5 Healthcare Navigation And Support jobs in Lexington-Fayette.

Hiring now: Care Review Clinician Inp @ Molina Hea, Case Mgr @ Morgan Mor.Explore more at jobswithgpt.com.

🔥 Skills

clinical guidelines (3) care coordination (3) prior authorization (2) inpatient services (1) hospital acute care (1) utilization review (1) multidisciplinary teams (1) evidence based (1) financial responsibility (1) registered nursing (1)

📍 Locations

Lexington-Fayette (5)
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Molina Healthcare

Care Review Clinician, Inpatient Review (RN) Lexington-Fayette
Skills & Focus: inpatient services, clinical guidelines, prior authorization, hospital acute care, utilization review, multidisciplinary teams, care coordination, evidence based, financial responsibility, registered nursing
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 3+ years hospital acute care/medical experience.
Salary: $26.41 - $61.79 / HOURLY
Type: Full-time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.
Care Review Clinician, Prior Auth Nurse Lexington-Fayette
Skills & Focus: assess, prior authorization, eligibility, clinical guidelines, multidisciplinary, referrals, utilization management, cost-effectiveness, evidence-based, care coordination
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: 1-3 years of hospital or medical clinic experience.
Salary: $26.41 - $61.79 / HOURLY
Type: Full-time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.
Clinical Appeals Nurse (RN) Lexington-Fayette
Skills & Focus: Clinical Appeals, medical reviews, managed care, Utilization Management, regulatory requirements, clinical guidelines, training, mentoring, medical claims review, quality of care
Experience: 3-5 years clinical nursing experience, with 1-3 years Managed Care Experience

Morgan & Morgan

Case Manager Lexington-Fayette
Skills & Focus: caseload, customer focused, medical records, insurance carriers, case settlements, case files, comprehensive demands, proactive interaction, negotiating skills, attention to detail
About the Company: Morgan & Morgan is a leading personal injury law firm dedicated to protecting the people, not the powerful.
Experience: At least 2 years of working in a legal position or insurance adjuster experience preferred.
Benefits: Excellent benefits package including medical and dental insurance, 401(k) plan, paid time off and paid holidays.