• Care Review Clinician

    Molina Healthcare (Lexington, KY)
    …Bachelor's Degree in Nursing **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 (12/20/24)
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  • Utilization Review Clinician

    Centene Corporation (Frankfort, KY)
    review process preferred. Experience working with providers and healthcare teams to review care services related to mental health and substance abuse ... including a fresh perspective on workplace flexibility. **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance… more
    Centene Corporation (01/10/25)
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  • Utilization Management Clinical Consultant…

    CVS Health (Frankfort, KY)
    …+ Must reside in state of Kentucky **Preferred** **Qualifications:** + Managed care /utilization review experience preferred + Experience in a behavioral health ... of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at… more
    CVS Health (01/11/25)
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