5 Medical Director And Reviewer Positions jobs in Cleveland.

Hiring now: Care Review Clinician Inp @ Molina Hea, Trauma Critical Care Surg @ Metrohealt.Explore more at jobswithgpt.com.

🔥 Skills

cost-effective (2) appeals (2) provider complaints (2) resolution (2) claims processing (2) communication (2) inpatient reviews (1) clinical service requests (1) evidence-based clinical guidelines (1) medically appropriate care (1)

📍 Locations

Akron (4) Cleveland (1)
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Molina Healthcare

Care Review Clinician, Inpatient Review (RN) Akron
Skills & Focus: inpatient reviews, clinical service requests, evidence-based clinical guidelines, medically appropriate care, cost-effective, financial responsibility, prior authorization, multidisciplinary team collaboration, Utilization Management Certification, hospital acute care
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: $23.76 - $51.49 / HOURLY
Benefits: Molina Healthcare offers a competitive benefits and compensation package.
Specialist, Appeals & Grievances Akron
Skills & Focus: appeals, grievances, member complaints, provider complaints, research, resolution, medical records, claims processing, communication, regulatory guidelines
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
Experience: Min. 2 years operational managed care experience (call center, appeals or claims environment).
Salary: $21.16 - $38.37 / HOURLY
Type: Full Time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.
Care Review Clinician, Inpatient Review (RN) Akron
Skills & Focus: inpatient, review, clinical guidelines, authorization, utilization management, collaboration, multidisciplinary, cost-effective, treatments, encounter
About the Company: Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are s…
Experience: 3+ years hospital acute care/medical experience.
Salary: $23.76 - $51.49 / HOURLY
Type: Full-time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.

Metrohealth Medical Center

Trauma / Critical Care Surgeon Cleveland
Skills & Focus: Trauma, Critical Care, Surgery, Academic Surgeon, Board-certified, Surgical Critical Care, Teaching, Emergency General Surgery, Team Player, Leadership Development
About the Company: The MetroHealth System is redefining health care by going beyond medical treatment to improve the foundations of community health and well-being: affordable ho…
Experience: Board-certified/eligible in General Surgery with added qualifications in Surgical Critical Care
Type: Full-time
Benefits: Opportunity for leadership development and growth locally and regionally, teaching opportunities