10 Medical Director And Reviewer Positions jobs in Detroit.

Hiring now: Care Review Clinician Inp @ Molina Hea, Psychiatrist For Independ @ Not Provid, Physician Revieweradvisor @ Dane Stree, Relief Veterinarian Centr @ Thrive Pet, Attorney @ Firm.Explore more at jobswithgpt.com.

🔥 Skills

Clinical Expertise (3) Insurance Appeals (3) Medical Necessity (3) Quality Assurance (3) Credentialing (3) clinical service requests (2) evidence-based clinical guidelines (2) cost-effective (2) financial responsibility (2) prior authorization (2)

đź“Ť Locations

Ann Arbor (4) Detroit (1) Farmington Hills (1) Livonia (1) Pontiac (1) Southfield (1) West Bloomfield Township (1)
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Molina Healthcare

Care Review Clinician, Inpatient Review (RN) Ann Arbor
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.
Care Review Clinician, Prior Authorization Nurse Ann Arbor
Skills & Focus: prior authorization, clinical service requests, evidence-based clinical guidelines, financial responsibility, multidisciplinary teams, utilization management, compliance, cost-effectiveness, referrals, patient outcomes
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: $19.64 - $42.55 / HOURLY
Type: Full Time
Benefits: Molina Healthcare offers a competitive benefits and compensation package.
Specialist, Appeals & Grievances Ann Arbor
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.

Not Provided

Psychiatrist for Independent Medical Examinations (IMEs) Detroit
Skills & Focus: Psychiatrist, Independent Medical Examinations, Medical Records, Physical Exams, Clinical Questions, IME reports, Flexibility, Compensation, Organized Documentation, Analytical Skills
About the Company: Not Provided
Experience: Previous experience in performing IMEs is a plus but not required.
Salary: Competitive rates based on individual fee schedule
Type: Flexible, Independent Contract
Benefits: Flexibility in scheduling, competitive compensation, organized documentation

Dane Street

Physician Reviewer/Advisor for Independent Medical Exams Farmington Hills
Skills & Focus: Independent Medical Exam, Board Certification, Pediatrics, Clinical Expertise, Insurance Appeals, Medical Necessity, Quality Assurance, Credentialing, Utilization Review, Telework Opportunity
About the Company: Dane Street is expanding our physician panel! This is a telework opportunity for supplemental income for physicians providing a caseload customized to your sch…
Experience: Board Certified in Pediatrics with experience in pain management related cases; active practice required.
Type: Contract
Benefits: Robust opportunity for supplemental income, schedule flexibility, no doctor/patient relationship, enhanced industry exp…

Thrive Pet Healthcare

Relief Veterinarian - Central Region Livonia
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

Physician Reviewer/Advisor - Independent Medical Exams Pontiac
Skills & Focus: Physician Reviewer, Independent Medical Exams, Clinical Expertise, Medical Necessity, Insurance Appeals, Documentation, Quality Assurance, Credentialing, Regulatory Issues, Utilization Review
About the Company: Dane Street specializes in providing insurance-related medical reviews and services with a strong focus on supporting referral processes and quality assurance.
Experience: Board certification required, active practice required
Benefits: Robust opportunity for supplemental income, Schedule flexibility and predictable work hours, No doctor/patient relation…
Physician Reviewer/Advisor for Independent Medical Exams Southfield
Skills & Focus: Physician Reviewer, Independent Medical Exams, Insurance Appeals, Clinical Expertise, Medical Necessity, Evidence-Based Guidelines, Documentation, Quality Assurance, Credentialing, Training
Experience: Board certification required, active practice required
Benefits: Robust opportunity for supplemental income, Schedule flexibility and predictable work hours, Enhanced industry expertis…

Firm

Attorney West Bloomfield Township
Skills & Focus: medical malpractice, litigation, trial experience, legal research, writing skills, Michigan Bar, professional judgment, work ethic, decision making, team member
About the Company: Firm seeks a Michigan licensed attorney with experience in medical malpractice and strong legal research and writing skills.
Experience: 3-5 years in medical malpractice litigation
Salary: Commensurate with experience
Type: Full-time
Benefits: Excellent benefits package