- CVS Health (Frankfort, KY)
- …unrestricted active license. Assists with reviewing clinical complaint/grievance and appeal requests of all clinical determinations/clinical policies. Considers all ... reviewed by a practitioner with clinical expertise for the appeal issue at hand (eg Specialty Match Review (SMR),...current unrestricted state licensure in the state of Kentucky Must reside in the state of Kentucky **Preferred Qualifications**… more
- Intermountain Health (Frankfort, KY)
- …LICENSE (*indicates primary source verification requirement) Required: + Active Registered Nurse License Preferred: + Certified Healthcare Access Associate ... caregiver, provider, or clinical team questions when able + Denial review, appeal , and reconsideration submission for multi-service line encounters + Peer training… more