Remote Utilization Management Jobs in Kentucky (NOW HIRING)

At UK King's Daughters, we're not just a healthcare facility - we're a family of dedicated professionals who share a passion for making a meaningful difference in the lives of our patients. We're more than just a place to work; we're a place to grow, thrive, and contribute to our community.
Job Description:
Job Summary
Responsible for providing disease-specific care and education to patients with acute or chronic conditions in a busy ambulatory setting. Conducts skilled assessments, develops and implements individualized care plans, and supports patients and families in navigating healthcare services. Acts as a liaison between patients, medical staff, and community resources. Administers intravenous infusions as needed. Maintains advanced specialty training to serve as the nurse expert for the multidisciplinary team, ensuring , evidence-based care.
Essential Functions
• Assesses and reassesses patients using age- and culturally-appropriate criteria, considering physical, psychological, emotional, spiritual, cultural, and environmental needs.
• Identifies patient needs and nursing diagnoses, formulates and documents individualized plans of care in collaboration with patients, families, and the multidisciplinary team.
• Updates and documents plans of care based on ongoing assessments and patient responses, administering medications safely and accurately according to policy.
• Performs nursing procedures and interventions safely, ensuring thorough and timely documentation in accordance with hospital policies.
• Coordinates discharge planning and provides patient and family education throughout hospitalization, evaluating and modifying care as needed.
• Recognizes and responds to changes in patient status, promptly notifying physicians and other healthcare professionals as appropriate.
• Collaborates with interdisciplinary teams to improve care processes, outcomes, and patient satisfaction, fostering a culture of teamwork and service excellence.
• Maintains required licensure, specialty training, certifications, and participates in ongoing professional development and staff meetings.
• Engages in performance improvement initiatives, data collection, and process optimization to support quality and safety goals.
• Performs other duties as assigned.
Education Requirement
Associate's degree in nursing
Bachelor's degree in nursing (BSN) is preferred
Experience Requirement
0-2 years of experience in nursing, or a relevant area
An equivalent combination of education and experience may be considered.
All experience must be paid and in the same related field.
Part-time and PRN experience will be prorated based on hours worked per week.
Volunteer work and internships for academic credit are not counted.
Certifications & Licensures
Current and active Registered Nurse (RN) license, Advanced Cardiovascular Life Support (ACLS),Basic Life Support (BLS), Oncology Nurse Certified (AOCN, BMTCN, CPHON, CPON, CBCN, OCN)
Working Conditions
A. Lifting, pushing, and/or pulling objects up to 50lbs: 2. Occasional (< 10% of the time)
B. Lifting, pushing, and/or pulling objects over 50lbs: 1. Never
C. Standing or walking with objects up to 10lbs: 3. Intermittent (10% - 50% of the time)
D. Standing or walking with objects up to 25lbs: 2. Occasional (< 10% of the time)
E. Sitting at computer workstation for extended periods: 3. Intermittent (10% - 50% of the time)
F. Risk of back injury from moving, lifting or positioning patients, equipment, or materials: 2. Occasional (< 10% of the time)
G. Repetitive motion: 3. Intermittent (10% - 50% of the time)
H. Working at heights above 4 feet: 1. Never
I. Working in confined spaces: 1. Never
J. Risk of injuries from use of equipment on the job: 2. Occasional (< 10% of the time)
K. Job-related travel: 2. Occasional (< 10% of the time)
L. Loud noises: 1. Never
M. Temperature extremes: 1. Never
N. Hazardous chemicals and fumes including waste: 2. Occasional (< 10% of the time)
O. Radiation: 1. Never
P. Burns: 1. Never
Q. Cuts/Punctures: 2. Occasional (< 10% of the time)
R. Bloodborne/airborne pathogens: 2. Occasional (< 10% of the time)
S. Recombinant DNA or viral vectors: 1. Never
T. Combative/violent people: 2. Occasional (< 10% of the time)
U. Animal handling (including carcasses): 1. Never
V. Please specify other(s) and amount of exposure (i.e. Occasional, Intermittent or Regular): N/A
Physical Demands
This position requires intermittent sitting at a computer workstation for extended periods of time; performing tasks with repetitive motions (such as typing); intermittent standing or walking with objects weighing up to 10 pounds; and occasional standing or walking with objects weighing up to 25 pounds; and lifting, pushing, and/or pulling objects weighing up to 50 pounds. Also involves some exposure to risk of injury from moving, lifting, or positioning patients, equipment, or materials; and occasional exposure to hazardous chemicals and fumes including waste, cuts/punctures, bloodborne or airborne pathogens, and combative or violent people.
Additional Job Descriptions
N/A
Department:
CT Scanner
Shift:
Days (United States of America)
Address:
2201 Lexington Avenue
City, State:
Ashland, Kentucky