- Humana (Raleigh, NC)
- …hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management experience ... guidelines such as MCG(R) or InterQual + Internal Medicine, Hospitalist, Family Practice , Geriatrics, Emergency Medicine clinical specialists + Advanced degree… more
- Gentiva (Hickory, NC)
- … Director , Hospice Branch Director , Director of Operations, DON, Director of Nursing, Director of Clinical Operations, Home health administrator, ... have an exciting and rewarding opening for an **Executive Director - RN** to join our team! Join us...leadership teams in the industry where a focus on clinical excellence, exemplary patient care, employee recognition and satisfaction… more
- CenterWell (Raleigh, NC)
- …National Medical Director for Home-Based Care Programs is a key clinical leadership position responsible for the medical direction, clinical oversight, and ... improvement. + Work collaboratively with the Strategy Advancement and Operations Director to align clinical and operational priorities. **Quality Improvement… more
- Humana (Raleigh, NC)
- …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 (Durham, NC)
- …any embassy located in or outside of the US. + Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an ... **Behavioral Health Medical Director -Psychiatrist Appeals** **Location:** This role enables associates to...programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor… more
- ThermoFisher Scientific (Wilmington, NC)
- …of clinical trials to ensure company SOPs, client directives, good clinical practice , and regulatory requirements are followed. Attends and presents at ... Pharmacovigilance colleagues manage the safety profile of new drugs in clinical trials, oversee case-processing activities through all phases of development and… more
- North Carolina Agriculture & Technical State Unive (Greensboro, NC)
- Description: This position is a 0.33 FTE position at the rank of Clinical Associate Professor or above, and reports to the Program Director . The Medical ... of the PA both the didactic instruction and supervised clinical experiences to develop program competencies that meet current... experiences to develop program competencies that meet current practice standards as they relate to the PA role… more
- Elevance Health (Durham, NC)
- …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 -Cardiology Appeals** **Location:** This role enables associates to...of the US. + Minimum of 10 years of clinical experience; or any combination of education … more
- Elevance Health (Durham, NC)
- …any embassy located in or outside of the US. + Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an ... **Utilization Management Medical Director - NC Medicaid** Location: This role enables associates...programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor… more
- IQVIA (Durham, NC)
- …much like other members of the project teams. The primary role of Senior Medical Director is to provide medical oversight for clinical trials by serving as ... a network of medical/scientific consultants, etc. + Supervises and manages Medical Director activities Clinical Activities: + Interacts with clients regarding… more