- CenterWell (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health ... claims. The Medical Director , Primary Care work assignments involve moderately complex to...data requires an in-depth evaluation of variable factors. The Medical Director relies on medical … more
- Humana (Nashville, TN)
- …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 issues where the analysis of situations or data requires an… more
- Humana (Nashville, TN)
- **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 ... Medical Director work assignments involve moderately complex to complex issues...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical… more
- Humana (Nashville, TN)
- **Become 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… more
- Humana (Nashville, TN)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests ... for services. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth… more
- Humana (Nashville, TN)
- **Become 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… more
- Gentiva (Kingsport, TN)
- **Overview** We are looking for a **Hospice Medical Director ** to join our **Kingsport** team. This Hospice Medical Director : + Serves as a medical ... oversight of the plan of care. + Partners with the patient's attending medical director /physician to develop and update the plan of care. + Certifies patient… more
- Humana (Nashville, TN)
- …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 ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records,… more
- Elevance Health (Nashville, TN)
- …schedule: Monday - Friday. Half day Saturday rotation, once a month.** The ** Medical Director ** is responsible for the administration of behavioral health ... increase effectiveness and quality. + Provides oversight, direction, and guidance to Medical Director Associates. + Works independently with oversight from… more
- CVS Health (Nashville, TN)
- … medical license without encumbrances in one of these states.** + In the Medical Director role you will provide oversight for medical policy ... timely and consistent responses to members and providers. + As a Medical Director you will focus primarily on overseeing utilization review and quality assurance… more
Recent Jobs
-
Delivery & Sustainment Quality Representative, Senior
- Lockheed Martin (Eglin AFB, FL)
-
Senior Data Engineer (Databricks)
- Infinitive Inc (Ashburn, VA)
-
Customer Account Specialist
- TriMas Corporation (New Albany, OH)
-
Facilities Engineer 3/4
- Northrop Grumman (Baltimore, MD)