- Evolent (Tallahassee, FL)
- …training classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. ... for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of...support services review process. Responsible for the quality of utilization review determinations, including appeals. + Provides input into… more
- Centene Corporation (Tallahassee, FL)
- …perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement ... be a Florida resident. + Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities. + Performs… more
- Evolent (Tallahassee, FL)
- …a meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and ... training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management… more
- Genesis Healthcare (Oxford, FL)
- …Area Director ). 9. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and ... expertise with our Clinicians in Action professional development program. Responsibilities The Director of Rehab PTA is responsible for the efficient management of… more
- Molina Healthcare (FL)
- …and interacts with network and group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource ... management. + Develops and implements a Utilization Management program and action plan, which includes strategies...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Evolent (Tallahassee, FL)
- …training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way… more
- Evolent (Tallahassee, FL)
- …training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way… more
- Evolent (Tallahassee, FL)
- …training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a specialty match...cases. you will be a key member of the utilization management team. We can offer you a meaningful… more
- Humana (Tallahassee, FL)
- …community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral ... Health Medical Director work assignments involve moderately complex to complex issues...prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health… more
- HCA Healthcare (Brooksville, FL)
- …of care in 21 states and the United Kingdom. We are looking for a Director of Quality for our HCA Florida Oak Hill Hospital team where excellence creates excellence. ... to be an influencer in healthcare? **Apply for our Director of Quality role today!** **Job Summary and Qualifications**...you will provide direction to ensure the facilitation and utilization of diverse strategies and communication for quality and… more