• Utilization Management

    Humana (Tell City, IN)
    …help us put health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 who utilizes ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional… more
    Humana (05/31/25)
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  • Clinical Information Systems Specialist

    Molina Healthcare (Owensboro, KY)
    …equivalent experience * 2 or more years in case, disease, or utilization management ; managed care; or medical/ behavioral health settings. * Proficient in ... development, implementation, and collaboration with the delivery of training curriculum for Utilization Management , Case Management , and LTSS staff. **Job… more
    Molina Healthcare (05/08/25)
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  • Medical Director, Behavioral Health

    Molina Healthcare (Owensboro, KY)
    …with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization ... **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and... Health function provides leadership and guidance for utilization management and case management more
    Molina Healthcare (04/26/25)
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  • Care Review Clinician, Inpatient Review (RN)

    Molina Healthcare (Owensboro, KY)
    …facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need ... Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines.… more
    Molina Healthcare (05/24/25)
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  • Care Review Clinician, PA (RN) - Transplant Team…

    Molina Healthcare (Owensboro, KY)
    …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... transplants; the ideal candidate will have experience either in utilization review or case management for transplants. Preference will be given to those whose… more
    Molina Healthcare (03/07/25)
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  • Complex Technical Site Manager

    Perdue Farms, Inc. (Cromwell, KY)
    …working methodologies to improve factory efficiency and reliability, increasing asset utilization , reducing cost. Provides technical and operational support for the ... also be responsible for continuing to improve and Promote the plant's BBS ( Behavioral Based Safety) program. Manages operations to ensure the safe and timely… more
    Perdue Farms, Inc. (04/03/25)
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