- Evolent (Frankfort, KY)
- …the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Practitioner /Physician Assistant (ARNP/NP/PA) Cardiology is responsible for support and ... with the Director of UM to ensure client satisfaction. Perform all peer clinical review activities while located in a state or territory of the United States.… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …outlined in the clinical privileges that correspond with this position. The Nurse Practitioner has prescriptive authority for a panel of patients or program ... of the EDRP application. Former EDRP participants ineligible to apply. Responsibilities The Nurse Practitioner practices to the full extent of their education,… more
- Molina Healthcare (Lexington, KY)
- …the Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the ... national, state, and local laws and regulatory requirements affecting the medical and clinical staff. + Marketplace UM reviews + MD licenses required for the… more
- Molina Healthcare (Lexington, KY)
- …the chief medical officer. * Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the ... for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. * Provides leadership and consultation… more