• Medical Claim Review Nurse (RN)

    Molina Healthcare (Lexington, KY)
    …including DRG Validation, Itemized Bill Review, Appropriate Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical ... more
    Molina Healthcare (01/25/25)
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  • Manager , Healthcare Services (Remote)

    Molina Healthcare (Lexington, KY)
    …Please include your experience on your resume.** **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and oversight of ... more
    Molina Healthcare (02/09/25)
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  • Manager , HCS Clinical Policy - Medicare…

    Molina Healthcare (Lexington, KY)
    …of the following activities: utilization management (prior authorizations, inpatient /outpatient medical necessity, etc.). Makes recommendation for enterprise ... more
    Molina Healthcare (02/14/25)
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  • Case Manager / PRN ( RN / RT / SW / LPN )

    Select Medical (Danville, KY)
    **Overview** **Critical Illness Recovery Hospital** **Case Manager (PRN)** _Requires a current licensure in a clinical discipline either as a Nurse or a ... more
    Select Medical (01/29/25)
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  • RN Transition of Care Coach - OH Licensure

    Molina Healthcare (Lexington, KY)
    **JOB DESCRIPTION** _For this position we are seeking a (RN) Registered Nurse who must have a current active unrestricted RN license in the state of OH (Compact ... more
    Molina Healthcare (01/21/25)
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