- Insight Global (Owensboro, KY)
- Job Description The Clinician is responsible for ensuring compliance with all required documentation, human trafficking screening protocols, and state, federal, and ... trauma-informed behavioral interventions related to their assigned caseload. The Clinician conducts comprehensive mental health assessments, delivers ongoing individual… more
- Insight Global (Owensboro, KY)
- Job Description The Lead Clinician oversees all clinical aspects of care, ensuring compliance with documentation standards, human trafficking screening protocols, ... (ORR) regulations. Acting as a clinical resource, the Lead Clinician provides guidance and support to Case Managers, Care...caseload that adjusts based on program occupancy and secondary clinician assignments. Salary Range is dependent on years of… more
- Molina Healthcare (Bowling Green, KY)
- JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying ... that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to… more
- Highmark Health (Frankfort, KY)
- …and corporate standards and are within the Payment Integrity Clinician 's professional discipline.Effectively function in accordance with applicable state, federal ... laws and regulatory compliance. Implements all reviews according to accepted and established coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the delivery of review services. + Respect the… more
- Molina Healthcare (Louisville, KY)
- …be licensed in KY or have a compact RN license. The Care Review Clinician Inpatient Review BH will provide prior authorization for outpatient and inpatient services ... for the OH Medicaid behavioral health population. Strong post-acute level of care experience (Nursing Facilities, Acute Inpatient, Rehabilitation, Long Term Acute care hospital, Behavioral Health Facility. Excellent computer multi-tasking skills and good… more
- Molina Healthcare (Covington, KY)
- …Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with ... For this position we are seeking a (RN) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity of high speed required Work Schedule Monday to Friday - operation hours 6 AM to 6 PM (Team will work on… more
- Molina Healthcare (Bowling Green, KY)
- …Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established ... clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job… more
- Molina Healthcare (Louisville, KY)
- …Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with ... established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.… more
- Molina Healthcare (Covington, KY)
- …Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with ... established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.… more
- Datavant (Frankfort, KY)
- …skills, and experience for a specific job. The estimated salary range for this role is $22 - $45 Pay ranges for this job title may differ based on location, ... responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $22-$45 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or… more