- Blue KC (MO)
- …insurance, other healthcare providers, clinical group practice management + Current unrestricted medical license to practice medicine in the states of Missouri ... a major program or functional area within Medical Management, eg, medical policy, credentialing, utilization management, case management, patient centered … more
- PeaceHealth (Longview, WA)
- **Description** PeaceHealth is seeking a Medical Social Worker - Hospice for a Per Diem/Relief, 0.00 FTE, Day position. The salary range for this job opening at ... Providing direct casework services to clients related to their medical /psychiatric diagnosis, including biopsychosocial assessment, assisting with long-term planning… more
- City of New York (New York, NY)
- Job Description City Medical Specialist assignment level IV THIS IS A PART-TIME (35 Hours/Week) Please note the maximum salary is $88.13 per/hour Established in ... to hire a part-time Physician to serve as City Medical Specialist, Level 4 DUTIES WILL INCLUDE BUT NOT...weekly with PHAs and other clinic staff to conduct case management "rounds" on all Class III patients in… more
- Elevance Health (Gastonia, NC)
- \#HealthyBlueCareTogetherCFSP **Clinical Care Advisor - Complex Medical ** **$2,500 SIGN ON BONUS** _We are partnering with North Carolina DHHS to operationalize a ... with the advisors supporting the care managers with consulting on complex medical or IDD cases. This **field-based role** enables associates to primarily operate… more
- City of New York (New York, NY)
- …with multiple teams, including OSH clinical and DOE teams. - Perform clinical case reviews as requested by the Medical Director. Provide clinical assistance ... This is achieved through a combination of public health initiatives, case management, education, and direct clinical services. For additional information regarding… more
- Humana (San Juan, PR)
- …or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in at least one ... caring community and help us put health first** The Medical Director actively uses their medical background,...jurisdiction and willing to obtain additional license , if required. + No current sanction from Federal… more
- Humana (Concord, NH)
- …our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The ... Behavioral Health Medical Director work assignments involve moderately complex to complex... or ABPN Specialty + A current and unrestricted license in at least one jurisdiction and willing to… more
- Humana (Raleigh, NC)
- …or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in at least one ... caring community and help us put health first** The Medical Director relies on medical background and...jurisdiction and willing to obtain additional license , if required. + No current sanction from Federal… more
- CareOregon (Portland, OR)
- …or DO) in the State of Oregon + Certification by the American Board of Medical Specialties + Drug Enforcement Administration (DEA) license + CPR certification at ... is a Portland area nonprofit organization and one of the largest providers of medical care exclusively in the home in the Western United States. We are proving… more
- Rush University Medical Center (Chicago, IL)
- …care. Applies criteria, performs concurrent review process. Works with physicians and Medical Director regarding Case issues and concurrent denials as indicated. ... **Job Description** Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical ...Offers may vary depending on the circumstances of each case . **Summary:** The Social Work Care Mgr (CM) works… more