• Utilization Management

    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
    CVS Health (10/08/25)
    - Save Job - Related Jobs - Block Source
  • Care Review Clinician , PA (RN)

    Molina Healthcare (Louisville, 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
    Molina Healthcare (08/08/25)
    - Save Job - Related Jobs - Block Source