- Humana (Frankfort, KY)
- …and help us put health first** Humana Healthy Horizons in Ohio is seeking a Utilization Management Nurse 2 who utilizes clinical nursing skills to support ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Humana (Frankfort, KY)
- …put health first** Humana Healthy Horizons in Virginia is seeking a Manager, Utilization Management (Behavioral Health) who will utilize their clinical skills to ... behavioral health services and/or benefit administration determinations. The Manager, Utilization Management (Behavioral Health) applies a Person-Centered… more
- 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 ... 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 state license… 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
- 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
- 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
- CVS Health (Frankfort, KY)
- …advantage for Aetna. Health Services strategies, policies, and programs are comprised of utilization management , quality management , network management ... the unit. + May be accountable for the day-to-day management of teams for appropriate implementation and adherence with...in behavioral health field or Associates in Nursing if Registered Nurse required. Pay Range The typical… 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
- Humana (Frankfort, KY)
- …**Preferred Qualifications** + Bachelor of Science in Nursing (BSN) - Active, unrestricted Registered Nurse (RN) license required. + Master's degree in health-or ... business-related field + Utilization management experience (Commercial and/or Medicare) + Proven successful experience in compiling health-related research, with… more