Utilization review nurse jobs in Lexington, KY - 44 jobs

**Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the (appropriate state) with no disciplinary action + 3+ years of prior clinical experience as nurse in acute care setting + Prior experience utilizing comprehensive knowledge of Microsoft Word, Outlook and Excel + prior experience working independently under general instructions and with a team **Preferred Qualifications** + Education: BSN or Bachelor's degree in a related field + Health Plan experience + Experience in utilization management or related activities reviewing criteria to ensure appropriateness of care preferred + Previous Medicare experience a plus + Milliman MCG experience preferred **Additional Information** + **Hours for this role are: Monday-Friday 8am-5pm (Various Time Zones)** **Work-At-Home Requirements:** To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested - Satellite, cellular and microwave connection can be used only if approved by leadership - Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. - Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. - Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information **How we Value You** + Benefits starting day 1 of employment + Competitive 401k match + Generous Paid Time Off accrual + Tuition Reimbursement + Parent Leave + Personify perks for well-being **Interview Format** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. \#ThriveTogether #WorkAtHome Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

**Become a part of our caring community and help us put health first** Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At Conviva, a wholly-owned subsidiary of Humana, Inc., we want to help people everywhere, including our team members, lead their best lives. We support our team members to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our team members fresh perspective, new insights, and exciting opportunities to enhance their careers. At Conviva, we're seeking innovative people who want to make positive changes in their lives, the lives of our patients, and the healthcare industry as a whole. Conviva Care Solutions is seeking a RN who will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part of a team that focuses on excellent service to others. **Preferred Locations:** Daytona, FL, Louisville, KY, San Antonio, TX **Use your skills to make an impact** **Role Essentials** + Active Unrestricted RN license + Possession of or ability to obtain Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + Ability to work independently and within a team setting + Valid driver's license and/or dependable transportation necessary + Travel for offsite Orientation 2 to 8 weeks + Travel to offsite meetings up to 6 times a year as requested + Willing to work in multiple time zones + Strong written and verbal communication skills + Attention to detail, strong computer skills including Microsoft office products + Ability to work in fast paced environment + Ability to form positive working relationships with all internal and external customers + Available for On Call weekend/holiday rotation if needed **Role Desirables** + Education: BSN or bachelor's degree in a related field + Experience with Florida Medicaid + Experience with Physical Therapy, DME, Cardiac or Orthopedic procedures + Compact License preferred + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare/Medicaid Experience a plus + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health. + Bilingual **Additional Information** We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k with company matching, tuition reimbursement, 3 weeks paid vacation time, paid holidays, work-life balance, growth, a positive and fun culture and much more. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $71,100 - $97,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-18-2026 **About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************

Responsibilities Utilization Review Case Coordinator Opportunity: Full Time, Day Shift $2,500 Sign On Bonus The Case Coordinator is responsible for managing and coordinating the treatment activities offered to the patient, interface with the treatment team/external case managers/managed care organizations, referring professionals and implementation and supervision of the discharge planning. Coordinates and tracks all of the admission and continue stay reviews for pre-certifications. Works closely with Intake/Needs Assessment Department and Clinical Treatment Team to carry out its objectives regarding the provision of utilization management for continued stay reviews. Actively participates in treatment team and works directly with the patient's in aftercare planning and setting up appointments and facilitates placement referrals for discharge as appropriate. Follows and abides by company policies, procedures, and Corporate Compliance Program, as applicable to role and responsibilities. Ridge Behavioral Health is a 110-bed, behavioral health hospital located in the heart of the Bluegrass, Lexington, KY. The Ridge provides psychiatric and substance use treatment for children, adolescents, and adults. The Ridge offers inpatient, partial hospitalization, intensive outpatient programs, individual counseling, as well as medication management for all ages. We have provided behavioral health services to over 92 Kentucky counties for more than 36 years. The Ridge was the recipient of the 2019 Service Excellence Award. Benefits include: * Challenging and rewarding work environment * Career development opportunities within UHS and its 300+ Subsidiaries * Competitive Compensation & Generous Paid Time Off * Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and discounted stock plan * SoFi Student Loan Refinancing Program * Tuition Reimbursement Program * Retention Bonus Program * Referral Bonus Program * Close to Hamburg & I-75 * Free parking on premises * Free meal with each shift What do our current employees value at The Ridge Behavioral Health & UHS? An environment that puts patient care first. Supportive and responsive leadership. You are never alone, as you are part of a large network of peers and leaders that routinely exchange ideas and review current topics within the industry. Having the opportunity to grow, learn, and advance in your career. There are very robust continuing education options and opportunities for skills diversification and career advancement. One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $10.77 billion in 2018. In 2020, UHS was again recognized as one of the World's Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 87,000 employees and through its subsidiaries operates 26 acute care hospitals, 327 behavioral health facilities, 40 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. Qualifications Education * Master's degree in Social work, Psychology, or other Mental Health field or RN license is preferred. * Minimum Associate Degree with 5 years mental health experience required. Experience * One to two years of experience in a psychiatric hospital is preferred * One to two years of experience in Utilization Management preferred. Certifications/Licensure * Crisis intervention training required. This training also offered upon hire. * CPR certification Other Skills * Excellent written and verbal communication skills. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Notice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: ************************* or **************.

At Gresham Smith, we call it Genuine Ingenuity. Our culture is the cornerstone of who we are, and our people are at the heart of everything we do. United by our Core Purpose to plan, design, and consult to create healthy and thriving communities, we deliver innovative solutions for life's essential infrastructure and institutions. What sets us apart is our dedication to care for our people, our clients, and the places we call home. We are more than a team of professionals, we are a community built on commitment, integrity, respect, and teamwork. Why Gresham Smith? When you join Gresham Smith, you're joining a place where you can connect and thrive. Our employees consistently recognize us as a Best Place to Work because we go above and beyond to ensure that you feel valued, supported, and empowered. About You * Has working knowledge of State DOT Plans Development processes and requirements. * Brings experience coordinating utility design and construction for State and Local Programs roadway projects. * Demonstrates knowledge across overhead and underground utilities: electric, communications/fiber/broadband, natural gas, water, and sewer. * Can develop accurate utility relocation cost estimates and support or perform relocation inspection services. * Understands State DOT utility policies and practices; has a knowledge base of utility permitting and Subsurface Utility Engineering (SUE). * Has experience with the Bentley product suite; OpenRoads Designer preferred and experience with AutoCAD. * Shows high attention to detail and exercises strong organizational, time management, and communication skills (written and verbal). * Education: Bachelor's degree in Engineering. * Experience: 10+ years in the utility industry, including overhead and underground utility construction related to transportation projects. * Licensure: Kentucky licensure strongly preferred. * Certifications: KYTC Utility Coordination Certification preferred. About the Role The Utility Coordinator supports transportation projects, particularly State DOT-funded highway and roadway work, by leading utility relocation coordination, advancing standards, and ensuring quality, consistency, and compliance across disciplines. As a Utility Coordinator , you will: * Lead utility relocation coordination with internal teams, utility owners, contractors, and agencies to minimize conflicts and keep projects on schedule. * Apply State DOT Plans Development requirements and utility policies to planning, design, and construction coordination activities. * Prepare, review, and maintain utility relocation plans; develop accurate relocation cost estimates; and provide or support relocation inspection services. * Coordinate utility design and construction activities for State and Local Programs roadway projects, identifying conflicts and facilitating timely resolution. * Support utility permitting and SUE activities; document decisions, assumptions, and approvals. * Utilize Bentley tools, preferably OpenRoads Designer, to support design, documentation, and coordination workflows. Join Us If you're excited to bring your talents to a collaborative, people-first environment where you can make an impact while growing your career, we'd love to hear from you. Here's what you can expect: Professional Growth: In-house Learning, Tuition Reimbursement, Licensure Support, Professional Organization Engagement. Culture that Cares: 93% of employees say they feel cared for, and 96% are confident in our future success. Competitive Benefits: * Flexible Schedules & Generous PTO * Healthcare (Medical, Dental, Vision, Wellness Programs) * 401(k) with Company Match * Short- & Long-term Disability, Paid Life & AD&D * Supplemental, Critical Care, Pet, Legal & ID Theft Insurance * Family Planning and Parental Leave * Mass/Public Transit Program Telemedicine and Employee Assistance Program

Job Description The ideal Signature Clinical Care Consultant Candidate would have working knowledge of Medicare, Medicaid and Managed Care coverage, referral, and reimbursement methods. A passion for supporting and training Stakeholders to provide the best care possible to residents. With the ability to travel extensively. Responsibilities Ensure that clinical systems and standards of care are in place to achieve clinical, regulatory, and reimbursement compliance. Provide oversight and guidance to staff in assigned facilities, which includes role modeling and teaching clinical skills necessary to administer high caliber patient care on a consistent basis. Provide clinical supervision and problem-solving assistance to facility staff in functional and physical assessment, care planning, implementation and evaluation of care. Evaluate the effectiveness and appropriateness of outcomes of patient care in collaboration with the facility staff within accepted standards of nursing/clinical practice. Qualifications What you Need to make a Difference Active RN License and currently registered in state employed. Minimum of three (3) years related experience; supervisory experience preferred. Possess working knowledge of Medicare, Medicaid and Managed Care coverage, referral, and reimbursement methods. Extensive travel required.

Licensed Practical Nurse *Up to $5,000 Sign On Bonus* Yearly continuing education allowance Medical, Dental, Vision and 401k Competitive salary and bonus program 15 days of PTO 11 paid holidays yearly Grow a relationship with your patients Work in your community Proprietary technological systems Our Mission: At ConcertoCare, we believe seniors and older adults with complex care needs deserve a more holistic, equitable, and compassionate approach to health and wellness. ConcertoCare's tech-enabled in-home care teams leverage our value-based, interdisciplinary care model to address unmet health and social needs and improve patients' quality of life, partnering with them, their caregivers, families, health providers, and communities Our Vision: We will redefine care and aging for millions of US seniors and other adults with complex care needs by perfecting the kind of human-first, tech-enabled care in the home that we would want for our families. ConcertoCare is seeking a Licensed Practical Nurse (LPN) to be a core member of a multi-disciplinary Field Team that delivers home- and community-based care to patients with complex needs. This is a great fit for a Licensed Practical Nurse (LPN) who is seeking: An opportunity for “top of license” clinical practice. A collaborative multidisciplinary team-based approach to care. An innovative, value-based clinical model focused on caring for patients with complex needs who are inadequately served by traditional healthcare delivery systems. Access to professional development via dedicated clinical education programming and real-time support from our on-staff world-class experts in geriatric medicine, palliative care, geriatric psychiatry, clinical pharmacy, care management, and social determinants of health and health equity. Licensed Practical Nurse (LPN) Responsibilities: Partners with team members in the development and implementation of clinical treatment plans under the clinical supervision of providers and registered nurses and the direction of team members; includes active engagement and participation in all team meetings. Supports wrap-around clinical services in the home- and field setting, including delivery of care through co-visits with other team members, assisted telehealth visits with providers and other team members, and independent LPN visits. Provides clinical services and clinical coordination services as directed by a patient's clinical risk assessment and clinical care plan and under the clinical supervision of providers, Practice Managers, and RN Case Managers. Conducts health screenings for newly enrolled patients and on an ongoing basis. Performs clinical services in the field, including but not limited to wound care dressing changes, phlebotomy, medication review, and patient status checks. Meets with unable-to-reach patients in their home setting to re-engage patients in the program. Provides cross-coverage for planned and unplanned absences for team members to ensure that patient care is not interrupted. Partners with interdisciplinary team members to continuously improve the quality of care, reduce the cost of care, and improve both patient and staff satisfaction. Licensed Practical Nurse (LPN) Requirements: Licensed Practice Nurse, license certification in the state of employment Experience providing care for the whole person, including patients living with mental illness and substance use disorders. Current CPR and BLS certification required Average to advanced computer & software skills (Microsoft Word, Excel, Outlook) Ability and means to travel as needed in a timely manner to locations that may have limited access to public transportation; proof of liability and property damage insurance on vehicle used is required. DRIVER REQUIREMENTS: Licensed for a minimum of 5 years. No vehicle-related suspensions, DUI, reckless driving, leaving the scene of an accident, vehicular manslaughter, felony convictions, or 3 or more moving violations within the last 5 years. No more than 2 moving violations or 1 at-fault accident in the last 3 years. Vaccination Policy ConcertoCare requires all “frontline workers” to be fully vaccinated and to provide records for validation. Medical or religious exemption will be considered contingent upon the review of appropriate documentation. Base Salary/ Wage Range $26.00 to $31.00/hour with annual bonus. Compensation for the role is commensurate with the candidate's qualifications, skills, competencies, and experience and may fall outside of the range shown. ConcertoCare offers a competitive total rewards package, which includes full healthcare coverage, a 401K with match, and a broad range of other health, wellness, and financial benefits. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. ConcertoCare is an Alcohol/Drug/Smoke-Free Workplace

The Affiliate Nurse Liaison will work with patients, Gill Affiliate Network (GAN) members and clinical care teams throughout the Gill Heart & Vascular Institute to help patients navigate their way to timely, quality care and to assist in overcoming barriers to care. The nurse liaison will ensure that new referrals are scheduled with the appropriate Gill Heart & Vascular Institute provider and that all documentation/records are available to the provider on the day of the initial visit. They will assist patients by providing education and emotional support before and after their visit to UK Healthcare and coordinating communication between the UK Gill Heart & Vascular Institute and the referring GAN provider. The Affiliate Nurse Liaison will assist patients from initial diagnosis through diagnostic testing, treatment, and follow-up, as needed. The goal of the Nurse Liaison is to assist GAN hospitals with timely referral for their patients and allow for increased patient and referring provider satisfaction. Skills / Knowledge / Abilities Must have reliable transportation to and from events/locations. Does this position have supervisory responsibilities? No Preferred Education/Experience Prefer at least 3 years of cardiac RN experience Deadline to Apply 01/29/2026 Our University Community We value the well-being of each of our employees and are dedicated to creating a healthy place for everyone to work, learn and live. In the interest of maintaining a safe and healthy environment for our students, employees, patients and visitors, the University of Kentucky is a Tobacco & Drug Free campus. The University follows both the federal and state Constitutions as well as all applicable federal and state laws on nondiscrimination. The University provides equal opportunities for qualified persons in all aspects of institutional operations and does not discriminate on the basis of race, color, national origin, ethnic origin, religion, creed, age, physical or mental disability, veteran status, uniformed service, political belief, sex, sexual orientation, gender identity, gender expression, pregnancy, marital status, genetic information or social or economic status. Any candidate offered a position may be required to pass pre-employment screenings as mandated by University of Kentucky Human Resources. These screenings may include a national background check and/or drug screen.

Excellent Nocturnist NP/PA Opportunity in Lexington, KY. We welcome the challenge of complex cases, working in an open ICU with 24-hour intensivist coverage. Our providers are welcome to perform procedures consistent with their privileges, but procedures are not a requirement. We have team huddles at least three times a week and a monthly all-staff meeting to connect about the practice, hospital-related topics, and developments within the company. We have monthly educational CME meetings and hospital-wide hospital medicine committee meetings. Hospitalist APPs independently manage pre-op patients in a clinic setting with support staff and available supervising physicians. Most of us like to spend time with our families or outdoors, so a flexible schedule is available,?and we cover for each other when we're out. Benefits include medical, dental, vision, life, and AD&D insurance, long- and short-term disability, 401k with match, paid medical malpractice and tail coverage, and annual CME allowance. About the location: If you're considering relocating to Lexington, the area offers a blend of cultural richness, a strong horse industry, affordable living, and outdoor recreational opportunities. It appeals to those seeking a welcoming community with a touch of Southern charm and historical significance. Job # VRKYNOCNPPA2583 For more information, please email a copy of your CV to ************************** or call Vicky Rinehart at ************.

Facility Name: Ephriam McDowell Schedule: Monday - Friday 3p-11p Your experience matters Lifepoint Behavioral Health is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As an Intake Nurse Coordinator joining our team, you're embracing a vital mission dedicated to making communities healthier . Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. More about our team Ephraim McDowell is a 15-bed behavioral health unit located in Danville, Kentucky. How you'll contribute An intake nurse coordinator who excels in this role: Assists the PD in directing nursing activities during evening working hours. Assists the PD in recruitment and interviewing of staff. Conducts new employee education. Assist in review and revision of policies and procedures. Participates in departmental and team meetings. This individual is responsible for working with internal and external customers to identify patients' appropriateness to admit to the unit or refer to other community resources. Assist with providing group therapies and train other clinical staff to execute nursing care duties to ensure quality patient care and proper execution and documentation. Ability to cultivate and maintain relationships with internal and external customers as well as maintains patient/family confidentiality and provides sensitive, respectful, and compassionate customer service at all times. Ability to work independently in a fast-paced hospital environment. Demonstrates an understanding of legal issues associated with assessment/admission for voluntary vs involuntary status, EMTALA, and processes for admissions when patients have a guardian in the state of Kentucky. Knowledge of the diagnostic statistics manual V or DSMV or most recent version. Understanding of mental illness and stages of development. Ability to present clinical findings to attending psychiatrist and provide handoff to charge RN. Why join us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees. Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). Professional Development: Ongoing learning and career advancement opportunities. What we're looking for Applicants should have: Education: Graduate from an accredited program of professional nursing required. Experience: Previous experience in a psychiatric health care facility, with direct experience working with chemical dependency, dual diagnosis, psychiatric and geriatric patients preferred. Two years' leadership experience preferred. License: Current unencumbered license to practice by the State Board of Nursing, valid driver's license preferred. Additional Requirements: CPR certification and Crisis Prevention Training (CPI) within 30 days. May be required to work flexible hours. Connect with a Recruiter Not ready to complete an application, or have questions? Please contact Morgan Gilbert by emailing ********************************** EEOC Statement “Lifepoint Behavioral Health is an Equal Opportunity Employer. Lifepoint Behavioral Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.”

Lexington Cardiology The AFib Nurse Navigator is a patient educator, care coordinator, system navigator, and patient advocate with the mission to improve the experience for AFib procedure patients at Baptist Health Lexington. The Nurse Navigator works collaboratively with the patient and their support system, referring physicians, cardiologists, clinical research staff, and other care areas. The AFib Nurse Navigator coordinates clinical consultation, patient education, treatment, and plan of care coordination for all patients and provides support to the AFib patient through diagnosis, treatment and patients plan of care through discharge and beyond. Also, coordinates clinical outcomes department. Minimum Education, Experience, Training, and Licensures Required: Current KY or Compact State License as a Registered Nurse Bachelors of Nursing At least 3 years of cardiac experience Work Experience Education 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.

As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma get medicines for the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians, and patients. A significant part of our business is acting as the biopharma sales force to physicians or providing nurses to educate patients or prescribers. With the right experience, you can help deliver medical breakthroughs in the real world. We are excited to announce that currently we are looking for a Nurse Educator to join our team of over 10,000 global field personnel supporting our pharmaceutical and biotech clients. Nurse Educator Patients are at the center of our business strategies. The Nurse Educator Program is an educational based program designed as a resource for patients living with chronic diseases that have been prescribed specific medications. Nurse Educators provide education about specific disease treatments, and resources to help patients better begin and manage their disease state and resources associated with their prescribed medication. Nurse Educators are responsible for participating in one-on-one communications with patients. The Nurse Educator interacts with enrolled patients in person, by telephone, video platforms, email and SMS strictly following the guidelines of the program. Since the program is strictly educational based, Nurse Educators do not provide medical advice or work clinically within this role. The Nurse Educator will: * Coordinate and facilitate the connection between patients and program approved, patient-based resources. * Provide direct educational training to patients on specific disease states and assigned medication. * Ability to support multiple disease states and medications as needed * Provide patient-focused education to promote behavioral change for the empowerment of patients to improve specific treatment compliance * Foster appropriate dialogue between patient and health care provider Job Qualifications: * Bachelor's degree and/or BSN preferred * RN licensure required in state of residency - compact multi-state license as available per state * Current nursing license in good standing * 5 + yrs. clinical experience in healthcare to include hospital, home health, pharmaceutical or biotech * Nurse educator experience preferred * Bilingual in English/Spanish preferred * Valid driver's license required * Ambassador must live in the designed territory as determined by the business * Direct interaction with patients and support for persistence and compliance * Knowledge of clinical data and pharmacology * Demonstrated time management skills; planning and prioritization skills; ability to multi-task and maintain prioritization of key projects and deadlines * Demonstrated effective presentation skills; ability to motivate others; excellent interpersonal (written and verbal) skills with demonstrated effectiveness to work cross functional and independently * Demonstrated ability to develop, follow and execute developed plans in an independent environment * Dedicated home workspace * Demonstrated ability to effectively build positive relationships both internally & externally * Demonstrated ability to be adaptable to changing work environments and responsibilities * Fully competent in MS Office (Word, Excel, PowerPoint) and iPad technology * Flexibility to work weekends and evenings * Traveling up to 60-70% * Duties may require compliance with client requirements that all those performing services on-site be fully vaccinated * Annual salary + car allowance + ability to earn bonus #LI-CES IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at ********************** IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. **********************/eoe The potential base pay range for this role is $95,000-$105,000 annually. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.

PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a Staff Registered Nurse, to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA's mission, vision, values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. Employees hired into this position will be required to obtain their nursing license and registration within the timeframe outlined in state specific regulations, or within 90 days from hire date, whichever comes sooner. PRINCIPAL DUTIES AND RESPONSIBILITIES: STAFF RELATED: Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies. Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants. Assesses daily patient care needs and develops appropriate patient care assignments. Routinely monitors patient care staff for appropriate techniques and adherence to facility policy and procedures. Participates in staff training and orientation of new staff as assigned Participates in all required staff meetings as scheduled. PATIENT RELATED: Education: Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD). Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions. Discusses with patient, and records education related to diet/fluid and medication compliance. Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM). Ensures transplant awareness, modality awareness, and drive catheter reduction. Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid. Dialysis Treatment: Provides safe and effective delivery of care to patients with ESRD. Accurately implements treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated. Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. Identifies and communicates patient related issues to Team Leader or physician. Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures. Actively participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures. Takes appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights. Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. Implements, administers, monitors, and documents patient's response to prescribed interdialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier. Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet. Laboratory-related: Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System. Ensures appropriate preparation of lab requisitions for Spectra or alternate lab. Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples. Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures. Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material. Ensures that all labs are directed and delivered to appropriate labs. Reports alert/panic and abnormal labs results to appropriate physician. Ensures lab results are forwarded to physicians as requested. General duties: Enforces all company approved policies and procedures, as well as regulations set forth by state and federal agencies and departments. Maintains overall shift operation in a safe, efficient, and effective manner. Act as a resource for other staff members. Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information. Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient. Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies. Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. Oversees all documentation of patient information. Maintains facility drug list for all required stock medications. Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest. Ensures verification and availability of adequate emergency equipment. Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing. Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated. Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. Maintains appropriate recording of controlled substances as required by law. Assists with the coordination of patient transportation if necessary. MAINTENANCE/TECHNICAL: Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area. Ensures competency in the operation of all dialysis-related equipment safely and effectively. Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately. Ensures that all blood spills are immediately addressed according to FMCNA Bloodborne Pathogen Control Policies. MEDICAL RECORDS & DOCUMENTATION: General Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System. Ensures all appropriate patient related treatment data is entered into the Medical Information System. Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented. Ensures and verify accuracy of Patient Care Technician documentation. Daily Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff. Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises. Monthly Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports. Completes monthly nurses' progress note. Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms). Reviews transplant status and follows established procedure regarding appropriate action to be taken. Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans. Completes any long-term programs that are due. Annually Completes initial and annual Nursing History and Assessment physical. Ensures completion of Annual Standing Order Review with each physician as required. OTHER: As a condition of continued employment, you are required to obtain and maintain any required credentials or certifications necessary for your position in an active and valid status (including renewal of such credentials or certifications prior to any expiration date). In the event that your credential or certified status changes, you must notify your supervisor immediately. Capable of working in a challenging environment which requires the ability to handle demanding situations, multitasking, and remaining flexible to changing needs. Maintain regular and punctual attendance. Perform other related duties as assigned. Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The position provides direct patient care that regularly involves heavy lifting and moving of patients and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made. SUPERVISION: None Education: Graduated from an accredited nursing program within the past 12 months Experience and required skills: Required to obtain nursing license and registration within the timeline defined by state regulations, or within 90 days of hire, whichever occurs first. Current appropriate state Temporary Permit. Must meet the practice requirements in the state in which he or she is employed ADDENDUM: Managers in each state must determine if their state regulations permit employees to operate in this capacity, as well as the allowable duties and practice restrictions if permitted. Managers should consult their state-specific regulations at: *********************************************************************************************************************************************************** For additional information please contact your Regional Education Coordinator. Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

Are you ready to take your Travel career to the next level? See places you have not seen before? Ventura's MedStaff tenured Recruiters are here to help you find your ideal contract; with over 50 years of combined experience. Markets have changed, but Ventura MedStaff has maintained a leader in the forefront of Therapy, Allied and Nursing opportunities. Our recruiters are here to help answer your questions and provide you with the most up to date information. Contracts run 8-13 weeks, with 36-40-hour guarantees, flexible start dates, and a mix of schedules. Contact one of our dedicated Recruiters to discuss more details. Ventura MedStaff benefits represent the care and compassion we provide for our clients. • Health, dental, vision, life, disability benefits and 401k • Tax free stipends when applicable • Gym discounts • Weekly pay • $750.00 referral bonus Please apply or contract us at: *********************** or ************

JOB DESCRIPTION: School Registered Nurse (RN) QUALIFICATIONS: Diploma and certification as Registered Nurse (RN) One year comprehensive nursing experience School nursing experience preferred Transportation Availability as may include positions requiring itinerant travel PERFORMANCE RESPONSIBILITIES: Administers first aid according to established procedures; conduct a variety of health screenings; prepares and maintains accurate student medical records. Administers first aid or nursing care for accidents, seizures, preventive medicine and educational-related medical issues to all stakeholders as necessary. Conducts height, weight, vision, hearing, scoliosis and other health screenings as required; provide screening for head lice and observe students on a regular basis to detect health needs. Refers students to appropriate personnel, resources or clinics and follow-up as necessary. Maintains health records and medical logs; updates immunization and student records as needed; prepare and submit periodical medical reports for appropriate organizations or District personnel and assures compliance with established laws and regulations. Dispenses and retains medication and performs medical treatment in accordance with physician's instructions within District guidelines. Communicates with various community health agencies and civic organizations to exchange information, coordinate activities and obtain student needs such as medication, glasses, hearing aids and clothing as needed. Conducts training for students, parents and school staff as permitted and as required. Provides information and make recommendations to principals and district administrators regarding health issues of students and school health program needs, develop programs to meet school health needs. Follows all appropriate state and federal laws as well as district policies and procedures. Utilizes technology including the student information system to maintain records. Makes home visits as required; authorize re-admission to school. Maintains stock of first aid supplies; assures medical equipment is in proper working condition; orders supplies and equipment as needed. Participates in screening for health defects and sanitary conditions in schools. Maintains current knowledge of medical advances and information, public health issues and treatment procedures. Provides health care teaching-preventive and therapeutic-appropriate to educational level (and language barriers) Provides case management by acting as a liaison between parent/guardian and physician responsible for the student's health condition. Participates as student/family advocate. Works independently following district guidelines Attends and provides input at ARC & 504 meetings of students with medical needs, as necessary Delegates health responsibilities as permitted Performs related duties as assigned any other job assigned by principal, director of student services, superintendent, and/or designee EVALUATED BY: Director of Student Services with input from Building Principal(s) TERMS OF EMPLOYMENT: Days and salary pursuant to district salary schedules. JOB REQUIREMENTS: Strictly adheres to the Kentucky Certified Code of Ethics (704 KAR 20:680) expected for all certified and classified personnel Work is performed while standing, sitting and/or walking Requires the ability to communicate effectively using speech, vision, written language, and hearing Requires the use of hands for simple grasping and fine manipulations Requires the ability to lift, carry, push or pull light objects and students up to 25 lbs. Job Class: 7263 Original Date: 7/1/14 Revision Date(s): 7/1/14 Archive Date:

Are you ready to take your Travel career to the next level? See places you have not seen before? Ventura's MedStaff tenured Recruiters are here to help you find your ideal contract; with over 50 years of combined experience. Markets have changed, but Ventura MedStaff has maintained a leader in the forefront of Therapy, Allied and Nursing opportunities. Our recruiters are here to help answer your questions and provide you with the most up to date information. Contracts run 8-13 weeks, with 36-40-hour guarantees, flexible start dates, and a mix of schedules. Contact one of our dedicated Recruiters to discuss more details. Ventura MedStaff benefits represent the care and compassion we provide for our clients. • Health, dental, vision, life, disability benefits and 401k • Tax free stipends when applicable • Gym discounts • Weekly pay • $750.00 referral bonus Please apply or contract us at: *********************** or ************

Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and federal regulatory requirements, Molina policies and procedures, and medically appropriate clinical guidelines. Contributes to overarching strategy to provide quality and cost-effective member care. ESSENTIAL JOB DUTIES: * Facilitates clinical/medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which an appeal has been made, or is likely to be made, to ensure medical necessity and appropriate/accurate billing and claims processing. * Reevaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of relevant and applicable state and federal regulatory requirements and guidelines, knowledge of Molina policies and procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. * Validates member medical records and claims submitted/correct coding, to ensure appropriate reimbursement to providers. * Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. * Identifies and reports quality of care issues. * Assists with complex claim review including diagnosis-related group (DRG) validation, itemized bill review, appropriate level of care, inpatient readmission, and any opportunities identified by the payment integrity analytical team; makes decisions and recommendations pertinent to clinical experience. * Prepares and presents cases representing Molina, along with the chief medical officer (CMO), for administrative law judge pre-hearings, state insurance commissions, and judicial fair hearings. * Reviews medically appropriate clinical guidelines and other appropriate criteria with medical directors on denial decisions. * Supplies criteria supporting all recommendations for denial or modification of payment decisions. * Serves as a clinical resource for utilization management, CMOs, physicians and member/provider inquiries/appeals. * Provides training and support to clinical peers. * Identifies and refers members with special needs to the appropriate Molina program per applicable policies/protocols. REQUIRED QUALIFICATIONS: * At least 2 years clinical nursing experience, including at least 1 year of utilization review, medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in state of practice. * Experience demonstrating knowledge of ICD-10, Current Procedural Technology (CPT) coding and Healthcare Common Procedure Coding (HCPC). * Experience working within applicable state, federal, and third-party regulations. * Analytic, problem-solving, and decision-making skills. * Organizational and time-management skills. * Attention to detail. * Critical-thinking and active listening skills. * Common look proficiency. * Effective verbal and written communication skills. * Microsoft Office suite and applicable software program(s) proficiency. PREFERRED QUALIFICATIONS: * Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), or other health care certifications. * Nursing experience in critical care, emergency medicine, medical/surgical or pediatrics. * Billing and coding experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $29.05 - $67.97 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Description The ideal Signature Clinical Care Consultant Candidate would have working knowledge of Medicare, Medicaid and Managed Care coverage, referral, and reimbursement methods. A passion for supporting and training Stakeholders to provide the best care possible to residents. With the ability to travel extensively. Responsibilities Ensure that clinical systems and standards of care are in place to achieve clinical, regulatory, and reimbursement compliance. Provide oversight and guidance to staff in assigned facilities, which includes role modeling and teaching clinical skills necessary to administer high caliber patient care on a consistent basis. Provide clinical supervision and problem-solving assistance to facility staff in functional and physical assessment, care planning, implementation and evaluation of care. Evaluate the effectiveness and appropriateness of outcomes of patient care in collaboration with the facility staff within accepted standards of nursing/clinical practice. Qualifications What you Need to make a Difference Active RN License and currently registered in state employed. Minimum of three (3) years related experience; supervisory experience preferred. Possess working knowledge of Medicare, Medicaid and Managed Care coverage, referral, and reimbursement methods. Extensive travel required.

Licensed Practical Nurse * Up to $5,000 Sign On Bonus* * Yearly continuing education allowance * Medical, Dental, Vision and 401k * Competitive salary and bonus program * 15 days of PTO * 11 paid holidays yearly * Grow a relationship with your patients * Work in your community * Proprietary technological systems Our Mission: At ConcertoCare, we believe seniors and older adults with complex care needs deserve a more holistic, equitable, and compassionate approach to health and wellness. ConcertoCare's tech-enabled in-home care teams leverage our value-based, interdisciplinary care model to address unmet health and social needs and improve patients' quality of life, partnering with them, their caregivers, families, health providers, and communities Our Vision: We will redefine care and aging for millions of US seniors and other adults with complex care needs by perfecting the kind of human-first, tech-enabled care in the home that we would want for our families. ConcertoCare is seeking a Licensed Practical Nurse (LPN) to be a core member of a multi-disciplinary Field Team that delivers home- and community-based care to patients with complex needs. This is a great fit for a Licensed Practical Nurse (LPN) who is seeking: * An opportunity for "top of license" clinical practice. * A collaborative multidisciplinary team-based approach to care. * An innovative, value-based clinical model focused on caring for patients with complex needs who are inadequately served by traditional healthcare delivery systems. * Access to professional development via dedicated clinical education programming and real-time support from our on-staff world-class experts in geriatric medicine, palliative care, geriatric psychiatry, clinical pharmacy, care management, and social determinants of health and health equity. Licensed Practical Nurse (LPN) Responsibilities: * Partners with team members in the development and implementation of clinical treatment plans under the clinical supervision of providers and registered nurses and the direction of team members; includes active engagement and participation in all team meetings. * Supports wrap-around clinical services in the home- and field setting, including delivery of care through co-visits with other team members, assisted telehealth visits with providers and other team members, and independent LPN visits. * Provides clinical services and clinical coordination services as directed by a patient's clinical risk assessment and clinical care plan and under the clinical supervision of providers, Practice Managers, and RN Case Managers. * Conducts health screenings for newly enrolled patients and on an ongoing basis. * Performs clinical services in the field, including but not limited to wound care dressing changes, phlebotomy, medication review, and patient status checks. * Meets with unable-to-reach patients in their home setting to re-engage patients in the program. * Provides cross-coverage for planned and unplanned absences for team members to ensure that patient care is not interrupted. * Partners with interdisciplinary team members to continuously improve the quality of care, reduce the cost of care, and improve both patient and staff satisfaction. Licensed Practical Nurse (LPN) Requirements: * Licensed Practice Nurse, license certification in the state of employment * Experience providing care for the whole person, including patients living with mental illness and substance use disorders. * Current CPR and BLS certification required * Average to advanced computer & software skills (Microsoft Word, Excel, Outlook) * Ability and means to travel as needed in a timely manner to locations that may have limited access to public transportation; proof of liability and property damage insurance on vehicle used is required. * DRIVER REQUIREMENTS: Licensed for a minimum of 5 years. No vehicle-related suspensions, DUI, reckless driving, leaving the scene of an accident, vehicular manslaughter, felony convictions, or 3 or more moving violations within the last 5 years. No more than 2 moving violations or 1 at-fault accident in the last 3 years. Vaccination Policy ConcertoCare requires all "frontline workers" to be fully vaccinated and to provide records for validation. Medical or religious exemption will be considered contingent upon the review of appropriate documentation. Base Salary/ Wage Range $26.00 to $31.00/hour with annual bonus. Compensation for the role is commensurate with the candidate's qualifications, skills, competencies, and experience and may fall outside of the range shown. ConcertoCare offers a competitive total rewards package, which includes full healthcare coverage, a 401K with match, and a broad range of other health, wellness, and financial benefits. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. ConcertoCare is an Alcohol/Drug/Smoke-Free Workplace

Job Description Excellent Nocturnist NP/PA Opportunity in Lexington, KY. We welcome the challenge of complex cases, working in an open ICU with 24-hour intensivist coverage. Our providers are welcome to perform procedures consistent with their privileges, but procedures are not a requirement. We have team huddles at least three times a week and a monthly all-staff meeting to connect about the practice, hospital-related topics, and developments within the company. We have monthly educational CME meetings and hospital-wide hospital medicine committee meetings. Hospitalist APPs independently manage pre-op patients in a clinic setting with support staff and available supervising physicians. Most of us like to spend time with our families or outdoors, so a flexible schedule is available,?and we cover for each other when we're out. Benefits include medical, dental, vision, life, and AD&D insurance, long- and short-term disability, 401k with match, paid medical malpractice and tail coverage, and annual CME allowance. About the location: If you're considering relocating to Lexington, the area offers a blend of cultural richness, a strong horse industry, affordable living, and outdoor recreational opportunities. It appeals to those seeking a welcoming community with a touch of Southern charm and historical significance. Job # VRKYNOCNPPA2583 For more information, please email a copy of your CV to ************************** or call Vicky Rinehart at ************.