- Molina Healthcare (Covington, KY)
- …within 30 days of employment **Preferred Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
- Molina Healthcare (Covington, KY)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Elevance Health (Cincinnati, OH)
- …or case management experience and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of education and ... Impact.** The **Medical Management Nurse** is responsible for the review of the most complex or challenging cases that...not be receiving appropriate type, level, or quality of care , eg, if services are not in line with… more