- CommonSpirit Health at Home (Lexington, KY)
- …embody our mission of delivering hope and healing to those we serve. The Director , Clinical Services is responsible for the planning, direction, ... mission, values, strategic goals, and high standards of customer service . + **Ethical Conduct & Compliance:** Uphold the Corporate...all HCHB clinical workflow for both the Director of Clinical Services (DCS)… more
- Norstella (Frankfort, KY)
- Sr. Director /VP/ Clinical Delivery Lead, Advisory Services Company: Citeline Location: Remote, United States Date Posted: Nov 4, 2025 Employment Type: Full ... Time Job ID: R-1553 **Description** Sr. Director /VP/ Clinical Delivery Lead, Advisory Services **Reports to** :SVP, Advisory Services **Location** :US/UK… more
- Prime Therapeutics (Frankfort, KY)
- …purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Clinical Account Director - Remote **Job Description** The Clinical ... to meet client requirements and builds strong relationships with key clinical stakeholders through effective consultative services . **Responsibilities** +… more
- Humana (Frankfort, KY)
- …health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided ... experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of… more
- Humana (Frankfort, KY)
- …health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided ... experience with national guidelines such as NCD/LCD, MCG(R) or InterQual** **The Medical Director conducts clinical case reviews of requests received by members… more
- Molina Healthcare (Lexington, KY)
- …in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in Utilization/Quality ... and case management programs for mental health and chemical dependency services and assists with implementing integrated Behavioral Health care management programs.… more
- Molina Healthcare (Lexington, KY)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + ... that guide and support the provisions of medical staff services . Maintains a working knowledge of applicable national, state,...including: + 2 years previous experience as a Medical Director in a clinical practice. + Current… more
- Growth Ortho (Lexington, KY)
- …following protocols given by the Physician. Job Relationship 1. Reports to Clinical Supervisor/ Director of Clinical Operations 2. Positions supervised: ... Bluegrass Orthopaedics is hiring a full-time Clinical /Cast Technician in Lexington, KY. The Clinical...signs 2. Cast/DME application and removal 3. Exceptional customer service skills 4. Ability to maintain effective and organized… more
- Sharecare (Frankfort, KY)
- …www.Sharecare.com. **Job Summary:** The VBCM Operations Manager will report to the Director of Clinical Care Operations, consistently directing and overseeing ... performance goals and providing support as needed to the Director of Clinical Care Operations. **Essential Job...clinical /coaching oversight to team to ensure consistency in service delivery to drive contract outcomes. + Collaborate with… more
- HCA Healthcare (Frankfort, KY)
- …of care in 21 states and the United Kingdom. We are looking for a Director Emergency Services for our Frankfort Regional Medical Center team where excellence ... to be an influencer in healthcare? **Apply for our Director Emergency Services role today!** **Job Summary...Collaborates with administrative team and physicians to enhance existing services or develop new service offerings. +… more
- CenterWell (Frankfort, KY)
- …practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. The Medical Director may ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Humana (Frankfort, KY)
- …**Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director … more
- Humana (Frankfort, KY)
- …practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. The Medical Director may ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Humana (Frankfort, KY)
- …to the clinical operations team and healthcare organization. The Medical Director 's work includes computer based review of moderately complex to complex ... , requested level of care, and/or requested site of service should be authorized. All work occurs within a...Typically reports to an Associate Vice President of Health Services , Lead, or Corporate Medical Director , depending… more
- Humana (Frankfort, KY)
- …uses their medical background, experience, and judgement to make determinations whether requested services , level of care, and/or site of service should be ... support Humana value throughout all activities. **Responsibilities** The Medical Director provides medical interpretation and determinations whether services … more
- Evolent (Frankfort, KY)
- …Medical Director . **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical license in medicine or required specialty + Obtaining and maintaining ... make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a...Inspector General of the Department of Health and Human Services or the General Service Administration (GSA),… more
- HCA Healthcare (Frankfort, KY)
- …Frankfort Regional Medical Center team is looking for a Medical Surgical Nurse Director . HCA Healthcare is an advanced healthcare network that has committed up to ... include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay....3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
- Evolent (Frankfort, KY)
- …by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by ... **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
- Baylor Scott & White Health (Frankfort, KY)
- …issues with efficiency resulting in improved utilization of appropriate patient care services . Collaborates with medical, clinical , HIM and other BSWH ... **Job Summary** The Director , Denial Resource Center is responsible for the...Serves as a liaison to outside vendors and contracted services supporting the clinical resource management functions… more
- CommonSpirit Health (Lexington, KY)
- **Job Summary and Responsibilities** The Market IT Director assists the Region Chief Information Officer in the top management of CommonSpirit Health's information ... of meetings, public events, on committees, and/or other related events regarding services , programs, projects and facilities. Partners very closely with a dotted… more