Top 9 Utilization review nurse Jobs in Lexington, Ky

Case Manager - Emergency Department
Baptist Health System KY & IN —Richmond, KY
- Full-time
- Nursing
- RN License
- 5 years
- Paid parental leave
- Disability insurance
2d
Nursing Manager
Pine Meadows Post Acute —Lexington, KY
- Full-time
- Nursing
- LVN
- RN License
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
Appeals Professional III (Licensed Clinician)
Tanaq Support Services LLC —United States
- Full-time
- Remote
- Nursing
- RN License
- Writing skills
12d

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utilization review nurse jobs near lexington, ky

Case Manager - Emergency Department

Baptist Health System KY & IN -
Richmond, KY

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Job Details

Full-time
2 days ago

Benefits

Paid parental leave
Disability insurance
Dental insurance
Tuition reimbursement
Paid time off
Parental leave
Vision insurance
Bereavement leave
Life insurance
Retirement plan
Pet insurance

Qualifications

RN License
BLS Certification
Bachelor of Science in Nursing
Bachelor's degree in nursing

Full Job Description

Summary

FT ED CM shifts vary
BSN required

Job Description:

Job Title: Case Manager - RN (BSN REQUIRED)

THIS POSTION IS HOUSED WITHIN OUR EMERGENCY DEPARTMENT

FULL TIME - SHIFTS MAY VARY

The Emergency Department is a 19 bed/ 4 chaired area with a separate 2 bay, 1 bed clinical decision area designated for patients ranging in age from birth to death with health care needs from nonemergent to critical. The unit has designated rooms used for life-threatening conditions with special equipment and supplies, and rooms designated as fast track for non-emergent patients

Job Description:

The Case Manager strives for excellence in direct patient care by building a collaborative caring work

environment coordinating care and information across the various disciplines focused on patient outcomes and wellness.

Assesses plans and facilitates options and services which best meet the patients’ healthcare needs in the continuum of care.
Formulates goals with the patient and their families.
Advocates for the patient through communication and evaluation of available resources to promote quality cost-effective and safe outcomes.
Incorporates standards of care for Case Management including identification/selection of patients for case management services, problem identification, planning, monitoring, evaluating, transition of care and outcomes.
Implements practice based on current research and evidence-based practice and ensures adherence to hospital and department policies, regulatory standards, and guidelines.
Supports an environment of caring focused on the patient’s healing and wellness.
Ensuring Safety, Compliance and Patient Satisfaction.
Delegation of nursing care activities and provisions of supervision; establishes and maintains a plan for the delivery of nursing care; assures that nursing care interventions and activities are directed to resolve problems; and performs technical aspects of care competently.
Has access to medication storage areas as required for job tasks. Follows Hospital and Departmental Policies and Procedures.

Requirements:

Current RN licensure recognized by the Kentucky State Board of Nursing is required.
Bachelor of Science in Nursing Required
5 years’ experience in acute nursing, case management, utilization management or related field.
Completion and maintenance of BLS.
Successful completion of all competencies as identified on the departmental nurse competency grid.
Must obtain Case Management certification (ANCC, CCM or ACM-RN) or other approved Professional Certification preferred upon hire, required within 2 years

Benefits: Full-Time

Health, Vision, Dental and Pet Insurance
Life Insurance
Short Term and Long-Term Disability and Life Insurance
Identity Theft Protection
Tuition Reimbursement up to $6,000 annually
Company paid Maternity and Paternity Leave
5 days of Paid Time Off available upon hire
Bereavement Leave (includes pets)
PTO Sell Back Program
Compassionate Leave Sharing Program (PTO Donation)
Employee Support Fund, for employees in need of emergency financial support
Retirement with Company Match

If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!

Baptist Health is an Equal Employment Opportunity employer.

Apply Now

Refine Your Search

utilization review nurse jobs in lexington, ky

Case Manager - Emergency Department

Nursing Manager

RN Clinical Manager - Lexington

Nursing Supervisor - Night Shift

Appeals Professional III (Licensed Clinician)

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

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If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!

Baptist Health is an Equal Employment Opportunity employer.

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