- CVS Health (TX)
- …care system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. This is ... Special Projects and Committee participation when needed. The Medical Director will provide clinical , coding, and reimbursement...Qualifications:** *Two (2) or more years of experience in Health Care Delivery System eg, Clinical Practice… more
- CVS Health (Houston, TX)
- …system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. **This is ... (Spine) that can be remote based, work from home . The Medical Director (Spine) will be...Qualifications** * 2 or more years of experience in Health Care Delivery System eg, Clinical Practice… more
- Elara Caring (Harker Heights, TX)
- …have a unique opportunity to play a huge role in the growth of an entire home care industry. Here, each employee has the chance to make a real difference by carrying ... visits. The Scheduler acts as an intermediary between the Clinical Team Manager (CTM), direct care team members, the...1 year of experience of patient scheduling in the home care agency setting is preferred + Demonstrates familiarity… more
- Humana (Austin, TX)
- …on quality management, utilization management, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation. ... part of our caring community and help us put health first** The Medical Director relies on...or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group… more
- Option Care Health (Austin, TX)
- …provider, there is no limit to the growth of your career.** Option Care Health , Inc. is the largest independent home and alternate site infusion services ... Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion care experience for patients, customers and team… more
- HCA Healthcare (Pearland, TX)
- …eligible. **Introduction** Are you ready to manage in a new era as a Director for Nursing Excellence where building a healthier tomorrow is more than a job? ... HCA Houston Healthcare Pearland, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- CVS Health (TX)
- …Virginia and West Virginia. This Medical Director will be a "Work from Home " position primarily supporting Aetna Better Health of Texas. The Medical ... supports the Medical Management staff and may support other health plans as needed. The Medical Director ...Qualifications:** - Five or more years of experience in Health Care Delivery System eg, Clinical Practice… more
- Humana (Austin, TX)
- …on quality management, utilization management, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation. ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to… more
- Humana (Austin, TX)
- … relies on fundamentals of CMS Medicare Guidance on following and reviewing home health , SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical ... guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests...partners within the Medicare Line of Business. + Support Home Solutions as needed + Other activities as assigned… more
- Evolent (Austin, TX)
- …and/or system support. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall accountability for ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...Director . **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical license in medicine or required specialty + Obtaining… more