8 Medical Director And Reviewer Positions jobs in Columbus.

Hiring now: Care Review Clinician Inp @ Molina Hea, Orthopedic Surgeon @ Independen, Relief Veterinarian Centr @ Thrive Pet, Independent Contractor Ph @ Dane Stree, Behavioral Health Medical @ Elevance H.Explore more at jobswithgpt.com.

🔥 Skills

prior authorization (3) clinical service requests (2) financial responsibility (2) multidisciplinary teams (2) quality care (2) cost effectiveness (2) Board certification (2) inpatient reviews (1) evidence-based clinical guidelines (1) medically appropriate care (1)

đź“Ť Locations

Columbus (8)
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Molina Healthcare

Care Review Clinician, Inpatient Review (RN) Columbus
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 Columbus
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.

Independent Medical Examinations Corporation

Orthopedic Surgeon Columbus
Skills & Focus: Orthopedic Surgeon, Independent Medical Examinations, Review Medical Records, Conduct Physical Exams, Address Clinical Questions, Prepare Reports, Flexibility, Compensation, In-Person Exams, Strong analytical skills
About the Company: A healthcare provider specializing in independent medical examinations.
Experience: Previous experience in performing IMEs is a plus but not required.
Salary: Competitive rates based on individual fee schedule
Type: Contract
Benefits: Flexible scheduling, Competitive compensation, Organized documentation

Molina Healthcare

Care Review Clinician, Inpatient Review (RN) Columbus
Skills & Focus: inpatient services, clinical guidelines, financial responsibility, prior authorization, multidisciplinary teams, quality care, cost effectiveness, state and federal regulations, eligibility, long term 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: $26.41 - $51.49 / HOURLY
Benefits: Molina Healthcare offers a competitive benefits and compensation package.
Care Review Clinician, Prior Authorization Columbus
Skills & Focus: care coordination, clinical service requests, prior authorization, utilization management, cost effectiveness, quality care, evidence-based guidelines, multidisciplinary teams, state regulations, medical appropriateness
Experience: 1-3 years of hospital or medical clinic experience.
Salary: $21.82 - $51.06 / HOURLY
Type: Full-time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.

Thrive Pet Healthcare

Relief Veterinarian - Central Region Columbus
Skills & Focus: Veterinarian, Relief, Emergency medicine, Doctor of Veterinary Medicine, Board certification, Community, Medical excellence, Professional development, Mental health support, Diversity
About the Company: We are looking for Relief Veterinarians to join our team as part of the Thrive Pet Healthcare community. At Thrive Pet Healthcare, you will have the support, t…
Experience: Doctor of Veterinary Medicine (DVM / VMD) degree, State Veterinary Board License: Active and in good standing for the state of intended employment
Benefits: customizable professional development opportunities, a supportive work environment that values work-life rhythms, menta…

Dane Street

Independent Contractor Physician Reviewer Columbus
Skills & Focus: Independent Medical Exams, Disability Medical Examinations, physician advisor services, military, veterans, advisory-only opinions, user-friendly work portal, in-person exams, blocked time, contract reviewers
About the Company: Dane Street is an Independent Review Organization and a national provider of Independent Medical Exams (IMEs), among other offerings, and we are expanding our …
Experience: Experience in Disability Medical Examinations
Type: Contract
Benefits: Schedule flexibility and predictable work hours; robust opportunity for consistent additional income; thorough orientat…

Elevance Health

Behavioral Health Medical Director- Psychiatrist Columbus
Skills & Focus: Behavioral Health, Medical Director, Psychiatrist, Clinical reviews, Health care quality, Peer clinical reviews, Medical necessity reviews, Policy interpretation, Healthcare operations, Board certification
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstandi…
Experience: Minimum of 10 years of clinical experience
Type: Hybrid
Benefits: Medical, dental, vision, short and long term disability benefits, 401(k) + match, stock purchase plan, life insurance, …