- Elevance Health (Louisville, KY)
- …Health office locations Work schedule: Monday - Friday, standard business hours.** The Medical Director Clinical Programs is responsible for designing and ... of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative...implementing clinical programs with specific medical condition focus for all lines of business enterprise… more
- BrightSpring Health Services (Louisville, KY)
- Our Company BrightSpring Health Services Overview Director of Clinical Denials Management and Audit supervises a team of RN/LPN clinical reviewers as well as ... letters of appeal. Creates an effective appeal utilizing relevant and effective clinical documentation from the medical record; supported by current industry… more
- ChenMed (Louisville, KY)
- …for the foundational business unit of our care model - the center. The Senior Medical Director (SMD) will partner with the Center Director /Center Executive ... The SMD is an earned title where the Center Medical Director completes all necessary primary care...CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness… more
- Elevance Health (Louisville, KY)
- …reviews within our Medicaid and Medicare programs.** The **Behavioral Health Medical Director ** is responsible for the administration of behavioral health ... of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative...an entire clinical program and/or independently performs clinical reviews. + The Medical Director… more
- Elevance Health (Louisville, KY)
- …May be responsible for an entire clinical program and/or independently performs clinical reviews. + The Medical Director typically has program management ... miles of one of our Elevance Health locations.** The Medical Director is responsible for the administration...Director Associates. May be responsible for an entire clinical program. How you will make an impact: +… 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 (Louisville, KY)
- …$10k Sign on Bonus + 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
- Intrepid USA (Bardstown, KY)
- …our commitment to providing affordable, personalized, patient and family centered medical home healthcare, home hospice, private duty homecare and independent living ... servant based leadership with an inverted organization chart. Our clinical teams are at the top and our CEO...and goals; including meeting the monthly Care Center targeted Medicare admission goals. + Collaborates with the Administrator and… more
- Signature Healthcare (Louisville, KY)
- …no restrictions on license + Must have Infectious Control Experience + Will also be Medical Records Director + Must have LTC (Nursing Home) experience- You'll be ... 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded...current state licensure. + Minimum three (3) years of clinical experience in a health care setting; long-term care… 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