- Elevance Health (Miami, FL)
- …Operations Associate Medical Director ** **Carelon Medical Benefits Management ** **Radiology Benefit Management / Utilization Review** **Virtual:** ... is granted as required by law._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical management staff ensuring… more
- Elevance Health (FL)
- **Medical Director -PSCCR** Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... unless an accommodation is granted as required by law. The **Medical Director -PSCCR** is responsible for the administration of physical and/or behavioral health… more
- Elevance Health (FL)
- …entire clinical program and/or independently performs clinical reviews. The Medical Director typically has program management responsibilities including clinical ... **Medical Director ** **Location:** **Virtual -** This role enables associates...and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers… more
- Elevance Health (FL)
- …years of managed care experience preferred. + Consulting experience preferred. + Utilization management experience preferred. + Master's Degree preferred. (MBA, ... **Plan Performance Medical Director - New York Commercial** Location: This role enables...discuss review determinations. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers… more
- HCA Healthcare (Englewood, FL)
- …focus on providing outstanding patient care. In this key role, the Facility Medical Director is responsible for the oversight and management of all clinical ... Healthcare Anesthesia Services is seeking an experienced, Board Certified, Facility Medical Director to lead the team HCA Florida Englewood Hospital located on the… more
- AdventHealth (Palm Coast, FL)
- …the Surgical program creates: high degree of patient satisfaction; maintains/increases surgical utilization ; meets basic surgeon needs, ie, accurate case start ... Main Operating Room, Endoscopy, Sterile Processing, and Anesthesia Support Services. The Director will also work with the Manager of Anesthesia Professional Services… more
- HCA Healthcare (Fort Pierce, FL)
- …patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates ... + Experience or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred HCA… more
- HCA Healthcare (Aventura, FL)
- …patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates ... experience or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred HCA… more
- HCA Healthcare (Aventura, FL)
- …patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates ... experience + or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred +… more
- HCA Healthcare (Margate, FL)
- …patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. The CM coordinates ... + Experience or 2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred +… more