Top 26 Utilization management nurse Jobs in Lexington, Ky

Care Coordination Assistant
Saint Joseph Hospital - Lexington —Lexington, KY
- $17.24 - $24.35 an hour
- Full-time
- Hospital
- Mid-level
- 3 years
9d
Nurse Case Manager/UKHC
University of Kentucky —Lexington, KY
- $75,364 - $95,056 a year
- 8 hour shift
- Background check
- Nursing
- RN License
Case Manager - Emergency Department
Baptist Health System KY & IN —Richmond, KY
- Full-time
- Nursing
- RN License
- 5 years
- Paid parental leave
- Disability insurance
16h
Regional Supervisor of Utilization Review
Appalachian Regional Healthcare, Inc. —Lexington, KY
- Full-time
- Nursing
- RN License
- Customer service
- Paid time off
3d
Nurse Practitioner
The Little Clinic —Lexington, KY
- $57.00 - $63.50 an hour
- Full-time
- Nursing
- Computer literacy
- HIPAA
Nurse Clinical/UKHC
University of Kentucky —Lexington, KY
- $28.00 - $39.10 an hour
- Full-time
- Background check
- Nursing
- RN License
Nursing Manager
Pine Meadows Post Acute —Lexington, KY
- Full-time
- Nursing
- LVN
- RN License
Quick Apply
Nurse Clinical Senior/Critical Core/UKHC
University of Kentucky —Lexington, KY
- $29.12 - $45.70 an hour
- Full-time
- Background check
- Nursing
- RN License
RN - Flexible Weekend Schedule
Optum —Lexington, KY
- $48.97 - $58.76 an hour
- Full-time
- CPR Certification
- Management
- RN License
Quick Apply
Registered Nurse (RN)
Optum —Georgetown, KY
- $32.65 - $58.76 an hour
- Full-time
- CPR Certification
- RN License
- Writing skills
Quick Apply
RN
Optum —Lexington, KY
- $67,905 - $101,857 a year
- Full-time
- CPR Certification
- RN License
- Writing skills
Quick Apply
RN Clinical Manager - Lexington
Optum —Lexington, KY
- $48,816 - $73,224 a year
- Full-time
- Nursing
- RN License
- Pass drug screening
Quick Apply
Nursing Supervisor - Night Shift
Pine Meadows Post Acute —Lexington, KY
- Full-time
- Nursing
- LVN
- RN License
Quick Apply

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Nurse Case Manager/UKHC
University of Kentucky —Lexington, KY
The RN Case Manager will facilitate appropriate care coordination to patients and their families in cases where specific problems related to clinical aspects…
$75,364 - $95,056 a year

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Care Management RN - Outpatient Oncology
The Ohio State University Wexner Medical Center —Columbus, OH
This position maintains awareness of emerging state and national healthcare trends and drives initiatives to enhance care quality and ensure effective resource…
3d
RN Case Manager
Mount Carmel —Dublin, OH
Current license to practice as registered nurse in the State of Ohio. Advocates for patient legal, social, and ethical rights while balancing patient resources…

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utilization management nurse jobs near lexington, ky

Care Coordination Assistant

Saint Joseph Hospital - Lexington -
Lexington, KY

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Job Details

Full-time
$17.24 - $24.35 an hour
9 days ago

Qualifications

Collaborate with healthcare professionals
Patient follow-up care
CCMA Certification
EMT Certification
Operations coordination
RMA
Working with geriatric patients
Care documentation
Assisting medical staff
Mid-level
3 years
High school diploma or GED
Healthcare referral management
Overseeing care coordination
Case management
Compliance documentation
Multidisciplinary team collaboration for treatment planning
Reducing hospital readmission rates
NCMA
LPN
Business
Care coordination
Associate's degree
CNA
Communication skills
Certified Medical Assistant
Geriatrics

Full Job Description

Job Summary and Responsibilities
As our Care Coordination Assistant, you will be a vital caregiver and the central hub, assuming responsibility for patient care processes from newborn to geriatric for a designated time frame. You will directly contribute to safe, therapeutic patient care while serving as the primary receptionist and secretary.

Every day you will support safe patient care through multidisciplinary processes and coordinating unit activities. You will efficiently manage information flow and assist healthcare team members in delivering care across all patient age groups.

To be successful in this role, you will demonstrate strong organizational and communication skills, a proactive approach to managing day-to-day operations, and a commitment to providing safe, therapeutic care while working effectively with the entire healthcare team.

Collaborates with and supports the Care Coordination team, including, but not limited to the RNCC and Social Worker.
Manage timely post-acute care referrals, to assist with length of stay management and mitigation of denials.
Communicate and collaborate with interdisciplinary teams, patients, and family to facilitate care progression.
Ensure post-acute follow-up appointments for identified patients to assist with readmission prevention and ensuring continuity of care.
Deliver required patient notifications and letters, and obtain patient or family signatures on required documentation as needed to meet regulatory compliance.
Manage transportation referrals as requested.

Job RequirementsRequired

Associates Other Associate (two-year) Degree in Business/Health-Related field, upon hire or
High School Graduate General Studies, upon hire or
High School GED General Studies, upon hire and

Preferred

At least 3 years previous experience in health care, care coordination, utilization review, discharge planning or similar healthcare setting. and
Bachelors Other or BSW, upon hire and
Experience supporting clinicians in demanding and fast paced patient care environments.
Licensed Practical Nurse: KY, upon hire or
Certified Clinical Medical Assistant, upon hire or
Certified Medical Assistant AAMA, upon hire or
Certified Medical Assistant NHA, upon hire or
National Certified Medical Assistant NCCT, upon hire or
National Registered/Certified Medical Assistant NAHP, upon hire or
Registered Medical Assistant AMT, upon hire or
Registered Medical Assistant, upon hire or
Cert Med Asst - MMCI, upon hire or
Certified Nursing Assistant: KY, upon hire or
Emergency Medical Technician: KY, upon hire

Where You'll Work

Welcome to Saint Joseph Hospital, a 433-bed hospital founded in 1877 by the Sisters of Charity of Nazareth as the first hospital in Lexington, Kentucky. Led by Sister Euphrasia Stafford, the mission to provide compassionate care to the underserved is still carried out today. Saint Joseph Hospital holds over two dozen national ranks and recognitions and is recognized as a 2024 Best Place to Work in Kentucky.

Saint Joseph is part of CommonSpirit Health, a non-proﬁt, Catholic health system dedicated to advancing health for all people. With approximately 175,000 team members and 25,000 physicians and advanced practice clinicians.

Our commitment to serve the common good is delivered through the dedicated work of thousands of physicians, advanced practice clinicians, nurses, and staff; through clinical excellence delivered across a system of 140 hospitals and more than 2,200 care centers serving 24 states.

Pay Range
$17.24 - $24.35 /hour

Apply Now

Refine Your Search

utilization management nurse jobs in lexington, ky

Care Coordination Assistant

Nurse Case Manager/UKHC

Case Manager - Emergency Department

Regional Supervisor of Utilization Review

Nurse Practitioner

Nurse Clinical/UKHC

Nursing Manager

Nurse Clinical Senior/Critical Core/UKHC

RN - Flexible Weekend Schedule

Registered Nurse (RN)

RN

RN Clinical Manager - Lexington

Nursing Supervisor - Night Shift

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