Utilization Review Nurse jobs in Louisville, KY

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Senior Medical Science Liaison-Great Lakes West Territory (N...
Under the direction of Medical Affairs management, coordinate with internal staff to identify and interact on various programs to maximize effective utilization...
RN, Clinical Quality Analyst- Carson City NV
Registered Nurse (RN). Supports the role of the Quality Department Quality Specialists in chart abstraction, case reviews, occurrence reporting throughput....
Easily apply
Medical Director
Physicians, Nurse Practitioners and Physician Assistants. Responsible for clinical oversight of Nurse Practitioners, Physician Assistants, and RN Supervisor....
Easily apply

Quality Improvement Nurse (RN) - Work At Home (KY, IN or OH...

Humana - 2,435 reviews - Louisville, KY
Previous utilization management, hospital or physician office practice experience. Extensive Review of medical records and identify needed improvements that...

RN Field Review (KY Medicaid) Jefferson County

Carewise Health, Inc - Louisville, KY 40222
Review for PASRR compliance on initial review and then bi-annually during level of care. Knowledge of principles and procedures of Utilization Review as well as...

Second Level Review Nurse

Humana - 2,435 reviews - Louisville, KY
Second Level Review Nurse. Utilization Review or Quality Management experience. The Second Level Review nurse will review records, assign for physician review,...

Field Service Coordinator - RN - OB

WellCare - 631 reviews - Louisville, KY 40223
Licensed Registered Nurse (RN) is required. Promotes effective utilization and monitors health care resources. Prior utilization management experience preferred...

RN Utilization Management

Carewise Health, Inc - Louisville, KY 40222
Unrestricted & active Kentucky Registered Nurse. Offers suggestions for improvement in the review process....

Field Service Coordinator - RN

WellCare - 631 reviews - Louisville, KY 40223
Licensed Registered Nurse (RN) is required. Promotes effective utilization and monitors health care resources. Prior utilization management experience preferred...

Post-Acute Utilization Review Nurse - Louisville, KY

Humana - 2,435 reviews - Louisville, KY
Humana is seeking a Post-Acute Utilization Review Nurse who will collaborate with other health care givers in reviewing actual and proposed medical care and...

Director of Case Management

Bileddo Associates - Louisville, KY 40202 (Central Business District area)
$75,000 - $135,000 a year
This team assesses plans, implements, coordinates, monitors and evaluates care, treatment and services to meet the patient's individual needs along with the...

Director, Quality and Regulatory

Omnicare, Inc. - 962 reviews - Louisville, KY 40223
Verifies that compliance with policies and procedures are done through ongoing review of department processes, standards, and training records....

Consultant - Territory Sales

Cardinal Health - 1,685 reviews - Louisville, KY 40202 (Central Business District area)
Bachelors Degree or equivalent work experience and 2+ years related experience in the medical device/pharmaceutical field (cath lab technician, nurse, etc.)....
Physician (Chief Of Emergency Medicine)
Oversight of Process Improvement/Quality Assurance/Utilization Review projects and other administrative duties as assigned....
RN-Case Manager, Care Coordinaiton, University of Louisville...
KentuckyOne Health - 29 reviews - Louisville, KY 40201
Reviews medical records concurrently, with the expectation of 100% patient review. Minimum two years experience performing utilization review and/or quality...

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