- 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. ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and… more
- 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. ... quality management, utilization management, case management, discharge planning and/or home health or post acute services such...President of Health Services, Lead, or Corporate Medical Director , depending on size of region… 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… 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… more
- CVS Health (Tallahassee, FL)
- …resistant illnesses through peer review and educational interventions. * Work with medical director teams focusing on inpatient care management, clinical ... and the delivery of cost-efficient care. Will also interact with the members, health systems, nursing facilities, as well as home and community-based networks.… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation...focusing on quality management, utilization management, discharge planning and/or home health or rehab + Must be… more
- Evolent (Tallahassee, FL)
- …interpretation, guidelines and/or system support. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key… more
- Evolent (Tallahassee, FL)
- …interpretation, guidelines and/or system support. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your… more
- HCA Healthcare (St. Petersburg, FL)
- …sites of care in 21 states and the United Kingdom. We are looking for a Director of Medical Staff Services for our HCA Florida Northside Hospital team where ... Hospital, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...to be an influencer in healthcare? **Apply for our Director of Medical Staff Services role today!**… more
- Evolent (Tallahassee, FL)
- …interpretation, guidelines and/or system support. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...**What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key… more