Nurse Navigator/UKHC

Posting Details

Job Title Nurse Navigator/UKHC Requisition Number RE53691 Working Title Nurse Navigator/UKHC - Psychiatry - Golisano Children's at UK Department Name H3062:KCH-Administration Work Location Lexington, KY Grade Level 11 Salary Range $54,080-95,056/year Type of Position Staff Position Time Status Full-Time Required Education

BSN

Click here for more information about equivalencies: https://hr.uky.edu/employment/working-uk/equivalencies Required Related Experience

1 yr

Required License/Registration/Certification

Registered Nurse (RN) + approved advanced national nursing certification required within 2 years of hire date

Physical Requirements

May include standing for greater than 5 hours at a time and possibly walking several miles per day. May require the ability to reach items above shoulder level and be able to lift up to 25 pounds.

Shift

Primarily Monday-Friday, with occasional evenings and weekends depending on departmental needs.

Job Summary

The Nurse Navigator will work with the patient and members of the clinical care team to help navigate their way to timely and quality care and to assist in overcoming any barriers to care. This will include, but is not limited to, connecting them to resources and information to make informed decisions, providing education and emotional support, and coordinating team communications. The NN will assist the patient from initial diagnosis through diagnostic testing, treatment, and follow-up or end-of-life care.

Skills / Knowledge / Abilities

The ideal candidate will possess working knowledge of electronic health records for inpatient/outpatient. Strong knowledge and experience with Microsoft Office applications is encouraged.

Does this position have supervisory responsibilities? No Preferred Education/Experience

BSN + 1 year of experience

Deadline to Apply 05/06/2026 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.

Share this job

Related Jobs

Full-time

1 week ago

Registered Nurse (RN) Revenue Cycle Nurse Auditor (FT M-F 8-5)

UMC Health Systems Richmond, KY

We’ve learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas®. The Revenue Cycle Clinical Nurse Auditor leverages clinical knowledge and documentation review to ensure appropriate charge capture and revenue optimization. Responsibilities include leveraging Epic technology and analytics to identify revenue integrity trends and investigate areas of revenue leakage, monitor financial performance and work with IT to build mistake-proofing into the Epic system. The nurse auditor will work with clinical teams, compliance and other departments within revenue cycle to provide documentation and charging education and maximize system efficiency, timely and complete charge capture, and submission of clean claims to payer to drive financial performance. Reports to Vice President, Revenue Cycle Job Specific Responsibilities 1. Responsible for identifying, building, and maintaining revenue guardian edits within the Epic billing system based on documentation and CDM requirements. 2. Perform routine chart audits and clinical documentation review to identify correct level of care, missing, incorrect or undocumented charges across clinic, hospital and ancillary departments. 3. Provide education to clinical and professional staff regarding proper documentation to ensure accurate patient charging. 4. Work with clinical, financial, and operational stakeholders to implement accurate and complete charging for new and emerging therapies and services and high-risk/high-dollar services provided by the organization. 5. Facilitate the review and response to CMS Medicare RAC Audits along with other payer and outside agency audits involving hospital billing. 6. Finalize and sign-off with those auditors on agreed upon final audit reports and charges. 7. Utilize clinical knowledge and documentation review to identify revenue guardian edits within the billing system and perform routine chart audits. 8. Collaborate with clinical teams and other departments to provide documentation and charging education, maximize system efficiency, and ensure timely and complete charge capture. 9. Monitor KPIs such as missing and late charges, charge lag timeframes, average daily revenue, ABN completion, DNFB days/days to timely bill, and clinically triggered charges. Also, follow up on improvement initiatives with departments negatively impacting metrics. 10. Monitor denial trends related to upstream system and logic issues and/or workflows and act as a liaison across departments to find solutions. 11. Align with CDI, Coding and CBO/Revenue Cycle follow-ups teams to reduce denials and influence proactive revenue optimization. 12. Work effectively with ancillary departments, IT, physicians, clinics, and all other hospital clinical areas to resolve charge capture and process gaps. 13. Develop and update policies related to billing and revenue and perform clinical investigations of potential claim payment integrity issues. 14. The nurse auditor will facilitate drafting appeal letters and identify denial trend root causes. Education and Experience • Bachelor’s degree in nursing from an accredited college or university • 5+ years of experience in utilization review, clinical review, and authorizations • Knowledge of CMS Medicare Part A, B, & C billing requirements • Advanced experience with national evidence-based screening guidelines (MCG, formerly Milliman Care Guidelines) • Viseo software experienced user, is preferred Required Licensures/Certifications/Registrations • Valid Texas RN License/Eligible Compact License Knowledge, Skills and Abilities • Well-versed in ICD10 diagnosis codes and payer regulations • Expert level analytical and process mapping skills • High level knowledge of Medicare, managed care, and commercial insurance payment requirements • Excellent attention to detail, communication and reporting skills • Highly organized with the ability to multi-task and prioritize work • Self-starter with the ability to think outside-the-box to solve problems • Customer service focus, critical thinker, and excellent interpersonal skills Interaction with Other Departments and Other Relationships Collaborate with colleagues in patient financial services, practice management, and other relevant departments. Communicate effectively with team members and supervisors. Physical Capabilities Occasionally exerts a small amount of force to lift, carry, push, pull, and move objects. Employees should be able to lift 10 lbs. Work involves sitting for prolonged periods of time. Hearing acuity is required to be able to accurately transact business dealings. Environmental/Working Conditions This position is subject to indoor environmental conditions. Protection from weather conditions is present, however, temperature changes inside the building may occur. This position may travel to off-site locations; therefore, participation in certain activities will be based on present weather conditions. Direct Reports N/A UMC Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. *Request for accommodations in the hire process should be directed to UMC Human Resources.*

Full-time

23 hours ago

Registered Nurse (RN)- Night Shift

Madison Health & Rehabilitation Richmond, KY

New Pay scale POSITION PURPOSE: Organizes and directs assigned unit duties to provide quality nursing care to residents. ESSENTIAL FUNCTIONS OF POSITION: • Responsible during the shift for the total nursing care of residents in the assigned unit. • Assumes responsibility for compliance with Federal, State, Local, and company regulations. • Explains procedures and treatments and care plan to resident. • Administers prescribed medications and treatments in accordance with approved nursing techniques. • Transcribes physician's orders. • Charts progress notes in an informative, factual manner that reflects the care administered as well as the resident's response to care. • Receives /gives report from/to nurse he /s he is relieving/coming on and records sufficient infonnation and implements appropriate follow-up action as necessary • Follows established procedures for charting and reporting all reports of incident/accidents for res idents and employees. • Conducts frequent rounds to evaluate effectiveness of care delivery. • Prepares equipment and a ids Physician during treatment and exami nation of resident. • Maintains awareness of comfort and safety needs ofr esident. • Observes resident, records significant conditions and reactions, and notifies supervisor or Physic ian of resident ' s condition and reaction to drugs, treatments, and significant incidents . • Takes temperature, pulse, blood pressure, and other vital signs to detect deviations from nonnal and assess condition of resident. • Responds to emergency situations based upon nursing standards, policies, procedures, and protocol. • Assists in completion of the care plans (acute and long term) and is involved in the care conferen ce as deemed necessary. • Participates, reports to DON/ Administrator and conducts (as appropriate) investigations related to any alleged abuse. • Ensures that documentation i·s reflective of the care plan and that the approaches on the care plan are being followed. • Assures that assigned CNAs are aware of the resident care plan, and ensure that the nursing assistant refers to the care plan prior to administering care. • Monitors that CNA documentation is completed daily . • Takes report from CNAs to facilitate accurate documentation in resident medical record. • Follows company policy and procedure in the event a restraint must be utilized. • Coordinates residents' rehabilitation program with therapists to ensure 24 hour rehabilitation needs are met. • Identifies residents at risk for nutritional problems and implements preventative measures. • Records new/changed diet orders. Forwards information to the Dietary Department. • Makes beds, bathes and feeds resident, when necessary. • Assures documentation is accurately completed for admission, discharge and transfer. • Supervises and evaluates implementation of the "Resident's Rights". • Participates in department or unit quality improvement activities. • Follows facility procedure requesting supplies and charges for items ordered through Central Supply. • Participates and attends periodic in-services and staff meetings. • Perform additional duties as assigned. EDUCATION/ REQUIREMENTS: Current State of LVN/LPN with a minimum of 2 years related experience; or equivalent combination of education and experience. Good standing in the state registry is required.

Full-time

1 week ago

Registered Nurse 7p-7a Full and Part Time

Kenwood Health Center, LLC Richmond, KY

POSITION PURPOSE: Work with physicians, implementing orders for medications, treatments and special tests. Supervise LPNs, LVNs and CNAs, providing them support in order that they may provide total nursing care for residents. ESSENTIAL FUNCTIONS OF POSITION: • Utilize the nursing process to assess resident care plans, implement interventions, and evaluate outcomes related to nursing care. • Interview applicants, recommend hires; participate in counseling to extent permitted by law • Initiate and lead team conferences to develop individualized nursing care plans; assess and document resident's condition and nursing needs; assign team members who have the capabilities and qualifications to meet resident's needs • Implement physicians' orders; administer medications, start IVs, perform treatments, procedures and special tests and document treatment as required by company policy and local/state/federal rules and regulations • Ensure supplies are used economically and equipment is clean and maintained in a safe manner • Coordinate nursing care of residents scheduled for therapy or procedures by other departments • Report and record observations and reactions regarding residents • Assist or institute emergency measures for sudden adverse developments • Perform additional duties as assigned. EDUCATION/ REQUIREMENTS: Must be skilled in directing, motivating and training staff and able to work as a member of a team; able to communicate effectively with residents, family members and all levels of the organization and maintain confidentiality. Should be a graduate of an accredited RN School of Nursing with valid RN state license, and a minimum of 2 years nursing experience; or equivalent combination of education and experience.

Director of Nursing

Full-time

2 weeks ago

Director of Nursing DON

Madison Health & Rehabilitation Richmond, KY

Lucrative salary, benefits and sign on bonus. Come work with a great team. POSITION PURPOSE: Plan, organize, develop, and direct the overall operation of the facility's nursing department in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, as may be directed by the Administrator, to ensure that the highest degree of quality care is maintained at all times. ESSENTIAL FUNCTIONS OF POSITION: • Responsible for the planning, organizing, direction, supervision, and evaluation of all the nursing services provided in the facility • Ensures nursing department compliance with federal, state, and local regulations and implementationof nursing programs • Ensures maintenance of records and reports concerning resident care • Ensures the orientation and training of nursing services personnel • Manages the Nursing Services department within the budget • Develop, maintain, and periodically update written policies and procedures that govern the day-to-day functions of the nursing department • Make written and oral reports/recommendations to the Administrator as required concerning the operation of the nursing department • Provide the Administrator with information relative to the nursing needs of the resident and the nursing service department's ability to meet those needs • Develop methods for coordination of nursing services with other resident services to ensure the continuity of the residents' total regimen of care • Perform administrative duties such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary • Monitor the facility's survey reports and assist in developing plans of action to correct potential or identified problem areas • Serve on, participate in, and attend various committees of the facility as appointed by the Administrator • Determine the staffing needs of the nursing department necessary to meet the total nursing needs of the residents • Responsible for, in conjunction with Human Resources, the recruitment and selection of nursing service personnel • Ensure development of work assignments and schedule duty hours of nursing service personnel • Perform other duties as assigned EDUCATION/ REQUIREMENTS: Registered Nurse License required with a minimum of 4 years related experience. Bachelor's Degree preferred; or equivalent combination of education and experience. Must be organized and have the ability to communicate effectively with residents, their families, medical personnel. and facility staff in a confidential and professional manner.

Full-time

1 month ago

Registered Nurse RN Day Shift Weekends

Madison Health & Rehabilitation Richmond, KY

New Pay scale Rotation every other weekend POSITION PURPOSE: Organizes and directs assigned unit duties to provide quality nursing care to residents. ESSENTIAL FUNCTIONS OF POSITION: • Responsible during the shift for the total nursing care of residents in the assigned unit. • Assumes responsibility for compliance with Federal, State, Local, and company regulations. • Explains procedures and treatments and care plan to resident. • Administers prescribed medications and treatments in accordance with approved nursing techniques. • Transcribes physician's orders. • Charts progress notes in an informative, factual manner that reflects the care administered as well as the resident's response to care. • Receives /gives report from/to nurse he /s he is relieving/coming on and records sufficient infonnation and implements appropriate follow-up action as necessary • Follows established procedures for charting and reporting all reports of incident/accidents for res idents and employees. • Conducts frequent rounds to evaluate effectiveness of care delivery. • Prepares equipment and a ids Physician during treatment and exami nation of resident. • Maintains awareness of comfort and safety needs ofr esident. • Observes resident, records significant conditions and reactions, and notifies supervisor or Physic ian of resident ' s condition and reaction to drugs, treatments, and significant incidents . • Takes temperature, pulse, blood pressure, and other vital signs to detect deviations from nonnal and assess condition of resident. • Responds to emergency situations based upon nursing standards, policies, procedures, and protocol. • Assists in completion of the care plans (acute and long term) and is involved in the care conferen ce as deemed necessary. • Participates, reports to DON/ Administrator and conducts (as appropriate) investigations related to any alleged abuse. • Ensures that documentation i·s reflective of the care plan and that the approaches on the care plan are being followed. • Assures that assigned CNAs are aware of the resident care plan, and ensure that the nursing assistant refers to the care plan prior to administering care. • Monitors that CNA documentation is completed daily . • Takes report from CNAs to facilitate accurate documentation in resident medical record. • Follows company policy and procedure in the event a restraint must be utilized. • Coordinates residents' rehabilitation program with therapists to ensure 24 hour rehabilitation needs are met. • Identifies residents at risk for nutritional problems and implements preventative measures. • Records new/changed diet orders. Forwards information to the Dietary Department. • Makes beds, bathes and feeds resident, when necessary. • Assures documentation is accurately completed for admission, discharge and transfer. • Supervises and evaluates implementation of the "Resident's Rights". • Participates in department or unit quality improvement activities. • Follows facility procedure requesting supplies and charges for items ordered through Central Supply. • Participates and attends periodic in-services and staff meetings. • Perform additional duties as assigned. EDUCATION/ REQUIREMENTS: Current State of LVN/LPN with a minimum of 2 years related experience; or equivalent combination of education and experience. Good standing in the state registry is required.