• Utilization Review Clinician…

    Centene Corporation (Frankfort, KY)
    …and standards. **This is a remote position.** **Ideal candidates will have experience in behavioral health utilization review and ability to work in Eastern ... and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and… more
    Centene Corporation (10/10/25)
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  • Utilization Management Clinician…

    CVS Health (KY)
    … behavioral health background. **Preferred Qualifications** + 3 years Managed care/ utilization review experience preferred. + Crisis intervention skills and ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and is knowledgeable in… more
    CVS Health (10/08/25)
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  • Care Review Clinician , PA (RN)

    Molina Healthcare (Louisville, KY)
    …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS… more
    Molina Healthcare (09/05/25)
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