- CVS Health (Frankfort, KY)
- …do it all with heart, each and every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout ... and the Southeast Region (FL, LA and WV). This Medical Director will be a "Work from...Practice and Health Care Industry. - Active and current Kentucky state medical license without encumbrances as… more
- CVS Health (Springfield, IL)
- …health care more personal, convenient and affordable. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 ... opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, California,...Better Health Plan of Illinois. This UM (Utilization Management) Medical Director will be a "Work from… more
- Humana (Louisville, KY)
- …to ensure appropriate Notice of Action is followed including collaboration with the Medical Director to ensure reason for denial, reduction, or termination is ... and procedures in accordance with contract changes and/or updates. + Maintain compliance with Kentucky Medicaid and the Centers for Medicare and Medicaid … more
- Integra Partners (Troy, MI)
- …prepared to appeal or correct CRT claims in compliance with Medicare, Medicaid , and commercial insurance guidelines. + Ensure all required documentation (eg, ... prescriptions, prior authorizations, therapist evaluations, and medical necessity justifications) is included with claims. + Verify coding accuracy, including HCPCS… more
- Signature Healthcare (Beattyville, KY)
- …Center is a 109-bed skilled nursing facility located along the middle fork of the Kentucky River in the quaint town of Beattyville, Kentucky . The facility offers ... 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a...Local Standards, guidelines and regulations and as required by Director of Nursing. + Confirm that all nursing personnel… more
- Signature Healthcare (Lexington, KY)
- About Us Mayfair Manor is a 98-bed skilled nursing facility in Lexington, Kentucky . We offer a wide array of services and programs from physical, occupational, and ... 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a...Local Standards, guidelines and regulations and as required by Director of Nursing. + Confirm that all nursing personnel… more
- Signature Healthcare (Lexington, KY)
- About Us Mayfair Manor is a 98-bed skilled nursing facility in Lexington, Kentucky . We offer a wide array of services and programs from physical, occupational, and ... 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a...Local Standards, guidelines and regulations and as required by Director of Nursing. + Confirm that all nursing personnel… more