7 Medical Director And Reviewer Positions jobs in Milwaukee.

Hiring now: Care Review Clinician Inp @ Molina Hea, Medical Records Reviewer @ Altegra, Drg Coding Auditor @ Elevance H.Explore more at jobswithgpt.com.

šŸ”„ Skills

financial responsibility (3) prior authorization (3) clinical service requests (2) evidence-based clinical guidelines (2) multidisciplinary teams (2) medical records (2) inpatient reviews (1) medically appropriate care (1) cost-effective (1) multidisciplinary team collaboration (1)

šŸ“ Locations

Kenosha (4) Waukesha (2) Milwaukee (1)
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Molina Healthcare

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

Altegra

Medical Records Reviewer Milwaukee
Skills & Focus: Medical Records, EMR, EHR, HIPAA, Review Services, Scanning, Patient Confidentiality, Quality Assessments, Medical Facilities, Communication
About the Company: We are a respected name in the medical records industry providing services for medical record review and ensuring compliance with HIPAA requirements.
Experience: Minimum of 2 years hands-on medical records experience
Salary: Competitive wages
Type: Project-based
Benefits: Thorough training in technology and processes; help desk assistance for IT support and medical record retrieval

Elevance Health

DRG Coding Auditor Waukesha
Skills & Focus: auditing, claims, ICD-10, medical records, DRG coding, quality assurance, clinical reviews, recovery, provider billing, hospital coding
About the Company: Elevance Health is a health company dedicated to improving lives and communities ā€“ and making healthcare simpler. We are a Fortune 25 company with a longstandiā€¦
Experience: Requires at least one of the following: AA/AS or minimum of 5 years of experience in claims auditing, quality assurance, or recovery auditing.
Type: Hybrid
Benefits: We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and inā€¦
Behavioral Health Medical Director- Psychiatrist Waukesha
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 ā€“ and making healthcare simpler. We are a Fortune 25 company with a longstandiā€¦
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, ā€¦