- Elevance Health (Louisville, KY)
- **Medicare Medical Director ** Location: This position will work a hybrid model (remote and office). The ideal candidate will must live within 50 miles of one of ... must be able to work Eastern Time Zone hours. The **Medicare Medical Director ** is responsible for the administration of physical and/or behavioral health … more
- Elevance Health (Louisville, KY)
- **Clinical Operations Associate Medical Director ** **Interventional Pain** **Carelon Medical Benefits Management** **Location:** Alternate locations may be ... of one of our Elevance Health PulsePoint locations. The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical … more
- State of Indiana (Madison, IN)
- Psychiatric Medical Director Date Posted: Jan 7, 2025 Requisition ID: 448106 Location: Madison, IN, US, 47250 Work for Indiana Begin a fulfilling career with the ... the most contemporary and comprehensive care possible. Role Overview: The Psychiatric Medical Director directs the psychiatric services of the hospital. You… more
- Molina Healthcare (Louisville, KY)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. + Experience… more
- Elevance Health (Louisville, KY)
- **Clinical Ops Associate Medical Director ** **Orthopedic Surgery** **Location:** This is a virtual position. Candidates must reside within 50 miles of an ... to improve the delivery of care. The **Clinical Ops Associate Medical Director - Ortho** is responsible for performing pre-authorizations and providing quality… more
- Molina Healthcare (Louisville, KY)
- …Certification in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in ... health and chemical dependency services. Works closely with the Regional Medical Directors to standardized utilization management policies and procedures to improve… more
- Merck (Louisville, KY)
- **Job Description** We are seeking a Growth and Improvement minded Regional Medical Scientific Director (AKA Medical Science Liaison / MSL) | in Inflammatory ... our Strategic Operating Priorities. **Summary, Focus and Purpose** The Regional Medical Scientific Director ( Medical Science Liaison) is a credentialed (ie,… more
- ChenMed (Louisville, KY)
- …5 years preferred. + Strongly prefer two (2) years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population ... preferred. + Preferred to be an existing high performing PCP partner and/or Medical Director within the ChenMed core model, with a proven ability to manage a… more
- Wellpath (La Grange, KY)
- …with best practices and meet regulatory requirements. They work closely with the Medical Director to promotehigh standardsof care and support the professional ... * Growth and training **Perks and Benefits** In addition to comprehensive benefits including medical , dental, vision, paid time off, and 401k, we foster a work, life… more
- Signature Healthcare (Louisville, KY)
- …Plan of Care for each resident in coordination with the physician, Medical Director , nursing staff, and outside consultants (ie, nursing, dietary, ... a row and Modern Healthcare's "Best Places to Work!" Overview The ideal Director of Nursing Candidate is very detailed orientated, organized, great knowledge of… more
- Wellpath (Louisville, KY)
- …* Growth and training **Perks and Benefits** In addition to comprehensive benefits including medical , dental, vision, paid time off, and 401k, we foster a work, life ... support. **How you make a difference** The Regional Psychiatric Director will understand and effectively communicate and abide by...requirements of access to care, right to a professional medical judgment and right to care that is ordered.… more
- YesCare Corp (Louisville, KY)
- …of Corrections, KY. This position is part time. Under supervision of the Site Medical Director with broad latitude for independent judgment and initiative, the ... need for non-formulary medication on non-formulary request form for Regional Medical Director 's approval when non-formulary medication is ordered. Utilizes… more
- Wellpath (La Grange, KY)
- …make a difference** The Nurse Practitioner (NP) under the supervision of the Site Medical Director and other site Physicians, offers a comprehensive range of ... ensure necessary documentation of services is provided to the Site Medical Director ordesigneetomonitorthe provision of clinical services. Additionally, they… more
- YesCare Corp (Louisville, KY)
- …to validate need for non-formulary medication on non-formulary request form for Medical Director 's approval when non-formulary medication is ordered. + Utilizes ... Sponsors physician assistants or nurse practitioners as required. + Notifies Regional Medical Director and Site Health Services Administrator of schedule… more
- CenterWell (Louisville, KY)
- …participant and lead with the care team through daily huddles. . Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of ... certification to write prescriptions under the authority of a collaborating physician/ medical director . + This role is considered patient facing and is a… more
- CSL Plasma (Louisville, KY)
- …regarding suitability to donate plasma. + In conjunction with the Center Medical Director and/or Center Physician responds to medically related questions ... immunizations other than red blood cell immunizations. Provides limited emergency medical care to donors and staff, including the administration of medication… more
- CenterWell (Louisville, KY)
- … medical expertise with the care team through daily huddles. . Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
- Elevance Health (Louisville, KY)
- …records of denied services for medical necessity + Extrapolates and summarizes medical information for medical director , consultants, and other external ... The **Clinical Review Nurse I** is responsible for reviewing and making medical determinations as to whether a prior authorization request meets the benefits… more
- CenterWell (Clarksville, IN)
- … medical expertise with the care team through daily huddles. . Helps regional medical director and center administrator in setting a tone of cooperation in ... doctors, advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health, specialists, quality-based coders, referral coordinators… more
- ChenMed (Louisville, KY)
- …with other health care professionals. Consults with the manager, physician, and medical director to ensure compliance with guidelines. This position may ... team and is responsible for providing direct patient care in ChenMed/Jencare medical centers, nursing homes, skilled nursing facilities (SNF) and home settings… more