Utilization review nurse [h1.location_city]

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Utilization review nurse • lexington ky

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Utilization Review RN

VirtualVocationsLexington, Kentucky, United States

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A company is looking for a Utilization Review Registered Nurse (Multiple Openings).Key Responsibilities Perform utilization review using InterQual and / or MCG / Milliman criteria Collaborate with p...[show_more][last_updated.last_updated_variable_hours]

Utilization Review Case Coordinator

Foundations for LivingLEXINGTON, Kentucky, United States

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Utilization Review Case Coordinator Opportunity : .Full Time, Day Shift$2,500 Sign On Bonus.The Case Coordinator is responsible for managing and coordinating the treatment activities offered to the p...[show_more][last_updated.last_updated_30]

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Acquisition & Utilization Specialist

VETERANS HEALTH ADMINISTRATIONLexington, KY, United States

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Serves as the Medical Center liaison and advisor on contract related services focusing on critical clinical and healthcare services, product acquisition and support services for project managers, p...[show_more][last_updated.last_updated_variable_days]

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Charge Nurse - Registered Nurse

Health Systems ManagementLexington, Kentucky, United States

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Up to $13,000 Sign-On Bonus Offered, based on experience!!!.Charge Nurse - Registered Nurse (RN) Lexington Dialysis Center - Lexington, NC 27292. Health Systems Management, Inc.HSM) is a full-servic...[show_more][last_updated.last_updated_variable_days]

Medical Review Nurse (RN) Remote, 8 : 30am-5 : 00pm Central Time Zone

Molina HealthcareLexington, KY, United States

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[job_card.full_time]

Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medical...[show_more][last_updated.last_updated_variable_days]

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Registered Nurse

DaVitaLexington, KY, United States

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Saint Joseph Dr, Lexington, Kentucky, 40504-3754, United States of America.Make a meaningful impact in acute care nephrology. DaVita is seeking a dialysis experienced RN to provide dialysis care in ...[show_more][last_updated.last_updated_30]

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Utilization Review Case Coordinator

Universal Health Services, Inc.Lexington, KY, United States

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Utilization Review Case Coordinator Opportunity : .The Case Coordinator is responsible for managing and coordinating the treatment activities offered to the patient, interface with the treatment team...[show_more][last_updated.last_updated_variable_days]

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Advanced Practice Nurse / Nurse Practitioner

MLee Healthcare Staffing and Recruiting, IncLexington, KY, United States

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Embrace Compassion, Practice Autonomy - Discover Your Next Chapter as a Nurse Practitioner in the Enchanting Bluegrass State. In the world of healthcare, the true impact isn't just reflected in numb...[show_more][last_updated.last_updated_variable_days]

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Nurse Manager

HRG Retained SearchLexington, KY, US

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Are you a skilled nursing professional ready to take the next step in leadership? Our growing pain management practice is seeking a Nurse Manager to lead our clinical team and ensure every patient ...[show_more][last_updated.last_updated_30]

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Registered Nurse

CaretendersLexington, KY, USA

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We are hiring for a Registered Nurse.At Caretenders Home Health, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it : fo...[show_more][last_updated.last_updated_30]

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Registered Nurse

The Commitment HouseLexington, KY, United States

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Position Title : Registered Nurse.Supervisor : Director of Medical and Nursing Services.Work location : Residential Locations. Background check - over two years since prior criminal conviction.TB skin ...[show_more][last_updated.last_updated_30]

Utilization Review Case Coordinator

Southwest Healthcare SystemLEXINGTON, Kentucky, United States

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Nurse Practitioner

Team HealthLexington, Kentucky, US

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Nurse Practitioner physician employment in Kentucky : Take your career to the next level! TeamHealth is seeking a dynamic clinician with leadership experience to join our LifePoint Team as a Region...[show_more][last_updated.last_updated_30]

Admitted Attorneys for Document Review Projects

Beacon HillLexington, Kentucky

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Beacon Hill Legal is one of the country's largest legal staffing agencies.We are privately owned and part of Beacon Hill Staffing Group, LLC. Beacon Hill Legal seeks US barred attorneys in the Kentu...[show_more][last_updated.last_updated_30]

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Acquisition & Utilization Specialist

Veterans Affairs, Veterans Health AdministrationLexington, KY, United States

[job_card.full_time]

Summary Serves as the Medical Center liaison and advisor on contract related services focusing on critical clinical and healthcare services, product acquisition and support services for project man...[show_more][last_updated.last_updated_variable_days]

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Flexible Online Opportunity - Discover & Review Work-from-Home Gigs

Finance BuzzLexington, Kentucky, US

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[job_card.temporary]

Looking for extra income but not sure where to start? We’re hiring people to explore and review online side hustles listed by FinanceBuzz. No experience needed – just a willingness to try out differ...[show_more][last_updated.last_updated_variable_days]

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Nurse Practitioner - Cardiology Nurse-Allied

GO StaffingLexington, Kentucky, US

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Nurse Practitioner - Cardiology physician job in Kentucky : .Locums- A great group near Louisville, KY is looking for a Cardiothoracic Surgery NP / PA for call 1-2 days a week and some weekends.Board ...[show_more][last_updated.last_updated_30]

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Nurse Practitioner

OHIO MEDICAL ALLIANCE LLCLexington, KY, US

[job_card.full_time]

We are seeking a dedicated and compassionate Nurse Practitioner to join our team and work at our Kentucky Events across the state of Kentucky. The State of Kentucky has approved medical marijuana as...[show_more][last_updated.last_updated_variable_days]

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Registered Nurse

Baptist HealthLexington, KY, United States

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Occasional on-call requirements (Day Call and Saturday Call).Diagnostic and Imaging I Lexington, Ky.Sign on Bonus Available for Qualified Individuals. Baptist Health invasive cardiac services, where...[show_more][last_updated.last_updated_30]

Utilization Review RN

VirtualVocationsLexington, Kentucky, United States

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[job_card.full_time]

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A company is looking for a Utilization Review Registered Nurse (Multiple Openings).

Key Responsibilities

Perform utilization review using InterQual and / or MCG / Milliman criteria

Collaborate with providers and internal teams to ensure appropriate level of care

Document reviews and decisions accurately within the EMR (EPIC preferred; Cerner second)

Required Qualifications

Active RN license (state-specific or compact, as applicable)

Strong clinical background (acute care or similar); clinical strength prioritized over extensive UM history

Experience with InterQual and / or MCG / Milliman

EMR experience required (EPIC preferred, Cerner a plus)

Ability to commit to a fixed schedule for the entire contract (no schedule changes once agreed upon)