- Humana (Harrisburg, PA)
- **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...group practice management. + Utilization management experience in a medical management review organization, such as Medicare … more
- Evolent (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of the utilization management ... rationale for standard and expedited appeals. . Utilizes medical / clinical review guidelines and parameters to assure...timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to… more
- Evolent (Harrisburg, PA)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a key member of the utilization ... rationale for standard and expedited appeals. + Utilizes medical / clinical review guidelines and parameters to assure...timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to… more
- AmeriHealth Caritas (Philadelphia, PA)
- ; **Responsibilities:** The Medical Director , Utilization Management provides organizational leadership in the operational areas of care management, utilization ... and related policy and practice initiatives in collaboration with the Corporate Medical Director (s), Utilization Management and the Vice President, Medical… more
- Gentiva (Pittsburgh, PA)
- **Overview** The ** Medical Director ** will report directly to the National Medical Director and supervise, evaluate, and be responsible for the standards ... Experience demonstrated by Hospice & Palliative Medicine board certification, Hospice Medical Director Certification Board certification, or substantial practice… more
- Genesis Healthcare (Wyncote, PA)
- …Assist the Director of Rehab with monitoring the standard of clinical services delivered to ensure adherence to evidence-based care delivery standards and ... place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time and Part-Time...Part-Time team members. + **Support for New Grads & Clinical Fellows:** Our Powerback Clinical Mentorship Program… more
- BAYADA Home Health Care (Boyertown, PA)
- BAYADA Home Health Care is seeking a to fill the position of **Hospice Director ** for our Boyertown, PA office. This office provides best in class care to adult and ... for the next progression in your career, then BAYADA's Clinical Nurse Manager could be the position for you....could be the position for you. **As a Hospice Director your day may look like this!** + Lead,… more
- Olympus Corporation of the Americas (Center Valley, PA)
- …tools and programs addressing purchasers, payers and policy makers. + Coordinate with Medical & Clinical Affairs, Regulatory to ensure appropriate support and ... **__** Every day, we live by our philosophy, True to Life, by advancing medical technologies and elevating the standard of patient care so people everywhere can… more
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