8 Nursing And Care Management jobs in Lexington-Fayette.

Hiring now: Care Review Clinician Inp @ Molina Hea, Patient Coordinator @ Akumin Ope, Cdi Rn Spec @ Conifer He, Cdi Rn Spec @ Tenet Heal.Explore more at jobswithgpt.com.

🔥 Skills

prior authorization (3) financial responsibility (3) inpatient services (2) clinical guidelines (2) hospital acute care (2) multidisciplinary teams (2) customer service (2) clinical documentation (2) physician queries (2) documentation guidelines (2)

📍 Locations

Lexington-Fayette (7) Nicholasville (1)
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Molina Healthcare

Care Review Clinician, Inpatient Review (RN) Lexington-Fayette
Skills & Focus: inpatient services, clinical guidelines, prior authorization, hospital acute care, utilization review, multidisciplinary teams, care coordination, evidence based, financial responsibility, registered nursing
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 3+ years hospital acute care/medical experience.
Salary: $26.41 - $61.79 / HOURLY
Type: Full-time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.
Care Review Clinician, Inpatient Review (RN) Lexington-Fayette
Skills & Focus: inpatient reviews, clinical service requests, evidence-based clinical guidelines, medically appropriate care, cost-effective, financial responsibility, prior authorization, multidisciplinary team collaboration, Utilization Management Certification, hospital acute care
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 3+ years hospital acute care/medical experience.
Salary: $23.76 - $51.49 / HOURLY
Benefits: Molina Healthcare offers a competitive benefits and compensation package.
Specialist, Appeals & Grievances Lexington-Fayette
Skills & Focus: appeals, grievances, member complaints, provider complaints, research, resolution, medical records, claims processing, communication, regulatory guidelines
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: Min. 2 years operational managed care experience (call center, appeals or claims environment).
Salary: $21.16 - $38.37 / HOURLY
Type: Full Time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.

Akumin Operating Corp.

Patient Coordinator Lexington-Fayette
Skills & Focus: patient coordinator, customer service, patient care, documentation, insurance verification, medical terminology, transfer patients, CPR Certification, HIPAA regulations, organizational skills
About the Company: Akumin Operating Corp. and its divisions are an equal opportunity employer and we believe in strength through diversity.
Experience: Six months customer service or related experience and/or training preferred.
Salary: Residents living in CA, WA, Jersey City, NJ, NY, and CO click here to view pay range information.
Type: Full-time
Benefits: The COVID-19 vaccination is/may be a condition of employment. All candidates who accept an offer for employment will be…

Conifer Health Solutions

CDI RN Specialist Lexington-Fayette
Skills & Focus: clinical documentation, medical records review, MS-DRG assignment, physician queries, documentation guidelines, AHA coding guidelines, ICD-9-CM, CPT coding, documentation improvement, critical thinking
About the Company: Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their fina…
Experience: 0 to 2 years
Type: Full-time
Benefits: Competitive benefits package including flexible spending accounts and various work perks.

Tenet Healthcare

CDI RN Specialist Lexington-Fayette
Skills & Focus: clinical documentation, medical records reviews, MS-DRG Assignment, documentation guidelines, physician queries, AHA Coding, CMS coding, health record documentation, query process, healthcare industry expertise
About the Company: As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 loca…
Experience: 2 to 5 years of CDS experience and 2 years recent acute care experience in a clinical or inpatient coding setting.
Type: Full-time
Benefits: A competitive benefits package – from flexible spending accounts to various work perks.
Patient Access Supervisor Nicholasville
Skills & Focus: Patient Access, customer service, mentoring, supervisory, training, performance reports, regulatory compliance, Revenue Cycle Management, healthcare administration, team leadership
About the Company: Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide.
Experience: 4 plus years experience in medical facility, health insurance, or related area; 5 plus years experience in Patient Access preferred; 2 plus years in supervisory or lead role preferred
Type: Full-time
Benefits: Competitive benefits package