• Care Review Clinician

    Molina Healthcare (Covington, KY)
    …we are seeking a (RN) Registered Nurse with previous experience in Hospital Acute Care , Concurrent Review / Utilization Review / Utilization Management and ... within 30 days of employment._** **_Ability/knowledge to cross train, inpatient medical to inpatient BH or ...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long… more
    Molina Healthcare (01/01/25)
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  • Care Review Clinician

    Molina Healthcare (Owensboro, 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 (01/13/25)
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  • Care Review Clinician

    Molina Healthcare (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
    Molina Healthcare (01/13/25)
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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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