• Medical Director , Clinical…

    Highmark Health (Washington, DC)
    …responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using ... Medical Policy criteria sets to evaluate the ... necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic… more
    Highmark Health (07/29/25)
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  • National Accounts Medical Director

    Elevance Health (Washington, DC)
    …our care management models for our National Account clients. The medical director will be responsible for supporting the clinical vision and implementation ... the health improvement tools offered to clients/ members. The medical director provides clinical expertise...clinical relevance to account reporting regarding use of medical services by members. Involved in identifying… more
    Elevance Health (09/23/25)
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  • Medical Director - OneHome

    Humana (Washington, DC)
    …and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the… more
    Humana (09/27/25)
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  • Associate Director -Outpatient Dialysis

    Somatus (Falls Church, VA)
    …regulatory requirements and programs. Responsibilities + Collaborates with the SVP of Dialysis Services / Clinical Services Director of IP/OP Dialysis ... according to the program's staffing needs to ensure adequate staffing. Consult with Clinical Coordinators and Medical Director to optimize clinical… more
    Somatus (09/26/25)
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  • Medical Director - Cardiology

    Elevance Health (Washington, DC)
    ** Clinical Operations Medical Director ** **Carelon MBM** **Virtual:** This role enables associates to work virtually full-time, with the exception of ... medical appropriate information in order to make medical necessity determinations for services requested. +... Director review or policy interpretation. + Determine medical necessity of requests using applicable clinical … more
    Elevance Health (10/02/25)
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  • Medical Director - Radiation…

    Elevance Health (Washington, DC)
    ** Clinical Operations Medical Director ** **Carelon Medical Benefit Management** **Radiation Oncology** **Virtual:** This role enables associates to work ... clinical domains, including radiology, cardiology and oncology._ The ** Clinical Operations Medical Director ** is... medical appropriate information in order to make medical necessity determinations for services requested. +… more
    Elevance Health (10/03/25)
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  • Speech Therapist PRN

    HCA Healthcare (Reston, VA)
    …rehabilitation specific rates in negotiated payment structures/contracts. + In collaboration with the Medical Director and other clinical staff, assures the ... patients for the facility. + May consult with Program Director and Rehab Physician/ Medical Director ...Northern Virginia region. We offer a full range of medical services , including 24-hour emergency care. Our… more
    HCA Healthcare (07/26/25)
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  • RN Director of Clinical…

    Gentiva (Fairfax, VA)
    …Excellence. Deliver Compassionate Care. Transform Hospice Services .** We are seeking a RN Director of Clinical Services to join our team. Reporting to ... be an EEO employer + We maintain a drug-free workplace Keywords: Hospice RN leadership, Director of Clinical Services jobs, Hospice nurse director ,… more
    Gentiva (09/04/25)
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  • Occupational Therapist

    HCA Healthcare (Reston, VA)
    …rehabilitation specific rates in negotiated payment structures/contracts. + In collaboration with the Medical Director and other clinical staff, assures the ... patients for the facility. + May consult with Program Director and Rehab Physician/ Medical Director ...Northern Virginia region. We offer a full range of medical services , including 24-hour emergency care. Our… more
    HCA Healthcare (08/02/25)
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  • Director of Clinical Operations…

    BrightSpring Health Services (Upper Marlboro, MD)
    …Marlboro , NJ . In this key leadership role, you'll oversee home health clinical services , guide care delivery standards, and help drive exceptional patient ... Home Health is seeking a passionate, dedicated Home Health Director of Clinical Operations to join our...rapidly expanding organization Benefits and Perks for You! + Medical , Dental, Vision insurance + Health Savings & Flexible… more
    BrightSpring Health Services (07/28/25)
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