- Molina Healthcare (Owensboro, 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
- Wellpath (Eddyville, KY)
- …education, and point of care support. **How you make a difference** The Site Medical Director provides clinical leadership at the assigned facility and ensures ... include documentation, emergency response, treatment planning, and formulary compliance. The Medical Director supports continuous quality improvement efforts and… more
- Molina Healthcare (Owensboro, KY)
- …reviews behavioral health portions of state contracts. * Assists behavioral health medical director lead trainers in the development of enterprise-wide education ... JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health...and chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies… more
- Molina Healthcare (Owensboro, 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
- Molina Healthcare (Owensboro, KY)
- JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting ... and cost-effective member care. Essential Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports… more
- Molina Healthcare (Owensboro, KY)
- …including clinical practice experience, and at least 2 years as a medical director in managed care organization supporting utilization management/quality program ... management programs. Develops clinical practice guidelines and oversees appropriateness and medical necessity of services provided to plan members - targeting… more
- Molina Healthcare (Owensboro, KY)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight of ... supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of training for all… more
- Molina Healthcare (Owensboro, KY)
- …+ Analyze results to identify early signs of trends or other issues related to medical care cost. + Design and perform actuarial studies related to medical care ... with operational management to identify saving opportunities and areas of medical utilization concerns. + Provide support to financial closing process regarding… more
- GE Aerospace (Madisonville, KY)
- …your physical, emotional, financial and social wellbeing. Healthcare benefits include medical , dental, vision, and prescription drug coverage; access to a Health ... Coach from GE Aerospace; and the Employee Assistance Program, which provides 24/7 confidential assessment, counseling and referral services. Retirement benefits include the GE Aerospace Retirement Savings Plan, a 401(k) savings plan with company matching… more
- Molina Healthcare (Owensboro, KY)
- …reserves for appropriateness monthly + Work collaboratively with Actuarial and Medical Economics partners to evaluate correlation among various parameters impacting ... IBNR, including bed days and admits per 1,000, prescription drug utilization, billed dollars of inventory, and other measurable factors that may be leading indicators of the level of reserve required for a particular cell (eg, a particular product within a… more
- Fresenius Medical Center (Madisonville, KY)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We believe our...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- MTC (Morganfield, KY)
- …requests for reasonable accommodations and help form an accommodation plan. 7. Recommend medical separation to the center director when a student develops a ... psychiatric disorder that clearly impairs their ability to complete or take part in the training program. **Education and Experience Requirements:** + Clinical psychologist, LCSW, LPCC, LMFT or equivalent licensed, autonomous practicing, master's level mental… more
- CDM Smith (Owensboro, KY)
- …Packages and defining Scopes of Work under the supervision of the Director of Construction/President or Project Manager. * Responsible for overseeing total ... reports, etc.), purchase requisitions, change request, etc., under supervision of Director of Construction/President or Project Manager. * Ensures all field… more
- City of Henderson (Henderson, KY)
- …of Human Resources. Under limited direction, partners with the Human Resources Director and the Human Resources Management team to provide senior leadership across ... + Leave and Holidays Policy (https://public.powerdms.com/HPD15/documents/1237057) + Family and Medical Leave and Extended Leave Policy + Comprehensive benefits… more
- Signature Healthcare (Calhoun, KY)
- …Federal, State, and Local Standards, guidelines and regulations and as required by Director of Nursing. + Confirm that all nursing personnel assigned to you comply ... exceptional Benefits Package and Signature Perks include the following and more! + Medical , Dental and Vision - Voluntary Life/Disability + 401(K) and Roth 401(K) +… more
- Signature Healthcare (Calhoun, KY)
- …Federal, State, and Local Standards, guidelines and regulations and as required by Director of Nursing. + Confirm that all nursing personnel assigned to you comply ... exceptional Benefits Package and Signature Perks include the following and more! + Medical , Dental and Vision - Voluntary Life/Disability + 401(K) and Roth 401(K) +… more
- Genesis Healthcare (Madisonville, KY)
- …Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time team members. We offer Dental and ... Therapist Assistant **Location/work environment:** In facility **Reporting structure:** Reporting to Director of Rehab As a Physical Therapist Assistant, you help… more
- Signature Healthcare (Owensboro, KY)
- …Federal, State, and Local Standards, guidelines and regulations and as required by Director of Nursing. + Confirm that all nursing personnel assigned to you comply ... exceptional Benefits Package and Signature Perks include the following and more! + Medical , Dental and Vision - Voluntary Life/Disability + 401(K) and Roth 401(K) +… more
- Molina Healthcare (Owensboro, KY)
- …issue escalations and Joint Operating Committees on exception. * Assists Manager and/or Director in the negotiation of medical group/IPA and hospital VBC ... contracting. * Serves as VBC regulatory data and reporting lead by developing and producing as required to engage with provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers and supporting… more
- Molina Healthcare (Owensboro, KY)
- …with national quality and risk adjustment VPs, Regional Directors of Quality/Risk, Director of Value Based Programs, and local health plan resources. + Responsible ... metrics such as HEDIS and STARS, knowledge of coding + Knowledge of medical economics and financial reporting. Must be able to walk stakeholders (internal and… more