EmploymentCrossing Jobs

Utilization Management Nurse 2 - Weekends (Work at Home KY) - USA-KY-Louisville

Wed, 23 Aug 2023 00:00:00 CDT

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determin...

RN -Utilization Management Nurse (Medicare) - Work at home (Eastern Time zone hours)- Southeast Region (GA/SC) - USA-KY-Louisville

Tue, 15 Aug 2023 00:00:00 CDT

Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinat...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-KY-Louisville

Mon, 26 Jun 2023 00:00:00 CDT

Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home - USA-KY-Louisville

Mon, 19 Jun 2023 00:00:00 CDT

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate...

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-KY-Louisville

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Louisville Kentucky Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to ...

Manager, UM Nursing - Home Solutions UM Team - USA-KY-Louisville

Sat, 22 Apr 2023 00:00:00 CDT

Job Information Humana Manager, UM Nursing - Home Solutions UM Team in Louisville Kentucky Description The Manager, Utilization Management Nursing utilizes clinical and leadership skills to support th...

Assistant Professor Term - Psychological and Brain Sciences - R101383 - USA-KY-Louisville

Wed, 26 Apr 2023 00:00:00 CDT

Department:

*******

Location: Belknap Campus

Time Type:

Full time

Worker Type:

Regular Term (Fixed Term)

Job Req ID:...

Quality Compliance Nurse Professional - USA-KY-Louisville

Mon, 01 May 2023 00:00:00 CDT
Description The Quality Compliance Nurse Professional 2 uses quality improvement methodology to analyze data and works collaboratively with teams to improve quality for KY Medicaid members. Responsi...

Senior Pre-Authorization Nurse - USA-KY-Louisville

Mon, 11 Sep 2023 00:00:00 CDT
Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to t...

RN, Utilization Management - Behavioral Health - USA-KY-Louisville

Fri, 23 Jun 2023 00:00:00 CDT
Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation...

Nurse Auditor Review - USA-KY-Louisville

Thu, 11 May 2023 00:00:00 CDT
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate...

Pre-Authorization Nursing Supervisor - USA-KY-Louisville

Thu, 01 Jun 2023 00:00:00 CDT
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward reques...

CenterWell Physician - USA-KY-Louisville

Tue, 30 May 2023 00:00:00 CDT
Job Information Humana CenterWell Physician in Louisville Kentucky Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary car...

Utilization Management Behavioral Health Professional - USA-IN-Jeffersonville

Sat, 03 Jun 2023 00:00:00 CDT
Description Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional to join our team. The Utilization Management (UM) Behavioral Health (BH) Professiona...

Utilization Management Behavioral Health Professional - USA-IN-Clarksville

Fri, 02 Jun 2023 00:00:00 CDT
Description Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional to join our team. The Utilization Management (UM) Behavioral Health (BH) Professiona...

Utilization Management Behavioral Health Professional - USA-IN-New Albany

Fri, 02 Jun 2023 00:00:00 CDT
Description Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional to join our team. The Utilization Management (UM) Behavioral Health (BH) Professiona...

Utilization Management Nurse (LPN) - USA-KY-Louisville

Sat, 10 Jun 2023 00:00:00 CDT
Description The Utilization Management Nurse 1 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determin...

Quality Improvement Manager - USA-KY-Louisville

Sat, 10 Jun 2023 00:00:00 CDT
Description The Manager, Quality Improvement implements quality improvement programs for the Kentucky Medicaid line of business. This includes quality compliance and quality improvement activities su...

Appeals Nurse - USA-KY-Louisville

Tue, 13 Jun 2023 00:00:00 CDT
Description The Appeals Nurse 2 resolves clinical complaints and appeals. The Appeals Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the ap...

Nurse Paralegal - USA-KY-Louisville

Thu, 28 Dec 2023 00:00:00 CST
Provides consultation, research, and investigation of medical records Provides medical record chronology, summary, and/or analysis Researches medical literature for cases Provides anatomy and pathophy...