- Molina Healthcare (Bowling Green, KY)
- …Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years of experience in ... more
- Molina Healthcare (Bowling Green, KY)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... more
- CVS Health (Franklin, KY)
- …health care more personal, convenient and affordable. Position Summary: The Complex Nurse Case Manager is responsible for assessing members through regular and ... more
- Molina Healthcare (Bowling Green, KY)
- …retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees as required such as ... more
- Molina Healthcare (Bowling Green, KY)
- …retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees as required such as ... more