6 Medical Director And Reviewer Positions jobs in Omaha.

Hiring now: Care Review Clinician Inp @ Molina Hea, Independent Medical Exami @ Dane Stree.Explore more at jobswithgpt.com.

šŸ”„ Skills

cost-effective (2) appeals (2) provider complaints (2) resolution (2) claims processing (2) communication (2) Independent Medical Exams (2) physician panel (2) veteran community (2) Disability Benefits Examinations (2)

šŸ“ Locations

Bellevue (4) Omaha (2)
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Molina Healthcare

Care Review Clinician, Inpatient Review (RN) Bellevue
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 Bellevue
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) Bellevue
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 sā€¦
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.

Dane Street

Independent Medical Examiner Omaha
Skills & Focus: Independent Medical Exams, physician panel, veteran community, Disability Benefits Examinations, in-person exams, remote work, advisory opinions, contract reviewers, user-friendly portal, scheduling coordination
About the Company: Dane Street is an Independent Review Organization and a national provider of Independent Medical Exams (IMEs) supporting the military and veteran community.
Experience: Experience in conducting medical exams
Type: Contract
Benefits: Schedule flexibility, opportunity for consistent additional income, thorough orientation and training provided
Independent Medical Examiner Omaha
Skills & Focus: Independent Medical Exams, physician panel, veteran community, Disability Benefits Examinations, in-person exams, remote work, advisory opinions, contract reviewers, user-friendly portal, scheduling coordination
About the Company: Dane Street is an Independent Review Organization and a national provider of Independent Medical Exams (IMEs) supporting the military and veteran community.
Experience: Experience in conducting medical exams
Type: Contract
Benefits: Schedule flexibility, opportunity for consistent additional income, thorough orientation and training provided