- Diversicare Healthcare Services & Diversicare Ther (Etowah, TN)
- …us! **Exciting Opportunity: Join Diversicare as an MDS Coordinator- RNAC and Director of Care Coordination.** Diversicare is seeking a dedicated MDS Coordinator ... Benefits:** Enjoy a competitive benefits package, including competitve salary, medical /dental/vision coverage, an excellent 401k plan, tuition reimbursement, and… more
- Humana (Raleigh, NC)
- … Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by members ... caring community and help us put health first** The Medical Director actively uses their medical...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, dispute, grievance,… more
- Humana (Carson City, NV)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- Intermountain Health (Denver, CO)
- …Credentialing and Privileging documentation (hospital), Credentialing and Scope of Practice ( Medical Group), Consultation and Referral Plan (DOPL) or other similar ... this position is accountable to: deliver optimal patient care through effective clinical practice; education of the patient, patient's family, clinical staff,… more
- Highmark Health (Phoenix, AZ)
- …**JOB SUMMARY** This role supports the Medical Policy team by bringing medical director level expertise, experience and knowledge to the team. They support ... clinical team members for operational guidelines. The incumbent must have an understanding of medical coding (ICD-10, CPT, HCPS) as medical coding … more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Functions as a mentor and resource throughout the workday in training medical director colleagues, as needed. + Conduct clinical appeal case reviews and may ... you, we encourage you to apply! Job Description: The Medical Director participates in the broad array... expertise on ARD cases, Quality of Care cases, clinical editing, coding reviews and inquiries. +… more
- ThermoFisher Scientific (Greenville, NC)
- …oversight of all contracted services. **Discover Impactful Work:** The Associate/ Medical Director provides medical oversight of clinical trials to ensure ... industry; Or + Direct experience in safety/Pharmacovigilance (comparable to 2 years) **For Medical Director Level:** + MD or equivalent required. Active … more
- Intermountain Health (Billings, MT)
- **Job Description:** Medical Group Medical Director of Specialty Care in Montana Market, Billings is a leadership position reporting to and collaborating ... sustain healthy relationships among providers and Intermountain Health. The Medical Director must be a patient centric...AOA Board Certification in a relevant specialty. + Active Medical Licensure + Minimum two years of clinical… more
- East Boston Neighborhood Health Center (East Boston, MA)
- …Position Summary/Responsibilities: In collaboration with Adult Medicine leadership team, the Medical Director is responsible for * collaborating closely with ... communication amongst leadership and departmental staff * administrative and clinical development of medical staff in Adult... coding and billing departments to assure proper coding . * providing real-time clinical consultation for… more
- CVS Health (Sacramento, CA)
- …anywhere in the US.** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The ... Medical Director (Spine) will be a Subject...for predetermination reviews ad reviews of claim determinations, providing clinical , coding , and reimbursement expertise, using multiple… more