- Humana (Tallahassee, FL)
- …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...Director will collaborate with clinicians and support staff to provide Humana members with optimal value based care in… 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. The ... of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement… more
- Humana (Tallahassee, FL)
- …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 whether services provided… more
- Humana (Tallahassee, FL)
- …a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare, Medicare Advantage, and Medicaid requirements… more
- Humana (Tallahassee, FL)
- …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 whether services provided… more
- Molina Healthcare (Tampa, FL)
- JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting ... care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines… more
- Humana (Tallahassee, FL)
- …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 make ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and Medicare Advantage requirements and… more
- MyFlorida (Tampa, FL)
- …Sharepoint + Travel time: 25% - 30%, to include home visits, community visits, medical provider visits. Preferred Qualifications: + A Bachelor's degree or higher ... This is a professional social services position for the Medical Foster Care (MFC) program reporting to the Registered...in this position utilizes the social work process to provide pediatric and family social work expertise in the… more
- University of Miami (Miami, FL)
- …Department at the University of Miami has an exciting opportunity for a Medical Technologist CORE JOB SUMMARYThe Medical Technologist - Per Diem performs ... microbiological, molecular biological and immunological tests on body specimens to provide data for use in treatment and diagnosis of disease. The incumbent… more
- Select Medical (Tampa, FL)
- …in Windows-based office technologies (ex., Word, Excel, PowerPoint). **Additional Data** Select Medical strives to provide our employees with work-life balance, ... errors, disseminate the information to the centers, ensure timely resolution, and provide training/refresher training as needed. + Ensure centers are compliant with… more
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