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Health Care Consultant Job (Louisville, KY, US)

Description:GENERAL SUMMARYResponsible for performing in a consultative style and developing prospectively,a conceptual framework for working with the local medical record review staff in the...

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Behavioral Health Case Manager Job (Louisville, KY, US)

Description:GENERAL SUMMARY Provides case management services for the behavioral health unit through evaluation and review of inpatient and outpatient behavioral health treatments for medical...

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Behavioral Health Case Manager Job (Louisville, KY, US)

Description:GENERAL SUMMARY Provides case management services for the behavioral health unit through evaluation and review of inpatient and outpatient behavioral health treatments for medical...

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Strategic Account Exec / Workers' Comp for the Central / Mid West Region Job...

Description:GENERAL SUMMARYResponsible for identifying and selling Workers' Compensation services to insurance companies, Third Party Administrators (TPAs), and select self-insured employer groups....

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Medical Review Nurse Job (Louisville, KY, US)

Description:GENERAL SUMMARY Responsible for reviewing and analyzing information to make medical determinations as necessary. Applies clinical knowledge to assess the medical necessity, level of...

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Director, Quality Improvement Job (Louisville, KY, US)

Description:GENERAL SUMMARY Provides oversight and direction for the quality improvement function, including provider relations, health services, customer service, and credentialing. Serves as leader...

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Mgr, QI Job (Louisville, KY, US)

Description:GENERAL SUMMARY Manages the quality improvement function, including one or more of the following: provider relations, health services, customer service, and/or credentialing. Responsible...

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Provider Relations Rep, Pikeville Region Job (Louisville, KY, US)

Description:GENERAL SUMMARY Responsible for maintaining working relationships with the existing provider network. Assists providers with policy and procedure interpretation. Maintains accurate and...

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Complex Case Mgr Job (Louisville, KY, US)

Description:GENERAL SUMMARY Functions as the central coordinator of care for members/injured employees identified as having chronic disease processes or for members/injured employees in select...

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Complex Case Manager Job (Louisville, KY, US)

Description:GENERAL SUMMARY Functions as the central coordinator of care for members/injured employees identified as having chronic disease processes or for members/injured employees in select...

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