- Humana (Lansing, MI)
- **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...+ Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted… more
- Humana (Lansing, MI)
- **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 ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation...ongoing board certification through an approved ABMS or AOABPS Medical Specialty is a requirement. NBPAS certification… more
- Evolent (Lansing, MI)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Evolent (Lansing, MI)
- …mission. Stay for the culture. **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Henry Ford Health System (Detroit, MI)
- Position Description Overview In collaboration with the Medical Director of Infection Prevention and Control (IPC) and Antimicrobial Stewardship (AMS), the ... Associate Medical Director of IPC/AMS is responsible for...- from primary and preventative care to complex and specialty care, health insurance, a full suite of home… more
- Gentiva (West Branch, MI)
- …Transform Care through Compassionate Hospice Leadership.** We are seeking a dedicated Hospice Medical Director to join our leadership team and provide expert ... substances. + Hospice and Palliative Medicine board certification and/or Hospice Medical Director Certification Board certification preferred. + Current Medicare… more
- ChenMed (Warren, MI)
- …and we need great people to join our team. The Associate Center Clinical Director will directly supervise and train primary care providers (PCPs) in his/her assigned ... needs, size of centers, patient membership, and Market Clinical Director direction. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Independently provides care for… more
- Evolent (Lansing, MI)
- …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Evolent (Lansing, MI)
- …per inter-rater reliability process. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall ... utilization management while working in conjunction with the Senior Medical Director . May assist the Senior ...+ Current, unrestricted clinical license in medicine or required specialty - **Required** + Obtaining and maintaining medical … more
- Humana (Lansing, MI)
- …Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...+ Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted… more