Top 15 Utilization review Jobs in Mayfield Ky

Nurse Director Case Management
Clinical Management Consultants —Benton, KY
- $100,000 - $125,210 a year
- Full-time
- Acute care
- Nursing
- Hospital
- Dental insurance
- Paid time off
Director of Case Management
Career Land Center, LLC —Mayfield, KY
- Full-time
- Management
- RN License
- Hospital
- Paid holidays
- Relocation assistance
Quick Apply
Clinical Quality Specialist RN - Home Health
Mercy Health by Compassus —Paducah, KY
- Full-time
- Nursing
- RN License
- Mid-level
- Tuition reimbursement
Quick Apply
2d
Director of Case Management RN
Veracity Ventures Inc. —Mayfield, KY
- Full-time
- RN License
- BLS Certification
- Recruiting
- Dental insurance
- 401(k)
Quick Apply
7d
Nurse Supervisor
Kentucky Public Health —Calloway County, KY
- $30.52 - $37.96 an hour
- Full-time
- Background check
- Nursing
- RN License
Registered Nurse (RN) Navigator — Cardiac Physicians — Marshall Nemer Pavillion
Mercy Health —Paducah, KY
- Nursing
- RN License
- BLS Certification
- Health savings account
- Disability insurance

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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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High school diploma required; associate or bachelor’s degree in nursing, healthcare administration, or related field preferred. Must be 21 or older.
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Nurse Director Case Management

Clinical Management Consultants -
Benton, KY

Apply Now

Job Details

Full-time
$100,000 - $125,210 a year

Benefits

Dental insurance
Paid time off
Vision insurance
Retirement plan

Qualifications

Collaborate with healthcare professionals
Managed case managers
Managed Registered Nurses (RNs)
Clinical program budget management
Nursing department supervision
Nursing
Strategic management
Patient resource coordination
Utilization review
Quality of care (regulatory compliance area)
Nursing team management
Hospital strategic planning
Team development
Transitional care planning in clinical case management
Professional development support
Quality compliance management
Mentoring
Clinical outcome improvement
Resource utilization in healthcare
Concurrent review in utilization management
Healthcare financial management
Insurance provider collaboration
Clinical documentation improvement
Operational excellence initiatives
Hospital compliance
Financial management
Senior level
Clinical documentation standards
Care coordination
Hospital regulatory compliance

Full Job Description

Nurse Director Case Management opportunity now available at a leading healthcare organization—step into a dynamic executive leadership role where strategy meets compassion and your impact on patient care transformation is felt across the entire continuum.

The Nurse Director Case Management plays a pivotal role in advancing clinical excellence, care coordination, and operational performance within a mission-driven acute care hospital known for innovation and quality. This respected healthcare organization has earned strong community trust for delivering patient-first outcomes, maintaining impressive quality metrics, and fostering a culture of safety and accountability. With investments in advanced imaging, robust critical care capabilities, modernized clinical systems, and data-driven quality dashboards, the Nurse Director Utilization Review will lead in an environment that values evidence-based practice, interdisciplinary collaboration, and forward-thinking leadership. Professionals seeking high-acuity exposure, physician partnership, shared governance, and meaningful executive visibility will find this an energizing and rewarding next step in their career.

The Nurse Director Case Management will oversee the case management and utilization review department within a 107-bed, Joint Commission-accredited facility. It serves as the sole provider of acute care in the County, delivering highly specialized services rarely found in rural community hospitals across the eight-county region. As a strategic leader in care coordination, resource management, discharge planning, and medical necessity review, the Nursing Director Care Management will ensure regulatory compliance, optimize length of stay, strengthen payer communication, and champion patient-centered transitions of care. This role is essential in aligning clinical documentation integrity, utilization management, and interdisciplinary collaboration to drive both quality outcomes and financial stewardship.

Reporting to senior hospital leadership, the Nurse Director Case Management will guide a dedicated team of case managers, utilization review nurses, and interdisciplinary partners including physicians, social workers, therapists, and revenue cycle professionals. This executive nursing leader will mentor frontline staff, develop departmental goals, oversee staffing and budget initiatives, and implement best practices that support throughput and patient flow. Supported by experienced nurse managers and collaborative clinical teams, the Nurse Director Utilization Review will thrive in a culture that values transparency, teamwork, and professional respect across all levels of care delivery.

Located in beautiful southwestern Kentucky, the Nurse Director Case Management will enjoy a lifestyle rich in natural beauty, affordability, and community connection. The region offers scenic lakes, hiking trails, golf courses, and year-round outdoor recreation, along with vibrant local festivals, live music, and a growing culinary scene. Residents appreciate the low cost of living, welcoming neighborhoods, excellent schools, and short commute times that create true work-life balance. With convenient regional travel access, expanding economic development, family-friendly amenities, and a strong sense of community pride, southwestern Kentucky provides both professional opportunity and an exceptional quality of life.

This Nurse Director Case Management position offers competitive executive-level compensation along with a comprehensive suite of health, dental, vision, and retirement benefits, generous paid time off, and leadership development support. Qualified candidates ready to elevate their career in nursing leadership are encouraged to connect confidentially with a Clinical Management Consultants recruiter to explore how this Nurse Director Utilization Review role can align with long-term professional goals and personal aspirations.

Apply Now

Refine Your Search

utilization review jobs in mayfield ky

Nurse Director Case Management

Director of Case Management

Clinical Quality Specialist RN - Home Health

Director of Case Management RN

Nurse Supervisor

Registered Nurse (RN) Navigator — Cardiac Physicians — Marshall Nemer Pavillion

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