- Humana (Frankfort, KY)
- … management criteria including ASAM. + Leads development of utilization management policies and procedures to ensure compliance with state and federal ... Humana Healthy Horizons in Virginia is seeking a Manager, Utilization Management (Behavioral Health) who will utilize...an impact** **Required Qualifications** + An active, unrestricted Virginia Registered Nurse ( RN ) or Behavioral… more
- Humana (Frankfort, KY)
- …_(Washington DC, MD, WV, KY, TN & NC)_ **.** + An active, unrestricted, Registered Nurse ( RN ) license or Licensed Mental Health Professional (LMHP) ... services, social sciences, or health related field. + Previous experience in utilization management , discharge planning and/or home health or rehabilitation. +… more
- Humana (Frankfort, KY)
- …_(Washington DC, MD, WV, KY, TN & NC)_ **.** + An active, unrestricted, Registered Nurse ( RN ) license or Licensed Mental Health Professional (LMHP) ... with mandated and corporate policies regarding other departmental areas such as medical management , utilization management , population health and quality. +… more
- Humana (Frankfort, KY)
- …health-related field. + Care Management certification (CCM). + Active, unrestricted, Registered Nurse ( RN ) license or Licensed Mental Health Professional ... in analyzing and interpreting financial trends. + Previous experience in utilization management , discharge planning and/or home health or rehabilitation.… more
- Universal Health Services (Lexington, KY)
- …or Human Services field, with at least two years crisis experience; Registered Nurse ; LCSW/LPCC/LMFT preferred. Experience + Prior intake, assessment, admission ... Hospitalization, Intensive Outpatient Programs, Individual Counseling, as well as Medication Management for all ages. We have provided behavioral health services to… more
- CenterWell (Frankfort, KY)
- …payer contracts + Monitor the following key functions: + Program evaluation + Risk Management + Utilization Review + Patient Care Evaluation + Policies and ... patient care policy manuals. + Establish service policies and procedures in compliance with state health statutes and administrative rules, including CDC and OSHA… more