- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare… more
- Humana (Tallahassee, FL)
- **Become a 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 health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether… more
- Community Health Systems (Naples, FL)
- …care plans based on patient assessments and needs. + Responds to medical emergencies and participates in life-saving interventions, such as CPR and code ... planning and delivery. + Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence… more
- AdventHealth (Daytona Beach, FL)
- …care. To utilize the nursing process in the direction and administration of the medical and nursing plan of care. This performance is in compliance with established ... policies, procedures and protocols under the supervision of the Nurse Manager, Director , Vice President of Clinical Services, and or designee. **The value you'll… more
- AdventHealth (Altamonte Springs, FL)
- …assists in drafting and submitting clinical denial appeals, as needed + Develops Medical Director relationships with payors to have open communication and ... as a liaison between UM and CM teams and medical staff, as well as, the medical ...of utilization, claims management, and quality assurance related to inpatient care, outpatient care/observation stays and referral services. The… more
- Select Medical (Orlando, FL)
- **Overview** **Position:** Director of Plant Operations **Location: Orlando, FL** **Schedule: Full - Time** **Sign on bonus: $10,000** **Select Specialty Hospital - ... is a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who require extended… more
- DOCTORS HEALTHCARE PLANS, INC. (Miami, FL)
- Position Summary: The Director of Medical Management is responsible for the strategic direction, leadership, and oversight of all medical management ... requirements. This position is responsible for the day-to-day management of the Medical Management Department staff, based upon established goals and objectives. Key… more
- HCA Healthcare (Panama City, FL)
- …seeking an exceptional physical medicine and rehabilitation physician to join us as Medical Director of an existing program Qualified Candidates: + Board ... eligible / board certified in PM&R + Inpatient focus + Full-time position with Medical Directorship duties + Provide leadership and direction for existing… more
- University of Miami (Miami, FL)
- …and reporting functionally to the Chief Nursing Officer for UHealth, and Chief Medical Director of Oncology Services, the Executive Director , Oncology ... Director , Clinical Operations to work at the UHealth medical campus in Miami, FL. CORE JOB SUMMARYThe Executive...areas within the Oncology Service Line (OSL) including the inpatient oncology program at UHT and the ambulatory setting.… more
- Select Medical (Oxford, FL)
- …(LTACH)** **Who We Are** At Select Specialty Hospital, a division of Select Medical , we care for chronically and critically ill or post-ICU patients who require ... extended hospital care. Select Medical employs over 54,000 people across the country and...a critical illness recovery hospital committed to providing world-class inpatient post-ICU services to chronic, critically ill patients who… more