292 utilization jobs at 148 companies in Kentucky

2mo
Save
Mark Applied
Hide
Utilization Coordinator PRN
Louisville, Kentucky, United States
$20/hr OnsiteTemporary
Universal Health Services
Universal Health ServicesNYSE: UHS: Operates acute care hospitals and behavioral health facilities.
1+ YOELPN and/or Bachelor/Masters in Social Work or Psychology; Licensed LPN in Kentucky; 1 year Utilization Management experience; 3-5 years preferred.
3mo
Save
Mark Applied
Hide
Utilization Review Nurse
Morehead, Kentucky, United States
OnsiteFull Time
UK St. Claire
UK St. Claire: A healthcare organization focused on patient care and staff development.
2+ YOERN with 2+ years nursing experience; bachelor’s degree in nursing; current RN license; UNOS reporting experience preferred.
2w
Save
Mark Applied
Hide
Linen Utilization Manager
Winchester or Paris
$42k/yr OnsiteFull Time
HHS
HHS: Provides facility management and support services to various industries.
1+ YOE1+ years operations/management experience (laundry preferred), flexible schedule including nights/weekends/holidays, computer skills (word processing, spreadsheets, email), willingness to relocate for promotion; regulatory knowledge and Spanish are a plus.
1w
Save
Mark Applied
Hide
Linen Utilization Manager
Winchester or Paris
$42k/yr OnsiteFull Time
HHS
HHS: Provides outsourced facilities management and support services.
1+ YOE1+ years operations/management experience (laundry operations preferred); flexible schedule including nights/weekends/holidays; computer skills (word processing, spreadsheets, email, ordering platforms); interpersonal and communication skills; willingness to relocate for promotion.
3mo
Save
Mark Applied
Hide
Utilization Management Program Manager-RN
Arizona or Arkansas or Connecticut or Florida or Georgia or Idaho or Indiana or Iowa or Kansas or Kentucky or Louisiana or Michigan or Mississippi or Missouri or Montana or Nebraska or Nevada or New Hampshire or New Mexico or North Carolina or Oklahoma or Oregon or Pennsylvania or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or West Virginia or Wisconsin
RemoteFull Time
Samaritan Health Services
Samaritan Health Services: Operates a regional network of non-profit hospitals and clinics.
5+ YOEUnencumbered Oregon RN within 90 days, 1 year clinical nursing plus 4 years health-plan utilization management, experience with managed care, data analysis, quality management, and electronic documentation.
Microsoft Office, EPIC, Clinical Care Advanced
6d
Save
Mark Applied
Hide
Utilization Management RN (Discharge & Auth) Weekends Required
Louisville or Kentucky
$71k-$98k/yr RemoteFull Time
Humana
HumanaNYSE: HUM: Provides health insurance plans and clinical healthcare services.
1+ YOELicensed RN in Kentucky,1+ year utilization management experience,2+ years clinical experience preferred,ability to perform medical necessity reviews and discharge planning,proficiency with Microsoft Office and MCG.
Microsoft Office Suite, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, MCG
5d
Save
Mark Applied
Hide
Utilization Management Specialist II
Erlanger, Kentucky, United States
OnsiteTemporary
SUN Behavioral Health
SUN Behavioral Health: Operates psychiatric hospitals providing inpatient and outpatient mental health care.
1+ YOEUnencumbered RN or equivalent behavioral health license, CPR and de-escalation certification, 1+ year case management experience, knowledge of Medicare/Medicaid/insurance, strong clinical documentation and communication skills.
1w
Save
Mark Applied
Hide
Utilization Management Rep I
Indianapolis or Louisville or Columbus
RemoteFull Time
Elevance Health
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
1+ YOEHS diploma/GED,1+ year call-center or customer service experience; ability to coordinate precertification/prior authorization, perform data entry, screen clinical cases, and communicate with providers and clients.
5d
Save
Mark Applied
Hide
Utilization Management Specialist II
Erlanger, Kentucky, United States
OnsitePart Time
SUN Behavioral Health
SUN Behavioral Health: Provides psychiatric hospital and outpatient mental health services.
1+ YOEUnencumbered state RN or licensed behavioral health clinician, CPR and de-escalation certification, 1+ year case management experience, knowledge of Medicare/Medicaid, documentation and care coordination skills.
3w
Save
Mark Applied
Hide
RN Utilization Review, Peace Hospital
Louisville, Kentucky, United States
OnsiteFull Time
UofL Health
UofL Health: Integrated academic health system providing hospital and specialty medical care.
2+ YOEBSN required, active Kentucky RN (or compact) license, 2 years RN experience, 3 years behavioral health experience for Peace Hospital, case management experience preferred, familiarity with MCG criteria and case management software.
Case Management Software, MCG
1mo
Save
Mark Applied
Hide
Registered Nurse - Utilization Review
Owensboro, Kentucky, United States
OnsiteFull Time
Owensboro Health
Owensboro Health: Provides hospital care and medical services in Western Kentucky.
0+ YOERN with Bachelor's degree; Kentucky RN license; no experience required; utilization review responsibilities.
2w
Save
Mark Applied
Hide
Water Accountability Technician
Bowling Green, Kentucky, United States
OnsiteFull Time
Warren County Water District
Warren County Water District: Providing water and wastewater services to Warren County residents.
3+ YOEHigh school diploma, valid driver’s license, 3+ years water system operations experience preferred, ability to perform leak detection, meter testing, GIS and SCADA use, First Aid/CPR required, strong communication skills.
SCADA, GIS, CIS Infinity, Cityworks, AMR/AMI, Microsoft Excel, Microsoft Word
5d
Save
Mark Applied
Hide
Maintenance Technician
Lexington, Kentucky, United States
OnsiteFull Time
American Water
American WaterNYSE: AWK: Provides regulated water and wastewater services to US customers.
6+ YOEPerform preventative and corrective maintenance on water treatment facility equipment including pumps, motors, meters, electrical and hydraulic systems; familiarity with test equipment and Microsoft Office; valid driver's license.
Microsoft Word, Microsoft Excel, mobile devices, multi-meters, ammeters, calibrators, SCADA, ultrasonic level reading devices, radar level reading devices
2h
Save
Mark Applied
Hide
Electric Engineer
Frankfort, Kentucky, United States
OnsiteFull Time
Frankfort Plant Board
Frankfort Plant Board: Municipal utility providing electricity, water, cable, and internet services.
Bachelor's in electrical engineering required; EIT registration in Kentucky or obtainable within six months; conducts engineering studies, prepares specifications, and assists in budget and project planning.
Supervisory Control and Data Acquisition (SCADA)
2w
Save
Mark Applied
Hide
Utilization Management RN III
Arkansas or Arizona or Florida or Georgia or Iowa or Illinois or Kansas or Kentucky or Michigan or Minnesota or Missouri or North Dakota or Nebraska or Oklahoma or South Dakota or Tennessee or Texas or Virginia or Wisconsin
$70k-$105k/yr RemoteFull Time
Medica
Medica: Provides health insurance coverage and health plan administration services.
5+ YOEBachelor's or equivalent and 5 years experience beyond degree; active LPN or RN license required (active unrestricted RN required); clinical assessment, UM and appeals experience preferred.
2mo
Save
Mark Applied
Hide
Utilization Management Peer-to-Peer Specialist
Jeffersontown, Kentucky, United States
OnsiteFull Time
Physician Care Coordination Consultants
Physician Care Coordination Consultants: A consulting firm focused on improving financial wellness and operational efficiency in healthcare organizations.
3+ YOEOversee insurance peer-to-peer scheduling; HIPAA compliant; 3+ years in healthcare operations or related field; proficient with MS Office and scheduling systems.
Microsoft Office Suite, Electronic Health Record (EHR) systems, Scheduling systems
1mo
Save
Mark Applied
Hide
Dermatology Utilization Review - Remote - Contract (1099)
Dallas or Indiana or Kentucky or Nevada or Oregon or Oklahoma or South Carolina or Texas or United States
RemoteContract
Medical Review Institute of America
Medical Review Institute of America: Provides independent clinical and utilization review services for healthcare.
5+ YOEBoard-certified dermatologist with MD or DO, unencumbered state medical license in IN/KY/NV/OR/OK/SC/TX, 5+ years clinical experience (including residency), daytime availability, HIPAA compliance.
1d
Save
Mark Applied
Hide
Strategy Consultant - Utilization Management and Medical Policy
Pennsylvania or Maryland or Washington or North Carolina or Louisiana or Kentucky or Kansas or Indiana or Illinois or Georgia or Iowa or Florida or Colorado or California or Delaware or Connecticut or Arkansas or Arizona or Alabama or Alaska or Nevada or Vermont or Tennessee or Idaho or Oklahoma or Hawaii or Mississippi or Utah or New Hampshire or New Mexico or Wyoming or North Dakota or South Dakota or Rhode Island or West Virginia or Montana or Texas or District of Columbia or Ohio or New Jersey or Oregon or South Carolina or Missouri or Virginia or Massachusetts or Nebraska or Minnesota or Michigan or Wisconsin or New York or Maine
$109k-$181k/yr RemoteFull Time
Highmark Health
Highmark Health: Provides health insurance and integrated medical care services.
6+ YOEMasters in Business/Healthcare/Economics required (or Bachelor's with experience),6+ years related experience (or 2 years post-grad consulting plus 6 years related),healthcare strategy experience,advanced data modeling and analytics skills.
SQL, Python, R, Power BI, Tableau, Microsoft PowerPoint, Microsoft Excel, EHR, ICD-10
2mo
Save
Mark Applied
Hide
Construction Technician
Winchester, Kentucky, United States
OnsiteFull Time
Essential Utilities
Essential UtilitiesNYSE: WTRG: Provides regulated water, wastewater, and natural gas utility services.
Experience in construction or utility maintenance; ability to operate tools; knowledge of gas utility safety.
1mo
Save
Mark Applied
Hide
Utility Locator
La Grange, Kentucky, United States
$19/hr FieldFull Time
USIC
USIC: Locates and marks underground utility infrastructure to prevent damage.
Field locating of underground utilities; able to work outdoors in varied weather, lift up to 75 lbs, pass drug screen, hold valid driver's license and safe driving record, distinguish utility color codes, use ticketing systems, and work overtime/weekends/on-call.