Top 7 Utilization review nurse Jobs in Corbin, Ky

RN, Case Manager (Exempt)
ContinueCare Hospital at Baptist Health —Corbin, KY
- Nursing
- Hospital
- Mid-level
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12d
Remote Utilization Management Nurse (Inpatient Review – RN or LVN) MUST HAVE ACTIVE CALIFORNIA LIC.
Dragonfly Global —United States
- $100,000 - $105,000 a year
- Full-time
- Remote
- Spanish
- Nursing
- Microsoft Excel
- Travel reimbursement
- Health savings account
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Utilization Management Reviewer
Amerihealth Caritas —United States
- Full-time
- Hybrid work
- Nursing
- Microsoft Outlook
- RN License
- Paid holidays
- Health insurance

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Lake Cumberland Regional Hospital —Somerset, KY
Current RN to practice in the state of Kentucky. Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k)…
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Togo Health —Pineville, KY
This is a *field-based role* focused on delivering comprehensive, patient-centered care in post-acute and home settings.
$140,000 - $180,000 a year
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Utilization Review Specialist - Autism
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Bachelor’s Degree in Social Work, Psychology, or related field, required. Documents all case reviews and maintains accurate records of all clinical activities…
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Nurse - Skilled/Purchased Care Coordinator
US Veterans Health Administration —Columbus, OH
Graduate of a school of professional nursing approved by the appropriate accrediting agency and accredited by one of the following accrediting bodies at the…
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RN, Case Manager (Exempt)

ContinueCare Hospital at Baptist Health -
Corbin, KY

Quick Apply

Job Details

12 days ago

Qualifications

Statistics
Medical performance measurement report preparation
Patient follow-up care
Nursing
Committee work
Individual / group counseling
Program design
Program management
Clinical program implementation
Utilization review
Interdisciplinary collaboration in health services social work
Intake
Client rights in caregiving
Working with geriatric patients
Patient advocacy
Clinical social history assessment
Mid-level
Community resource coordination in health services social work
Working with seniors
Managing patients as a nurse case manager
Care planning in social services
Psychological support for patients
Transitional care planning in clinical case management
Healthcare referral management
Emotional support for patients
Utilization management
Managing patients as a health services social worker
Mental health assessments
Continuous clinical improvement initiatives
Resource utilization in healthcare

Full Job Description

Provide care for the Adult or Geriatric patient, ages 18 years and over.
Demonstrates and understands the importance of and respect for the rights, dignity and individuality of each patient in all interactions.
Coordinates the provision of clinical care to patients, families and significant others to enable them to deal with the impact of illness on individual family functioning and to achieve maximum benefits from health care services.
Complete psychosocial assessment on all new admissions based on hospital policy and procedures within three business days.
Develop and is involved in the implementation of programs to assist patients and their families with the social and psychological factors of illness.
Develop with physicians, nursing personnel, and other members of the management team in the planning of patient care services and the patient care plan.
Engage in individual or group intervention sessions pertaining to care and adjustment.
Arrange for discharge and post-hospital care of patents through institutions and agencies within the community.
Provide advice and guidance in handling special cases or patient needs.
Coordinate the provision of information and guidance to patients, their families, and other hospital departments regarding all aspects of patients’ post-discharge treatment and recovery programs.
Coordinate the referral of patients and families to appropriate community, social service, home health services, extended care, and rehabilitation facilities and organizations.
Coordinate Case Management communications to ensure the staff’s awareness of available services and resources; serves as the primary liaison with external social service organizations.
Participate in the coordination of interdepartmental program planning and implementation efforts, and support related projects and activities.
Participate in the Case Management educational programs for physicians and other departments to enhance their understanding of medical necessity aspects of health care delivery.
Represent the department on various hospital committees.
Develop and implement Pastoral Care Program in conjunction with Pastoral Care from Host hospital.
Develop and maintain harmonious working relationships with other departments; address interdepartmental social service issues.
Assist in the preparation of and monitor the department budget in compliance with established budgeting procedures. Identify and respond to variances. Case Management monitors Utilization reviews and patients LOS.
Direct the quality improvement activities for the department and promotes the maintenance of high-quality, safe and effective patient care.
Prepare statistical reports on department services and patient needs.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

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utilization review nurse jobs in corbin, ky

RN, Case Manager (Exempt)

Remote Utilization Management Nurse (Inpatient Review – RN or LVN) MUST HAVE ACTIVE CALIFORNIA LIC.

Utilization Management Reviewer

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