- CVS Health (Tallahassee, FL)
- …in a collaborative process to implement, coordinate, monitor and evaluate medical review cases. Applies the appropriate clinical criteria/guideline and plan language ... or policy specifics to render a medical determination to the client. Applies critical thinking, evidenced...mentoring, feedback, Actively cross-trains to perform reviews of multiple case types to provide a flexible workforce to meet… more
- Elevance Health (Miami, FL)
- …(ABMS) or American Osteopathic Association (AOA). + Must possess an active unrestricted medical license to practice medicine or a health profession. Unless ... ** Medical Director** **Location:** This role enables associates to...and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers… more
- Elevance Health (Miami, FL)
- …(ABMS) or American Osteopathic Association (AOA). + Must possess an active unrestricted medical license to practice medicine or a health profession. + Unless ... ** Medical Director Associate - Carelon RX** Location: This...and external physicians. + May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers… more
- Evolent (Tallahassee, FL)
- …non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology ... to help ensure the delivery of high-value, evidence-based case reviews. Enjoy improved work-life balance while contributing to better health outcomes in an… more
- AdventHealth (Land O' Lakes, FL)
- …discharge planning, treatment plan management and financial management, while also completing medical record documentation. The Case Manager reports to the CEO ... Awards, TWCE as Nice The role you'll contribute: The Case Manager is accountable for the organization, sequence of...ongoing needs with the appropriate level and type of medical , health, psychosocial, or social service as they relate… more
- Molina Healthcare (Miami, FL)
- …years in case management, disease management, managed care or medical or behavioral health settings. **Required License , Certification, Association** Active, ... years in case management, disease management, managed care or medical or behavioral health settings. Preferred License , Certification, Association Active,… more
- Elevance Health (Tampa, FL)
- …Orthopedic Surgery or American Osteopathic Board of Orthopedic Surgery. + Current unrestricted medical license (s) as a Doctor of Medicine or Doctor of ... **Clinical Operations Associate Medical Director** **Orthopedic Spine Surgery** **Carelon Medical Benefit Management** **Schedule: 10:30 AM-7 PM Central**… more
- Allied Universal (Sun City Center, FL)
- …we serve. We offer comprehensive benefits for most full-time positions, including medical , dental, and vision coverage, life insurance, a retirement plan, employee ... hour** + **Full Time** + **Must have Active Driver's License ** + **Shifts Available:** + **10pm - 6am** +...the emergency room + Assist with evacuations during fires, medical emergencies, and natural disasters + Sound alarms or… more
- CenterWell (Jacksonville, FL)
- …** + Graduate of an accredited medical school (MD/DO) with a current medical license , maintaining licensure requirements of the state of jurisdiction + Board ... community and help us put health first** The Associate Medical Director (AMD) is an instrumental clinical leader of...precise + Identify critical issues for high-risk patients during case reviews & other forums, and modeling and driving… more
- CenterWell (Daytona Beach, FL)
- …*Graduate of an accredited medical school (MD/DO) with a current medical license , maintaining licensure requirements of the state of jurisdiction *Board ... us put health first** Job Description Summary The Associate Medical Director (AMD) is an instrumental clinical leader of...are precise *Identify critical issues for high-risk patients during case reviews & other forums, and modeling and driving… more