- CVS Health (Frankfort, KY)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable ... internal and external constituents in the coordination and administration of the utilization /benefit management function. Required to use a residential broadband… more
- Centene Corporation (Frankfort, KY)
- …and standards. **This is a remote position.** **Ideal candidates will have experience in behavioral health utilization review and ability to work in Eastern or ... 28 million members as a clinical professional on our Medical Management /Health Services team. Centene is a diversified, national organization offering competitive… more
- Molina Healthcare (Lexington, KY)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... / MCG guidelines. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). MULTI STATE / COMPACT… more