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Contract Rn Case Review Jobs in Lexington, KY (NOW HIRING)

Hosparus Health

Registered Nurse - Hospice Flex

Cynthiana, KY · On-site

$69K - $87K/yr

The Hospice Flex RN is a diverse role providing support to Hospice RN Case Managers to ensure patient needs are met and high-quality care is maintained in various home care settings, such as private ...

Hosparus Health

Registered Nurse - Hospice Flex

Cynthiana, KY · On-site

$69K - $87K/yr

The Hospice Flex RN is a diverse role providing support to Hospice RN Case Managers to ensure patient needs are met and high-quality care is maintained in various home care settings, such as private ...

Phenom People

RN Utilization Review PRN

Paris, KY · On-site

PRN, RN - Utilization Review Making Communities Healthier with Comprehensive Care... You can get to know who we are and what truly makes us different by our mission, 'Making Communities Healthier'

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Showing results 21-40

All JobsContract Rn Case Review JobsContract Rn Case Review Jobs in Lexington, KY

Contract Rn Case Review information

See Lexington, KY salary details

$19

$47

$79

How much do contract rn case review jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for contract rn case review in Lexington, KY is $47.24, according to ZipRecruiter salary data. Most workers in this role earn between $35.14 and $57.12 per hour, depending on experience, location, and employer.

How does a contract RN case review typically collaborate with other healthcare team members?

As a Contract RN Case Review professional, you'll frequently coordinate with physicians, social workers, and other nursing staff to ensure comprehensive patient care. Collaboration often involves reviewing patient charts, discussing care plans, and providing recommendations for discharge planning or ongoing management. Effective communication is key, as you'll need to relay findings and updates to both internal teams and external case managers. This role often requires balancing independent, detailed review work with regular interdisciplinary meetings to drive optimal outcomes for patients.

What are the key skills and qualifications needed to thrive as a contract RN case review?

To thrive as a Contract RN Case Review, you need a valid RN license, strong clinical judgment, and experience in case management or utilization review. Familiarity with medical coding systems (such as ICD-10, CPT), case management software, and knowledge of regulatory guidelines like Medicare and Medicaid are typically required. Excellent analytical thinking, attention to detail, and effective communication skills are crucial soft skills for this role. These competencies ensure accurate case assessments, compliance with healthcare regulations, and effective collaboration with providers and payers.

What is the difference between Contract Rn Case Review vs Contract Rn Case Management?

AspectContract Rn Case ReviewContract Rn Case Management
CertificationsRN license, case review certificationsRN license, case management certifications (e.g., CCM)
Work EnvironmentReviewing medical records, assessing casesCoordinating patient care, managing cases
Employer & IndustryInsurance companies, healthcare agenciesHealthcare providers, insurance companies
Search & Comparison IntentUnderstanding case review roles, job differencesExploring case management careers, job duties

Contract Rn Case Review focuses on evaluating medical records and determining coverage or compliance, while Contract Rn Case Management involves coordinating patient care and managing cases throughout treatment. Both roles require RN licensure, but they differ in daily tasks and responsibilities within the healthcare and insurance industries.

What is a contract RN case review?

A Contract RN Case Review nurse is a registered nurse who is hired on a contractual basis to evaluate patient cases, often for insurance companies, hospitals, or healthcare organizations. Their main duties include reviewing medical records, ensuring compliance with clinical guidelines, and providing recommendations for patient care or coverage decisions. These nurses typically work remotely or in office settings and may be responsible for communicating findings to healthcare providers or insurance adjusters. This role requires strong clinical knowledge, attention to detail, and excellent communication skills.
Contract Rn Case Review jobs near you
Infographic showing various Contract Rn Case Review job openings in Lexington, KY as of August 2026, with employment types broken down into 4% As Needed, 62% Full Time, 30% Part Time, and 4% Contract. Highlights an 87% In-person, and 13% Remote job distribution, with an average salary of $98,267 per year, or $47.2 per hour.

Registered Nurse Case Manager (RN)

Alternate Solutions Health Network

Lexington, KY • On-site

Full-time

Posted 23 days ago

Job description

Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY.
Baptist Home Health
Schedule: Monday through Friday 8-5 with rotating on call
Territory: Lexington, Frankfort, Versailles, Millersburg, Keene, Danville, Lancaster, Burgin, Berea, Winchester, Slade, Westbend areas
SUMMARY
The Registered Nurse Case Manager (RNCM) assumes ultimate accountability and leadership for the assessment of the patient condition and plan of care. The RNCM provides case management, clinical care and is responsible for coordination all disciplines involved in providing quality, cost-effective and billable care through direct care and supervision of care under the direction of the physician. The RN educates patients and their family members and ensures the safety of the patient. The RN is accountable for completing accurate documentation and remains compliant with all legal rules and regulations. The RN is responsible for all practices and duties within the scope of practice as outlined by the state.
KEY RESPONSIBILITIES
  • Oversees the overall care of the patient from beginning to end of episode
  • Updates all doctor orders in patient chart accordingly
  • Notifies doctor of any significant changes of the patient's condition
  • Manages multi-disciplinary care as applicable
  • Provides skilled nursing care in a patient's home as ordered by the attending physician
  • Observes and monitors patient conditions
  • Performs OASIS assessments to develop an individualized plan of care and makes adjustments as needs change
  • Administers medication as prescribed by the physician
  • Helps decrease re-hospitalizations by front loading visits for high risk patients
  • Promotes continuity of care with appropriate admissions, transfers and discharges
  • Counsels patient and family on the disease/injury processes and how to manage
  • Incorporates patient and family in development of plan of care
  • Helps decrease re-hospitalizations by teaching the patient on preventative measures and making good decisions
  • Listens to patient and family members
  • Oversees and supervises total care of patient provided by nurse aides and LPNs
  • Evaluates the treatments and medical condition of the patient according to the plan of care
  • Determines if the level of care being provided meets the patients' needs
  • Communicates with the LPNs and nurse aides on supervisory visit results
  • Completes all clinical documentation in accordance with agency protocol and Medicare/Federal guidelines
  • Documents all aspects of treatment, assessments, and patient education
  • Maintains active RN license
  • Communicates with scheduler any changes outside the normal
  • Participates in all on-call requirements and case conferences
  • Attends in-service trainings and mandatory agency meetings
  • Drives to patient's primary location per scheduled visit.
  • Daily attendance at assigned visit locations.
  • Documents all aspects of subsequent, discharge, eval/recert/resumption of care visits within 24 hours of visits.
  • Documents all aspects of start of care visits within 24 hours of visits.
  • Completes and submits all required documentation within specified company requirements.
  • Follows plan of care as permitted within the scope of practice for a Registered Nurse.
  • Fulfills RN visits in assigned geographic location per patient need within federal and state specifications.
  • Other duties as assigned.

QUALIFICATIONS
  • Minimum of one year of experience as an RN in an acute care setting. Home care experience is desired.
  • Ability to effectively communicate and create positive impressions with patients, families, physicians and co-workers.
  • Ability to remain calm, have patience and be accommodating. Compassionate and caring while working with patients.
  • Knowledgeable on nursing best practices.
  • Ability to make appropriate nursing judgments.
  • Ability to identify a situation and handle it with the best possible solution.
  • Detail-oriented and observant.
  • Disciplined style of work ethic with the ability to prioritize and be timely
  • Ability to follow directions and work as a team member.
  • Valid driver's license and auto insurance with your name as a listed driver.

EDUCATION AND CREDENTIALS
  • Registered Nurse with current license in the state of employment.

PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job with or without reasonable accommodations.
Knowledge
Reading, Speaking, Writing English - Constantly 66%-100%
Communications Skills - Constantly 66%-100%
Computers / PDA - Constantly 66%-100%
Physical
Walking - Frequently 34%-66%
Bending - Occasionally 2%-33%
Standing - Occasionally 2%-33%
Sitting - Frequently 34%-66%
Driving - Frequently 34%-66%
Lifting up to 50 lbs. with or without assistance - Occasionally 2%-33%
Stretching/Reaching - Occasionally 2%-33%
Climbing - Occasionally 2%-33%
Hand/finger dexterity - Constantly 66%-100%
Stooping (bend at waist) - Occasionally 2%-33%
Sensory Activities
Distinguish smell/temperature - Occasionally 2%-33%
Hearing/Seeing - Constantly 66%-100%
Talking in person - Constantly 66%-100%
Talking on the telephone - Frequently 34%-66%
Hearing in person - Constantly 66%-100%
Hearing on the telephone - Frequently 34%-66%
Vision for close work - Constantly 66%-100%
Other Sensory Activities
N/A
#INDBAP1
We'll help you put your passion for patient care to work. Apply today!
This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.
We are an Equal Opportunity Employer.

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