- Molina Healthcare (Louisville, KY)
- …managed care , or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted in ... **JOB DESCRIPTION** **Job Summary** Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Louisville, KY)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- Centene Corporation (Frankfort, KY)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... process preferred. Experience working with providers and healthcare teams to review care services related to mental health and substance abuse preferred.… more
- CVS Health (KY)
- …Services (as applicable to hiring program) or Associates degree with a Registered Nurse with Behavioral Health experience/background with 3 years experience. ... with behavioral health background. **Preferred Qualifications** + 3 years Managed care /utilization review experience preferred. + Crisis intervention skills and… more
- CVS Health (KY)
- …health clinician with Kentucky state licensure (LCSW, LPCC, LMFT, LPAT) or a Registered Nurse ( RN ) with active current and unrestricted Kentucky state ... schedule based on business needs **Preferred Qualifications** + Managed care /utilization review experience + Foster Care...OR Minimum of an Associate's in Nursing or Diploma RN for Registered Nurses **Anticipated Weekly Hours**… more
- Bon Secours Mercy Health (Paducah, KY)
- …nursing. (required) + Bachelors or master's degree in nursing or related health care field (preferred) **Licensure/Certification:** + Current RN License in the ... Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, ...to cut down on any hospital readmissions. he Clinical Nurse Liaison (CNL) functions in the role of expert… more
- Elevance Health (Louisville, KY)
- …for our communities. Join us and together we will drive the future of health care . The **Medical Management Nurse ** is responsible for reviewing the most complex ... **Medical Management Nurse ** **Location:** This role enables associates to work...and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any… more