Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

RN Care Management Specialist

University Medical Center

UofL Health is seeking a Utilization Review RN to support the Utilization Management process. You will assess medical necessity for admissions and ongoing stays, review patient records against payer guidelines, and communicate decisions to physicians and case managers.
You will coordinate with the interdisciplinary team to ensure appropriate level of care, drive efficient resource use, and educate staff on payor requirements and documentation.

#J-18808-Ljbffr University Medical Center

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the RN Care Management Specialist in Louisville, KY vacancy
  •  ...UofL Health is seeking a Utilization Review RN to perform admission and concurrent reviews, ensuring medical necessity and appropriate level of care across designated services. You will collaborate with physicians, case managers, and payors to secure authorizations while... 
    Suggested

    UofL Health

    Louisville, KY
    1 day ago
  •  ...UofL Health is seeking a Utilization Review RN at the Frazier Rehab Institute - UMC in Louisville, KY. The role focuses on conducting utilization management activities, ensuring medical necessity for admission and continued stay, and coordinating with physicians and payors... 
    Suggested

    UofL Health

    Louisville, KY
    3 days ago
  •  ...UofL Health, Inc. is seeking an RN Utilization Review professional at Peace Hospital in Louisville, KY. The role focuses on utilization management, medical necessity determinations, and collaboration with physicians and case managers to ensure appropriate levels of care... 
    Suggested

    UofL Health, Inc.

    Louisville, KY
    17 hours ago
  •  ...Utilization Review RNAbout UofL Health: UofL Health is a fully integrated regional academic health...  ...and Purpose The Utilization Review RN performs activities which support the Utilization...  ...:• MCG Care Guidelines Specialist-ISC/GRC/Behavioral Health required within... 
    Suggested
    Work at office

    UofL Health

    Louisville, KY
    3 days ago
  •  ...Summary Statement Louisville Gas and Electric Company and Kentucky Utilities Company, part of the PPL Corporation (NYSE: PPL) family of...  ...Responsibilities Leads and assists with standards/procedures development, review and communication of changes to appropriate departments. Leads... 
    Suggested

    PPL

    Louisville, KY
    3 days ago
  • $78k - $87k

     ...and we’re currently looking for a Safety Specialist who will create, support and audit our...  ...Responsibilities Assist in the development, review, updating, and communication of the SSSP...  ...aggregate production, paving, rail and utility construction. Location Although... 
    Full time
    For subcontractor
    Work at office
    Relocation
    Weekend work

    Kiewit Corporation

    Louisville, KY
    3 days ago
  • $2,506 - $2,699 per week

     ...and pay ranges from $2,506 to $2,699 weekly. Licensure must be KY or a Compact license, and Epic is the charting system used. This acute care hospital role requires about 1 year of RN experience and offers comprehensive benefits through Aya Healthcare. #J-18808-Ljbffr... 
    Immediate start
    Shift work
    Day shift

    Aya Healthcare

    Louisville, KY
    1 day ago
  •  ...coordination of project documentation for FEMA review and approval. This position will be...  ...a Disaster Recovery Public Assistance Specialist, you will:Provide Expert Guidance:Assist...  ...scope accuracy, and cost reasonableness.Utilize FEMA Grants Portal:Track project progress... 
    Work at office
    Local area
    Worldwide
    Relocation package
    Flexible hours

    AECOM

    Louisville, KY
    2 days ago
  • $129k - $177k

     ...The Trenchless Technology Specialist / Design Consultant will support planning, design, and...  ...experience delivering trenchless and underground utility infrastructure projects (planning...  ...laws. For further information, please review the Know Your Rights notice from the Department... 
    Temporary work
    For contractors
    Remote work

    Brown and Caldwell

    Louisville, KY
    4 days ago
  •  ...SRI Tech SolutionsJob Title: WFM Systems Specialist (Genesys & TTEC Aria WFM Adapter)...  ...AHT, Abandonment, Occupancy, Shrinkage, Utilization, Service Levels.Systems & IntegrationConfigure...  ...ManagementLead WFM cadences: capacity reviews, weekly staffing calls, intraday... 
    Full time
    Temporary work
    Day shift

    SRI Tech

    Louisville, KY
    3 days ago
  • $15.8 per hour

     ...medical experience? We're hiring Referral Specialists to join a busy healthcare team in...  ..., procedures, and consultations Reviewing and verifying referral information Communicating...  ...regarding the referral process Utilizing interpreter services when needed... 
    Hourly pay
    Permanent employment
    Full time
    Temporary work
    Work at office
    Immediate start
    Day shift

    RemX

    Louisville, KY
    9 hours ago
  • $15.8 per hour

     ...Description Job Description Referral Specialist $15.80/Hour | Temp-to-Hire | Portland...  ..., procedures, and consultations Reviewing referral information for accuracy and completeness...  ...about the referral process Utilizing interpreter services when needed Providing... 
    Permanent employment
    Full time
    Temporary work
    Immediate start
    Day shift

    RemX

    Louisville, KY
    9 hours ago
  • $88k - $115k

     ...care.? Requirements The Senior Nurse Reviewer performs complex medical record reviews...  ...healthcare field ~ Active, unrestricted RN license; compact multistate RN license acceptable...  ..., including 3+ years of Medicare-related utilization review, medical review, or claims review... 
    Full time
    Contract work
    Local area
    Remote work

    GrabJobs

    Louisville, KY
    2 days ago
  •  ...children and families. SUMMARY The IFP Specialist will provide Intensive Family...  ...goals or plans as needed. •               Utilize motivation enhancement strategies to increase...  ...(home visit observations, file reviews, model fidelity monitoring, consultation... 
    Contract work
    Work from home
    Relocation package
    10 hours per week
    Flexible hours
    Afternoon shift

    KVC Health Systems

    Louisville, KY
    18 days ago
  • $2,710 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....  ..., and interdisciplinary services. Utilizes resources appropriately to support the needs... 
    Full time
    Contract work
    Shift work
    Night shift

    TravelNurseSource

    Louisville, KY
    2 days ago
  • $2,249 per week

     ...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY Agency...  ...prioritizes, and implements the plan of care. Reviews and revises the plan as indicated....  .../family and interdisciplinary services. Utilizes resources appropriately to support the needs... 
    Full time
    Contract work
    Shift work
    Day shift

    TravelNurseSource

    Louisville, KY
    2 days ago
  • $2,242 per week

     ...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY Agency...  ...prioritizes, and implements the plan of care while reviewing and revising the plan as indicated. The...  ..., and interdisciplinary services, utilizing resources appropriately to support the... 
    Full time
    Contract work
    Shift work
    Day shift

    TravelNurseSource

    Louisville, KY
    2 days ago
  • $2,253 per week

     ...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY Agency...  ...prioritizes, and implements the plan of care. Reviews and revises the plan as indicated....  .../family and interdisciplinary services. Utilizes resources appropriately to support the needs... 
    Full time
    Contract work
    Shift work
    Day shift

    Cynet Health

    Louisville, KY
    2 days ago
  • $2,242 per week

     ...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY Agency...  ...prioritizes, and implements the plan of care. Reviews and revises the plan as indicated....  .../family and interdisciplinary services. Utilizes resources appropriately to support the needs... 
    Full time
    Contract work
    Shift work
    Day shift

    Cynet Health

    Louisville, KY
    2 days ago
  • $2,249 per week

     ...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY Agency...  ...prioritizes, and implements the plan of care; reviews and revises the plan as indicated....  ...family, and interdisciplinary services. Utilizes resources appropriately to support the needs... 
    Full time
    Contract work
    Shift work
    Day shift

    TravelNurseSource

    Louisville, KY
    2 days ago
  • $2,476 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. The...  ...and interdisciplinary services. The RN utilizes resources appropriately to support the... 
    Full time
    Contract work
    Shift work
    Night shift

    Cynet Health

    Louisville, KY
    2 days ago
  • $2,242 per week

     ...Registered Nurse (RN) | Progressive Care Unit Location: Louisville, KY Agency...  ...prioritizes, and implements the plan of care while reviewing and revising the plan as indicated. The...  ..., and interdisciplinary services, utilizing resources appropriately to support the... 
    Full time
    Contract work
    Shift work
    Day shift

    Cynet Health

    Louisville, KY
    2 days ago
  •  ...seeking a Bank Protection Card Fraud Strategy Specialist to join our team! This position is...  ...regulations and network requirements. Review fraud alerts, transaction activity, and...  ...prevention and authentication tools. Utilize MDES (Mastercard Digital Enablement Services... 
    Flexible hours

    First Merchants Bank

    Jeffersonville, IN
    5 days ago
  •  ...accountable for the care of a group of patients. The Registered Nurse (RN) focuses on safe effective patient and family centered care,...  ...needs, skills, and expectations of each clinical area and are reviewed regularly to ensure alignment with best practices and regulatory... 
    Full time

    Norton Healthcare

    Louisville, KY
    3 days ago
  •  ...Elevance Health is seeking a Utilization Management Representative I (US) for a remote role with occasional in-person training sessions. The position emphasizes flexibility, autonomy, and onboarding to develop essential UM skills. Responsibilities include handling calls... 
    Remote work

    The Elevance Health Companies, Inc.

    Louisville, KY
    3 days ago
  • $2,185 per week

     ...Registered Nurse (RN) | Telemetry Location: Jeffersonville, IN Agency: Cynet...  ...prioritizes, and implements the plan of care. Reviews and revises the plan as indicated....  .../family and interdisciplinary services. Utilizes resources appropriately to support the needs... 
    Full time
    Contract work
    Shift work
    Day shift

    TravelNurseSource

    Jeffersonville, IN
    2 days ago
  • $2,484 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...  ..., and interdisciplinary services. Utilizes resources appropriately to support organizational... 
    Full time
    Contract work
    Shift work
    Night shift

    TravelNurseSource

    Louisville, KY
    2 days ago
  • $2,635 per week

     ...Registered Nurse (RN) | Labor & Delivery Location: Jeffersonville, IN Agency...  ..., and implementing the plan of care, and reviewing and revising the plan as indicated. - Collaborating...  ..., and interdisciplinary services. - Utilizing resources appropriately to support the... 
    Full time
    Contract work
    Shift work
    Night shift

    TravelNurseSource

    Jeffersonville, IN
    2 days ago
  • $2,484 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...  ..., and interdisciplinary services. Utilizes resources appropriately to support organizational... 
    Full time
    Contract work
    Shift work
    Night shift

    Cynet Health

    Louisville, KY
    2 days ago
  • $2,491 per week

     ...Registered Nurse (RN) | Telemetry Location: Jeffersonville, IN Agency: Cynet...  ...prioritizes, and implements the plan of care. Reviews and revises the plan as indicated....  ...families, and interdisciplinary services. Utilizes resources appropriately to support the... 
    Full time
    Contract work
    Shift work
    Night shift

    Cynet Health

    Jeffersonville, IN
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to RN Care Management Specialist. Be the first to apply!