• Medical Director - Medicare…

    Humana (Tallahassee, FL)
    …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from moderate to substantial. The Corporate … more
    Humana (05/14/25)
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  • Acute Care Case Manager , Registered Nurse…

    ChenMed (North Miami Beach, FL)
    …management departments, and other healthcare facilities. + In conjunction with the PCP, Hospitalist , Medical Director , insurance case manager and the ... Participates in surveys, studies and special projects as assigned. + Conducts concurrent medical record review using specific indicators and criteria as approved by … more
    ChenMed (05/28/25)
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