- Humana (Frankfort, KY)
- …to make an impact** **Required Qualifications** + An active, unrestricted Virginia Registered Nurse ( RN ) or Behavioral Health clinician license such as a ... health first** Humana Healthy Horizons in Virginia is seeking a Manager, Utilization Management ( Behavioral Health) who will utilize their clinical skills to… more
- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Utilization Management Behavioral Health Professional 2 utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work… more
- CVS Health (Frankfort, KY)
- …Health clinician with Kentucky state licensure (LCSW, LPCC, LMFT , LPAT, LP) or a Registered Nurse ( RN ) with active current and unrestricted Kentucky state ... to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking...licensure (LCSW, LPCC, LMFT , LPAT, LP) or a Registered Nurse ( RN ) with unrestricted… more
- HCA Healthcare (Lexington, KY)
- …experience preferred** + **Certifications, Licenses, and other Special Requirements** + **Current/Active Registered Nurse ( RN ) License within practice state ... 156,000 hours impacting our communities. As a Home Health RN Clinical Manager with Frankfort Regional Healthcare at Home,...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
- Sharecare, Inc. (Frankfort, KY)
- …appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The RN is also responsible for ... with the participants and their Primary Care Provider according to the disease management program intervention guidelines. An RN is supervised by an Operations… more
- CVS Health (Frankfort, KY)
- …+ Master's degree in behavioral health field or Associates in Nursing if Registered Nurse required. Pay Range The typical pay range for this role is: ... Health Services strategies, policies, and programs are comprised of utilization management , quality management , network...Active unrestricted State Licensure in applicable functional area. (eg RN , LPC, LCSW). + 5+ years in clinical area… more