- Humana (Frankfort, KY)
- …and interpretation skills with 5+ years of experience focusing on quality management , utilization management , discharge planning, rehabilitation services, ... Integration, Long Term Services & Supports services, and Case Management . The Medical Director , as indicated, could...have discussions with external physicians, providers, Care Coaches, and UM Team associates by phone or internal messaging to… more
- Highmark Health (Frankfort, KY)
- …account, and member educational initiatives that promote the Organization's Formularies, utilization management programs, and case/ disease management ... as a clinical pharmacist the incumbent may also review UM requests; provide consultation into the case and disease...review. + Assist in the development and implementation of utilization management programs including but not limited… more