- MTC (Graceville, FL)
- …$140,000** **Status:** Full Time, Monday - Friday **Benefit package includes:** + Health/ dental /vision/life insurance + 401(k) with company match + Paid time off ... 9 paid holidays + Opportunities for job advancement Are you a compassionate ** Clinical Psychologist** looking to transform lives? Join our dedicated team at the… more
- Humana (Tallahassee, FL)
- …to the clinical operations team and healthcare organization. The Medical Director 's work includes computer based review of moderately complex to complex ... quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will... clinical scenarios, review of all submitted clinical records, prioritization… more
- BAYADA Home Health Care (Orlando, FL)
- …company match, direct deposit, and employee assistance program **Responsibilities:** + Review clinical information for appropriateness, congruency, and accuracy ... immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work...for this role (Please note, while this is a clinical opening, BAYADA does have non- clinical openings… more
- Humana (Tallahassee, FL)
- …knowledge in their daily work. The Medical Director 's work includes computer based review of moderately complex to complex clinical scenarios, review of ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- Elevance Health (Miami, FL)
- …improvement tools offered to clients/ members. The medical director provides clinical expertise in all aspects of utilization review and case management. ... management models for our National Account clients. The medical director will be responsible for supporting the clinical...or territory of the United States when conducting utilization review or an appeals consideration and cannot be located… more
- BAYADA Home Health Care (Orlando, FL)
- …about BAYADA Benefits, click here (https://www.bayada.com/benefits/) . **Responsibilities:** + Review clinical information for appropriateness, congruency, and ... Home Health Care is hiring a full time OASIS Review and Coding Manager. The OASIS and Coding ...and meeting business and development goals. This is a **non- clinical ** role (Note: Clinical opportunities are also… more
- Elevance Health (FL)
- …staff including Medical Director Associates. May be responsible for an entire clinical program. **How will you make an impact:** + Supports clinicians to ensure ... responsible for an entire clinical program and/or independently performs clinical reviews. The Medical Director typically has program management… more
- Elevance Health (Miami, FL)
- …staff including Medical Director Associates. May be responsible for an entire clinical program. **How you will make an Impact:** + Supports clinicians to ensure ... be responsible for an entire clinical program and/or independently perform clinical reviews. + The Medical Director typically has program management… more
- Humana (Tallahassee, FL)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of ... part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home… more
- Elevance Health (Miami, FL)
- …staff including Medical Director Associates. May be responsible for an entire clinical program. **How you will make an impact:** + Complete appeal reviews in ... **Medical Director -Internal Medicine or Family Medicine Appeals** **Location:** This...Medicine or Family Medicine Appeals** is responsible for the review of appeals for physical health medical services, to… more