- Humana (Jefferson City, MO)
- …relationships, value based care , population health, or disease or care management . Medical Directors support Humana values, and Humana's Bold Goal ... some experience in an inpatient environment and/or related to care of a Medicare type population (disabled...of business. The Medical Director conducts Utilization Management of the care received by members… more
- Humana (Jefferson City, MO)
- …quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may develop procedures, processes, ... Director will attend and participate in meetings involving care management , provider relations, quality of ...some experience in an inpatient environment and/or related to care of a Medicare or Medicaid type population… more
- Humana (Jefferson City, MO)
- …on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member ... some experience in an inpatient environment and/or related to care of a Medicare type population (disabled...business metrics. + Experience working with Case managers or Care managers on complex case management , including… more
- ChenMed (St. Louis, MO)
- …clinical outcomes and quality improvement processes. + Experience of population risk management or complex chronic disease care management . + History of ... people to join our team. The Associate Market Clinical Director will directly supervise, performance manage and train Clinical...attained partnership. + Experience with population risk management or complex chronic disease care … more
- Humana (Jefferson City, MO)
- …of the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including ... community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on...+ Experience in an inpatient environment and/or related to care of a Medicare type population (disabled… more
- Humana (Jefferson City, MO)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). ... The Medical director work assignments involve moderately complex to complex issues...responsibilities as determined necessary to support optimal value based care in accordance with Medicare and Humana policy. The… more
- Humana (Jefferson City, MO)
- …and partnering across the enterprise (eg, with Clinical Operations, Markets, Care Management , Analytics, Pharmacy, etc.) to develop discrete, high-value ... Director , Physician leadership will lead Medical Directors performing utilization management for inpatient authorizations training medical director team to… more
- Sunrise Senior Living (Webster Groves, MO)
- …abilities required. + One (1) year experience preferred in assisted living, long term care , or experience/exposure to the senior population + Ability to lead and ... + Prepare and review the activity calendar and newsletter with the Executive Director (ED) prior to submitting for printing. + Coordinate with other department… more
- Centene Corporation (Jefferson City, MO)
- …Personnel Management is advantageous. Experience treating or managing care for a culturally diverse population preferred. **License/Certifications:** Board ... to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes. + Collaborates effectively with clinical… more
- Compass Group, North America (St. Louis, MO)
- …knowledge of all CCL and brand specific systems&processes for Senior Living, Health Care , and Retail management . * Ability to communicate clearly and concisely ... CCL Hospitality Group **Position Title: Culinary Director - Travel St.Louis** **Salary: $82,000 - $85,000**...a philosophy rooted in caring for the individuals who care for our guests. Our most significant competitive advantage… more