• Care Review Clinician

    Molina Healthcare (Lexington, KY)
    …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... **JOB DESCRIPTION** **Job Summary** Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
    Molina Healthcare (10/02/25)
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  • Care Review Clinician , PA…

    Molina Healthcare (Lexington, KY)
    …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
    Molina Healthcare (09/05/25)
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  • Utilization Review Clinician

    Centene Corporation (Frankfort, KY)
    …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... process preferred. Experience working with providers and healthcare teams to review care services related to mental health and substance abuse preferred.… more
    Centene Corporation (10/10/25)
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  • Utilization Management Clinician

    CVS Health (Frankfort, KY)
    …Services (as applicable to hiring program) or Associates degree with a Registered Nurse with Behavioral Health experience/background with 3 years experience. ... with behavioral health background. **Preferred Qualifications** + 3 years Managed care /utilization review experience preferred. + Crisis intervention skills and… more
    CVS Health (10/08/25)
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