- CVS Health (CT)
- …continuum of our members' health care and social determinant needs. The Case Management (CM) Medical Director will participate in executing and deploying ... country. **Primary Duties and Responsibilities:** * Provides clinical oversight of the case management teams and the Interdisciplinary Care Team (ICT) processes… more
- Elevance Health (Wallingford, CT)
- …Accounts Medical Director ** is responsible for serving as the Operational Medical Director for our care management models for our National Account ... medical director supports product strategy/design through medical management that impact health care quality,... director is directly involved in Utilization Management and Case Management . +… more
- Elevance Health (Wallingford, CT)
- **Utilization Management Medical Director - NC Medicaid** Location: This role enables associates to work virtually full-time, with the exception of required ... Alternate locations may be considered. The ** Medical Director ** will be responsible for utilization review case... Director ** will be responsible for utilization review case management for North Carolina Medicaid. May… more
- Humana (Hartford, CT)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director relies on medical ...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Hartford, CT)
- … medical management operational improvements, including those within the medical director area + Participate in call rotation + Develop collaborative ... in teams focusing on quality management , utilization management , case management , discharge planning...on size of region or line of business. The Medical Director conducts Utilization Management … more
- Humana (Hartford, CT)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director relies on medical ...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Hartford, CT)
- …and experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received ... reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those within the medical … more
- Hartford HealthCare (Mansfield Center, CT)
- *_Associate Medical Director - Inpatient Services, Natchaug Hospital - Mansfield, CT_* Work where every moment matters. Every day, almost 30,000 Hartford ... part of Connecticut's most comprehensive healthcare network. *_Job Description_* The Associate Medical Director of Psychiatric Services at Natchaug Hospital is… more
- Humana (Hartford, CT)
- **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 operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Fair Haven Community Health Care (New Haven, CT)
- …of ability to pay. Job purpose Reporting to the Director of Medicine, the Site Medical Director (SMD) is the direct supervisor of the medical staff of ... management meetings with other SMDs, Nursing and Operations management , and the Director of Medicine +...of post-graduate clinical experience is highly desirable. + Prior medical , operational or people management experience preferred.… more