- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work… more
- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work… more
- Elevance Health (Louisville, KY)
- …of the following criteria are met: performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff ... supervision.) **Preferred Skills, Capabilities and Experiences:** + Previous experience in case management / utilization management with a broad range of… more
- Molina Healthcare (Louisville, KY)
- …with multidisciplinary teams to promote Molina care model. * Adheres to utilization management (UM) policies and procedures. * May work collaboratively ... with appropriate departments to provide applied behavior analysis (ABA)/ behavioral health therapy (BHT)...medical directors, and senior medical directors to ensure proper management of the BHT benefit. Required Qualifications * At… more
- Highmark Health (Frankfort, KY)
- …supporting, and optimizing the architectural strategy for **all clinical and utilization management applications** . Their expertise spans application, solution, ... and AI integration, extending this strategic oversight across **all clinical and utilization management applications** . This involves ensuring the completeness… more
- Highmark Health (Frankfort, KY)
- …and mentorship in areas of expertise and architecture to peers, developers, management , and business users. **Key Responsibilities:** + Lead the design and ... application designs to ensure optimal technology selection, efficient resource utilization , and seamless system integration. + Ensure system architecture adheres… more