• Utilization Management

    CVS Health (Frankfort, KY)
    …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable ... and external constituents in the coordination and administration of the utilization /benefit management function. **Required Qualifications** + 3+ years post… more
    CVS Health (10/21/25)
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  • Care Review Clinician , PA (RN)

    Molina Healthcare (KY)
    …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... / MCG guidelines. **Preferred License, Certification, Association** Active, unrestricted Utilization Management Certification (CPHM). **MULTI STATE / COMPACT… more
    Molina Healthcare (10/26/25)
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  • Utilization Management Clinical…

    CVS Health (Frankfort, KY)
    …clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
    CVS Health (10/26/25)
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  • Military Embedded Adult Counselor

    Magellan Health Services (Fort Campbell, KY)
    …- Driver License, Valid In State - OtherOther, Must be an independently licensed behavioral health clinician - Care MgmtCare Mgmt License and Certifications - ... wellness presentations, and consultation to the assigned brigade/regiments command regarding behavioral health issues with a unique understanding of the military… more
    Magellan Health Services (08/29/25)
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