PHI) at all times and comply with HIPAA and all applicable laws and regulations.\n Backup and support other departments (i.e., Claims, UM, Intake, Quality, Care Management, Patient Engagement) and perform a variety of other duties as assigned.\n\nIssue Resolution and... 
    Bi-weekly pay
    Hourly pay
    Full time
    Temporary work
    For contractors
    Work at office
    Local area
    Remote work
    Work from home
    Flexible hours

    Guidehealth

    Louisville, KY
    28 days ago
  •  ...Position Overview: The Unit Manager is responsible for directing the entire operation of a nursing unit in a long-term community.  The UM collaborates with interdisciplinary team members and families to create individualized care plans, maintain a supportive environment,... 
    Daily paid
    Work experience placement

    Wellington Parc Nursing and Rehabilitation

    Owensboro, KY
    15 days ago
  •  ...and serves as a tertiary care center for critically ill patients. In partnership with the University of Maryland Medical System, UM Capital Region Medical Center was built from the ground up in 2021 to meet the changing needs of our community. Proud to provide... 

    Adfinitas Health

    Eastern, KY
    2 days ago
  •  ...the press. Develop deep relationships with payer CXOs, VPs of Risk Adjustment, VPs of Quality and Stars, and Medical Directors of UM, understanding their world well enough to sell into it credibly. Represent Innovaccer in competitive evaluations against point payer... 
    Temporary work
    Local area

    Innovaccer

    Eastern, KY
    2 days ago
  •  ...policies used in the preauthorization process. Participate in the yearly guideline review process. Participate in ongoing evaluation of the UM process. Participate in a physician specialty panel to assist in peer review of cases and specified turnaround times by... 
    Hourly pay
    Work at office
    Remote work

    Intermountain Health

    Murray, KY
    19 hours ago
  •  ...UofL Health, Inc. in Louisville is seeking an Utilization Review RN to support the UM process. The role focuses on determining medical necessity for admission and continued stay, aligning care with payer guidelines, and coordinating with physicians and case managers for... 

    UofL Health, Inc.

    Louisville, KY
    2 days ago
  • $26.25 - $42.65 per hour

     ...das, was der größte Paketdienst der Welt werden sollte. Direkt von Anfang an haben wir unser Unternehmen kontinuierlich umgestaltet, um mit unserer einzigartigen Kultur erstklassige Dienstleistungen zu erbringen, indem wir die besten Talente finden, innovative Lösungen... 
    Permanent employment
    Temporary work
    Work experience placement
    Work at office
    Flexible hours

    Ups Job

    Eastern, KY
    2 days ago
  •  ...Utilization management personnel, and Internal Medicine staff). Duties include, but are not limited to: Participate in all required UM/QM activities relating to Primary Care to monitor the preadmission screening process and its success in impacting InterQual... 
    Full time
    Contract work
    Part time
    Freelance
    Seasonal work
    Work at office
    Local area
    Relocation package
    Monday to Friday

    VETERANS HEALTH ADMINISTRATION

    Florence, KY
    4 hours agonew
  •  ...CP: Processes and monitors all member and provider correspondence through the Molina Healthcare letter database Adheres to UM policies and procedures Must Have Skills Attention to detail, Fast learner, able to adapt to change, multi-tasking skills... 
    Flexible hours
    Weekend work

    Saviance

    Frankfort, KY
    3 days ago