- CVS Health (Frankfort, KY)
- …clinician with Kentucky state licensure (LCSW, LPCC, LMFT , LPAT, LP) or a Registered Nurse (RN) with active current and unrestricted Kentucky state license with ... external constituents in the coordination and administration of the utilization /benefit management function. + Utilizes clinical skills...licensure (LCSW, LPCC, LMFT , LPAT, LP) or a Registered Nurse (RN) with unrestricted state license… more
- Humana (Frankfort, KY)
- …of our caring community and help us put health first** The Manager, Utilization Management Nursing uses clinical knowledge, communication skills, and independent ... management and operations of the department. Oversees utilization management functions which include timely authorizations...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) in the states of… more
- Humana (Frankfort, KY)
- …part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments… more
- Intermountain Health (Frankfort, KY)
- …cost-effective outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care. ... Registered /Professional Nursing program. + Required Licensure/Certification: State licensure as a Registered Nurse (RN) in Colorado or Compact + Basic Life… more
- Marriott (Frankfort, KY)
- …Information** Nurse CARE Manager (CARE - Coordinated Action and Response) Registered Nurse license required **Job Number** 24069165 **Job Category** Finance ... **Claims Services** + Collaborate with Claims department regarding case management . + Collaborate with UNM on utilization ...informed **Education or Certification** + Must be a licensed registered nurse + Certification as an occupational… more
- Humana (Frankfort, KY)
- …with mandated and corporate policies regarding other departmental areas such as medical management , utilization management , population health and quality. + ... Horizons in Virginia is seeking an Associate Director, Care Management (LTSS/ABD) who will lead teams of healthcare professionals...KY, TN & NC)_ **.** + An active, unrestricted, Registered Nurse (RN) license or Licensed Mental… more
- Humana (Frankfort, KY)
- …_(Washington DC, MD, WV, KY, TN & NC)_ **.** + An active, unrestricted, Registered Nurse (RN) license or Licensed Mental Health Professional (LMHP) in the ... services, social sciences, or health related field. + Previous experience in utilization management , discharge planning and/or home health or rehabilitation. +… more
- HCA Healthcare (Lexington, KY)
- …preferred** + **Certifications, Licenses, and other Special Requirements** + **Current/Active Registered Nurse (RN) License within practice state required** + ... performance of assigned home health care team(s)** + **Supervises ongoing case management of all patients ensuring an accurate evaluation and treatment plan,… more
- Humana (Frankfort, KY)
- …field. + Care Management certification (CCM). + Active, unrestricted, Registered Nurse (RN) license or Licensed Mental Health Professional (LMHP) ... 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
- 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