- Elevance Health (Houston, TX)
- …experience providing health care is required. + Additional experience may be required by State contracts or regulations if the Medical Director is filing a role ... **Behavioral Health Medical** ** Director -Psychiatrist** **Appeals** **Location:** This role enables associates to...programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical /strategic advisor… more
- CVS Health (Austin, TX)
- …delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. This Medical Director provides subject matter expertise ... Medical Director role include support of the appeal process, clinical claim review process, pre-certification, and predetermination of covered benefits in the… more
- Humana (Austin, TX)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual** **The Medical Director conducts clinical case reviews of requests received by members ... 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… more
- Humana (Austin, TX)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of ... 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… more
- Veterans Affairs, Veterans Health Administration (Temple, TX)
- …Temple, Texas is seeking a full-time Physician (Home Base Primary Care Medical Director ) to provide clinical oversight of all Non-Institutional Care (NIC ... Home and Community Based Services, Contract Nursing Homes and State Veterans Home Programs) in collaboration with NIC program...and VA Central Office staff on program development issues. Clinical Responsibilities: The HBPC Medical Director , in… more
- AdventHealth (Burleson, TX)
- …a low-cost of living. **The role you'll contribute:** The Care Management Market Director has full accountability and oversight for the overall operations of Care ... Management within their assigned market. The Care Management Market Director reports directly to the Division CNE and has a dotted matrix reporting relationship to… more
- Veterans Affairs, Veterans Health Administration (Temple, TX)
- …Temple, Texas is seeking a full-time Podiatrist (Home Base Primary Care Medical Director ) to provide clinical oversight of all Non-Institutional Care (NIC ... Home and Community Based Services, Contract Nursing Homes and State Veterans Home Programs) in collaboration with NIC program...and VA Central Office staff on program development issues. Clinical Responsibilities: The HBPC Medical Director , in… more
- Evolent (Austin, TX)
- …Medical Director . **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical license in medicine or required specialty + Obtaining and maintaining ... make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a...Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Sr Director Case Management position is responsible for providing executive leadership and strategic oversight for all hospital-based Case ... Management Directors and the Central Utilization Review Director across the system. This position is responsible for the integration and advancement of a unified… more
- Valor Health (Copperas Cove, TX)
- …Clinic Medical Director - VA employees welcome Copperas Cove, TX Clinical - Physician About Us Valor Healthcare is a veteran and physician-led provider ... to the executive level. Position Summary The Clinic Medical Director (CMD) is responsible for all clinical ...Health Administration (VA). + Valid, unrestricted license in the state of desired employment, or in any US … more