Top 39 Utilization review nurse Jobs in Ky

Utilization Management Nurse Consultant-1
CVS Health —Kentucky
- $26.01 - $74.78 an hour
- Weekends as needed
- Remote
- Nursing
- RN License
- Computer literacy
- Health insurance
- Dental insurance
2d
RN Utilization Review, Peace Hospital
UofL Health —Louisville, KY
- Full-time
- Nursing
- RN License
- Bachelor of Science
RN Utilization Review
UofL Health —Louisville, KY
- Full-time
- Microsoft Word
- Nursing
- Microsoft Excel
4d
Nurse Consultant
Dinsmore & Shohl LLP —Louisville, KY
- Full-time
- Nursing
- RN License
- Bachelor of Science
Quick Apply
Onsite Care Coordination Nurse
Humana —Kentucky
- $71,100 - $97,800 a year
- Full-time
- Hybrid work
- Acute care
- Spanish
- Nursing
- Paid parental leave
- Paid holidays
2d
Hospitalist Nurse Practitioner
Appalachian Regional Healthcare, Inc. —Mc Dowell, KY
- Full-time
- Background check
- Patient monitoring
- Internal Medicine
- Health insurance
- Dental insurance
Quick Apply
Family Nurse Practitioner
Alante Health and Wellness —Winchester, KY
- $60 - $70 an hour
- Part-time
- Vital signs
- HIPAA
- Mid-level
Quick Apply
RN Case Manager- *Home Visits
Interim HealthCare —Williamstown, KY
- Full-time
- CPR Certification
- Management
- RN License
Quick Apply
RN Case Manager - HOME VISITS
Interim HealthCare —Dry Ridge, KY
- Full-time
- CPR Certification
- Management
- RN License
Quick Apply
14d
Nurse Case Manager
Battelle —Fort Campbell, KY
- Full-time
- Hybrid work
- Nursing
- RN License
- BLS Certification
- Wellness program
- Health insurance
Case Management Social Worker / Nurse Case Manager - Weekday PRN
Jennie Stuart Health —Hopkinsville, KY
- PRN
- Nursing
- RN License
- Hospital
Case Manager II
Kindred Hospital Louisville at Jewish Hospital —Louisville, KY
- Master of Social Work
- Nursing
- RN License
8d
Registered Nurse (RN) Navigator — Cardiac Physicians — Marshall Nemer Pavillion
Mercy Health —Paducah, KY
- Nursing
- RN License
- BLS Certification
- Health savings account
- Disability insurance
Care Manager
Appalachian Regional Healthcare, Inc. —Paintsville, KY
- Full-time
- Nursing
- RN License
- 5 years
8d
Case Manager - PRN
Southern Kentucky Rehabilitation Hospital —Bowling Green, KY
- $44 an hour
- PRN
- Hospital
- Inpatient
- Mid-level
- Opportunities for advancement
Quick Apply
9d
Nursing Manager
Pine Meadows Post Acute —Lexington, KY
- Full-time
- Nursing
- LVN
- RN License
Quick Apply
Nurse Supervisor
Kentucky Public Health —Calloway County, KY
- $30.52 - $37.96 an hour
- Full-time
- Background check
- Nursing
- RN License
Home Health Clinical Manager
Centerwell —Fort Mitchell, KY
- $77,200 - $106,200 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- Paid parental leave
- Paid holidays
1d
Registered Nurse (RN) House Supervisor
Meadowview Regional Medical Center —Maysville, KY
- Part-time
- Acute care
- Nursing
- RN License
Quick Apply
2d
RN, Home Health Clinical Manager
Centerwell —Somerset, KY
- $77,200 - $106,200 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- Paid parental leave
- Paid holidays

I want to receive the latest job alert for utilization review nurse in ky

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

utilization review nurse jobs near ky

Utilization Management Nurse Consultant-1

CVS Health -
Kentucky

Apply Now

Job Details

Full-time
$26.01 - $74.78 an hour
2 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Computer operation
RN License
Critical care (emergency response procedures)
Typing
Associate's degree
Associate Degree in Nursing

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours.

Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.
Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care
Communicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs
Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization
Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.
Typical office working environment with productivity and quality expectations.
Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
Sedentary work involving periods of sitting, talking, listening.
Work requires sitting for extended periods, talking on the telephone and typing on the computer. Ability to multitask, prioritize and effectively adapt to a fast paced changing environment.
Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.
Effective communication skills, both verbal and written

Required Qualifications

2+ years of experience as a Registered Nurse in adult acute care/critical care setting

Must have active current and unrestricted RN licensure in state of residence
Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours
This specific position hours are from 8 AM – 5 PM ET

Preferred Qualifications

2+ years of clinical experience required in med surg or specialty area
Managed Care experience preferred, especially Utilization Management

Preference for those residing in EST zones

Education

Associates Degree required

BSN preferred

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$26.01 - $74.78

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/17/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

utilization review nurse jobs in ky

Utilization Management Nurse Consultant-1

RN Utilization Review, Peace Hospital

RN Utilization Review

Nurse Consultant

Onsite Care Coordination Nurse

Hospitalist Nurse Practitioner

Family Nurse Practitioner

RN Case Manager- *Home Visits

RN Case Manager - HOME VISITS

Nurse Case Manager

Case Management Social Worker / Nurse Case Manager - Weekday PRN

Case Manager II

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

Care Manager

Case Manager - PRN

Nursing Manager

Nurse Supervisor

Home Health Clinical Manager

Registered Nurse (RN) House Supervisor

RN, Home Health Clinical Manager

I want to receive the latest job alert for utilization review nurse in ky

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected