- Molina Healthcare (Louisville, KY)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. ... + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews...experience, including: + 2 years previous experience as a Medical Director in a clinical … more
- Molina Healthcare (Louisville, KY)
- …Board Certification in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in ... * Supports BH committees for quality compliance. * Implements clinical practice guidelines and medical necessity review...Medical License, free of sanctions from Medicaid or Medicare . **Preferred Experience** * Peer Review, medical … more
- Molina Healthcare (Louisville, KY)
- …program for all lines of business across all health plans. Responsible for Medicare , Marketplace, and Medicaid program oversight to ensure all areas are compliant. ... **KNOWLEDGE/SKILLS/ABILITIES** The Director , Quality Program Management and Performance is responsible for leading national Quality compliance and program management… more
- Signature Healthcare (Louisville, KY)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified Great ... years in a row and Modern Healthcare's "Best Places to Work!" Overview Executive Director , Licensed Nursing Home Administrator (LNHA), Area Leader - Be a part of the… more
- Signature Healthcare (Louisville, KY)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified Great ... compliance program is ongoing in accordance with company policies, standards of clinical care that meet state/federal regulations to promote excellence in care and… more
- CenterWell (Elizabethtown, KY)
- …us put health first** + Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed. + Conducts/delegates the assessment ... final audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers… 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
- Signature Healthcare (Louisville, KY)
- …Excelerated Care is a designated short stay unit specializing in rehabilitation and clinical services for those recovering from a surgery, illness, injury, or a ... 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded...Local Standards, guidelines and regulations and as required by Director of Nursing. + Confirm that all nursing personnel… more
- Signature Healthcare (Louisville, KY)
- …Excelerated Care is a designated short stay unit specializing in rehabilitation and clinical services for those recovering from a surgery, illness, injury, or a ... 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded...Local Standards, guidelines and regulations and as required by Director of Nursing. + Confirm that all nursing personnel… more