- Elevance Health (Louisville, KY)
- ** Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person ... unless an accommodation is granted as required by law._ The ** Utilization Management Representative I** will be responsible for coordinating cases… more
- CVS Health (Frankfort, KY)
- …This includes benefit set-up, claims processing, contractual oversight, formulary management and updates, medication utilization review, prior authorization ... safety. This may involve medication therapy management (MTM), disease management initiatives, drug utilization review, and medication adherence programs. +… more
- WestCare Foundation (Pikeville, KY)
- …works to ensure the delivery of quality outreach services to WestCare Kentucky , our community partners, leaders, and stakeholders in designated service areas. This ... promote referrals to WestCare service provision. + Collaborate with WestCare Kentucky staff on planning, implementation, and delivery of prevention, treatment,… more
- Catholic Health Initiatives (Lexington, KY)
- …emphasis will be on care coordination, communication and collaboration with utilization management , nursing, physicians, ancillary departments, insurers and post ... plan, engaging other relevant health team members, the patient and/or patient representative and post acute care providers in accordance with the patients clinical… more