- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- J&J Family of Companies (Lexington, KY)
- …inclusion. Proud to be an equal opportunity employer. Advanced Practice Providers ( Nurse Practitioners /Physician Assistants) are a growing and critical segment of ... disease state and product education, and to support HCPs in appropriate utilization of JJIM access and fulfilment resources. The APP-Ambassador will compliantly… more
- Molina Healthcare (Georgetown, KY)
- … Nurse with previous experience in Hospital Acute Care, Concurrent Review/ Utilization Review / Utilization Management and knowledge of Interqual ... Medical, or ER unit. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). To all current Molina… more
- LifePoint Health (Versailles, KY)
- …protocols. Creates and fosters an environment that encourages professional growth. Initiates weekend case management , Utilization review screening, assists ... Care (Physical Training) - within 60 days of hire and renewed annuallyTrauma Nurse Core Course (TNCC) - PreferredENPC - preferredNRP - preferredNIHSS - required… more