- Intermountain Health (Frankfort, KY)
- …Physician shall work closely with the Medical Director (Executive/Community/Rural), Nursing Administrator, Case Management Director, and Finance Director. ... as an expert and local resource to hospital Case Management Department and Medical Staff on issues relating to...conjunction with System Physician Advisor. + Work with System Utilization Review Manager and others to adjust… more
- Molina Healthcare (Lexington-Fayette, KY)
- …and access to care is available to all patients. **Knowledge/Skills/Abilities** The Nurse Practitioner Manager will work in collaboration with his/her ... and do appropriate documentations as required. *Provide clinical education guidelines for Nurse Practitioners, proper HCC coding of clinic and In Home Assessed… more
- CenterWell (Lexington, KY)
- …an accredited School of Nursing . + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance and reliable ... community and help us put health first** The **Clinical Manager ** coordinates and oversees all direct care patient services...transportation. + Two years as a Registered Nurse with at least one-year of management … more
- Sedgwick (Frankfort, KY)
- …PURPOSE** : To ensure efficient, cost effective, and high quality delivery of case management and utilization review services to clients by managing and training ... to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Clinical Manager **This manager will have to be...client locations; to provide expertise in client specific case management and utilization review requirements; and to… more
- CenterWell (Frankfort, KY)
- …Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as ... management and care coordination. * Experience with case management , social work, skilled nursing facilities, rehab...readmissions, total cost of care, and reducing acute care utilization ). * Familiarity in integrated care management … more
- CVS Health (Frankfort, KY)
- …to make health care more personal, convenient and affordable. Position SummaryThe Care Manager RN is responsible for driving and supporting care management and ... coordination of psychosocial wrap around services to promote effective utilization of available resources and optimal, cost-effective outcomes. Position… more
- Molina Healthcare (Lexington-Fayette, KY)
- …performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... of illness and the site of service. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Healthcare Services provides operational management and...years in one or more of the following areas: utilization management , case management , care… more
- J&J Family of Companies (Frankfort, KY)
- …care. The CAR-T Cell Therapy Experience Lead is a member of this account management team, reporting to the Senior Manager , CAR-T Cell Therapy Experience Lead. ... raising the bar on customer experience in the pharmaceutical industry. Our account management teams support the certified sites who care for cancer patients. We are… more
- Sharecare, Inc. (Frankfort, KY)
- …/ new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status, including but not limited to medical, ... + Claims adjustments + Grievances and appeals submissions + Utilization management intake or status + Complex...Patient Care Technician (PCT) + Physical Therapy Assistant + Nursing Assistant + Medical Secretary/Clinic Manager +… more
- Sharecare, Inc. (Frankfort, KY)
- …other members of the health care team to support appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality ... with the participants and their Primary Care Provider according to the disease management program intervention guidelines. An RN is supervised by an Operations … more
- Sedgwick (Frankfort, KY)
- …in needs assessment and implementation of timely cost-effective fee management services in compliance with corporate/jurisdictional standards; to provide review ... requiring extensive skills/experience; and to interact with expense bill reviewers, utilization review nurses, and claims staff to resolve problems and/or implement… more
- Teleflex (Lexington, KY)
- …territory. The incumbent is responsible for the growth of overall product utilization within their accounts including, but not limited to, selling the designated ... time in the field. * Facilitate sales growth by conducting physician, nurse , and technologist training and account in-servicing of dialysis access products. *… more