10 Medical Director And Reviewer Positions jobs in Lexington-Fayette.

Hiring now: Care Review Clinician Inp @ Molina Hea, General Surgery Physician @ Atlantic M, Cdi Rn Spec @ Conifer He, Cdi Rn Spec @ Tenet Heal.Explore more at jobswithgpt.com.

🔥 Skills

cost-effective (2) financial responsibility (2) prior authorization (2) inpatient (2) referral system (2) malpractice (2) clinical guidelines (2) Orthopedic Surgery (2) Physician (2) Total Joints (2)

📍 Locations

Lexington-Fayette (10)
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Molina Healthcare

Care Review Clinician, Inpatient Review (RN) Lexington-Fayette
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 Lexington-Fayette
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.

Atlantic Medsearch

General Surgery Physician Lexington-Fayette
Skills & Focus: General Surgery, Da Vinci Robotic, surgical team, inpatient, outpatient, bread & butter surgery, referral system, malpractice, competitive salary, healthcare facilities
About the Company: Atlantic MEDsearch is a highly confidential search firm that provides resources for medical providers pursuing new opportunities & recruitment services for hea…
Type: Full time
Benefits: competitive salary, incentives, malpractice, benefits, relocation/vacation/CME, retirement, student loan assistance

Molina Healthcare

Care Review Clinician, Inpatient Review (RN) Lexington-Fayette
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, Inpatient Review (RN) Lexington-Fayette
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.

Atlantic Medsearch

Orthopedic Surgery Physician Lexington-Fayette
Skills & Focus: Orthopedic Surgery, Physician, Surgical, General Orthopedic Surgery, Subspecialty, Sports, Total Joints, Referral System, Experienced Support Staff, Partnership
About the Company: Atlantic MEDsearch is a highly confidential search firm that provides resources for medical providers pursuing new opportunities & recruitment services for hea…
Salary: very competitive salary
Type: Full time
Benefits: partnership, ancillary income, incentives, relocation, vacation, CME, benefits & more

Conifer Health Solutions

CDI RN Specialist Lexington-Fayette
Skills & Focus: clinical documentation, medical records review, MS-DRG assignment, physician queries, documentation guidelines, AHA coding guidelines, ICD-9-CM, CPT coding, documentation improvement, critical thinking
About the Company: Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their fina…
Experience: 0 to 2 years
Type: Full-time
Benefits: Competitive benefits package including flexible spending accounts and various work perks.

Tenet Healthcare

CDI RN Specialist Lexington-Fayette
Skills & Focus: clinical documentation, medical records reviews, MS-DRG Assignment, documentation guidelines, physician queries, AHA Coding, CMS coding, health record documentation, query process, healthcare industry expertise
About the Company: As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 loca…
Experience: 2 to 5 years of CDS experience and 2 years recent acute care experience in a clinical or inpatient coding setting.
Type: Full-time
Benefits: A competitive benefits package – from flexible spending accounts to various work perks.

Atlantic Medsearch

Orthopedic Surgery Lexington-Fayette
Skills & Focus: Orthopedic Surgery, Physician, Surgical responsibilities, general orthopedic surgery, Orthopedic Sports, Total Joints, digital X-ray suite, referral system, experienced support staff, partnership
About the Company: Atlantic MEDsearch is a highly confidential search firm that provides resources for medical providers pursuing new opportunities & recruitment services for hea…
Salary: very competitive salary
Type: Full time
Benefits: ancillary income, incentives, relo/vaca/CME, benefits & more.
Interventional Cardiology Physician Lexington-Fayette
Skills & Focus: Interventional Cardiology, Cardiologists, Cardiac Catheterization Lab, peripheral procedures, coronary cases, subspecialty support, compensation, malpractice, retirement, sign-on bonus
About the Company: Atlantic MEDsearch is a highly confidential search firm that provides resources for medical providers pursuing new opportunities & recruitment services for hea…
Type: Full time
Benefits: Compensation includes salary, incentives, relocation, vacation/CME, malpractice, retirement & may include sign-on bonus.