• Utilization Management

    CVS Health (Frankfort, KY)
    …more personal, convenient and affordable. **Position Summary** This is a fully remote Utilization Review Clinical Consultant . **MUST RESIDE IN KENTUCKY** + ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and is knowledgeable… more
    CVS Health (01/11/25)
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  • RN Clinical Consultant , Claims…

    Guardian Life (Frankfort, KY)
    **Position Summary** The RN Clinical Consultant serves as a clinical resource for the investigation and assessment of medical information regarding ... medical reviews and analysis of long-term disability claims. The RN Clinical Consultant identifies restrictions, limitations and duration impacting functional… more
    Guardian Life (12/20/24)
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  • Clinical Transformation Consultant

    Highmark Health (Frankfort, KY)
    …bachelor's degree + 5-7 years of experience in the healthcare industry (hospital clinical operations/ management , physician practice management or clinical ... that are required to accelerate the achievement of goals related to clinical operations excellence and optimal, sustained patient care (as manifested by patient… more
    Highmark Health (12/13/24)
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  • Director of Nursing - DON - Days - RN required

    Wellpath (La Grange, KY)
    …Code of Conduct. + Demonstrates knowledge of risk management , clinical precautions, infection control, fall prevention, utilization of special procedures, ... month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan. We offer ongoing training and… more
    Wellpath (01/08/25)
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