- Veterans Affairs, Veterans Health Administration (Tuskegee, AL)
- …appointed as PRPs. Proficiency in spoken and written English. Preferred Experience: The Medical Director of GERI PACT is board Certified Family Medicine, ... and the other health services we offer at our Central Alabama VA Medical Center-Tuskegee.VA offers a comprehensive total rewards package. VHA Physician Total… more
- Veterans Affairs, Veterans Health Administration (Tuskegee, AL)
- …of the EDRP application. Responsibilities The incumbent will be responsible as the Physician for the Care of veterans enrolled in the Home-Based Primary Care (HBPC) ... Program in Tuskegee, Alabama. The Physician will act as both a consultant and provide medical advice to peers and other staff related to medical direction… more
- Prime Therapeutics (Montgomery, AL)
- …of utilization management decisions. + On a requested basis, may function as Medical Director for select health plans or regions, assuming overall accountability ... and drives every decision we make. **Job Posting Title** Physician Clinical Reviewer, MRx - Oncology - REMOTE **Job...member of the utilization management team, and provides timely medical review of service requests that do not initially… more
- Veterans Affairs, Veterans Health Administration (Montgomery, AL)
- …and the other health services we offer at our Central Alabama VA Medical Center-Montgomery. VA offers a comprehensive total rewards package. VHA Physician ... Malpractice: Free liability protection with tail coverage provided Contract: No Physician Employment Contract and no significant restriction on moonlighting Must… more
- Evolent Health (Montgomery, AL)
- …per inter-rater reliability process. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall ... for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer, Hematology and Medical Oncology...utilization management while working in conjunction with the Senior Medical Director . May assist the Senior … more
- Genesis Healthcare (Elmore, AL)
- …Medicine with LTC Experience. The Attending Physician works with the Center Medical Director to ensure that delivery of clinical services achieves the ... Physician 's Primary reporting relationship is to the AlignMed Partners Regional Medical Director . The Attending Physician is also accountable to both the… more
- Evolent Health (Montgomery, AL)
- …recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer you will be a key member...Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests… more
- YesCare Corp (Elmore, AL)
- …to validate need for non-formulary medication on non-formulary request form for Medical Director 's approval when non-formulary medication is ordered. + Utilizes ... Below is a list of your responsibilities as a ** Physician with YesCare at Staton Correctional Facility. 20 hours...assistants or nurse practitioners as required. + Notifies Regional Medical Director and Site Health Services Administrator… more
- Humana (Montgomery, AL)
- … Director relies on medical background and reviews health claims. The Medical Director (Staff Geriatrician or Physician with Ten (10) Years of ... Ten (10) Years of Clinical Practice with Older Adults ( Medical Director ) is dedicated full time to...and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician… more
- Humana (Montgomery, AL)
- …and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, ... 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… more
- Humana (Montgomery, AL)
- …and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, ... a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Montgomery, AL)
- …this knowledge in their daily work. The Behavioral Health Medical Director may speak with contracted external physicians, physician groups, facilities, or ... our caring community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new… more
- NHS Management, LLC (Prattville, AL)
- …LPN Nurse / Medical Records LPN: Under the direction of the Director of Nursing, responsible for preparation of medical record upon admission, maintenance ... in long term care a plus + Working knowledge in medical terminology, and physician orders. + Must have excellent telephone, communication and interpersonal… more
- CSL Plasma (Montgomery, AL)
- …information regarding suitability to donate plasma. 3 In conjunction with the Center Medical Director and/or Center Physician responds to medically related ... as outlined in Standard Operating Procedures (SOPs); elevates situations to Center Physician or local medical service providers as required. Periodically checks… more
- CSL Plasma (Montgomery, AL)
- …information regarding suitability to donate plasma. * In conjunction with the Center Medical Director and/or Center Physician responds to medically related ... as outlined in Standard Operating Procedures (SOPs); elevates situations to Center Physician or local medical service providers as required. Periodically checks… more
- Evolent Health (Montgomery, AL)
- …Appropriately identifies and refers quality issues to the Senior Director of Medical Management or Medical Director . + Appropriately identifies potential ... clearly. **Responsibilities** + Reviews adverse determinations against criteria and medical policies + Works with the physician ...and medical policies + Works with the physician reviewer to monitor the adverse determination process and… more
- Takeda Pharmaceuticals (Montgomery, AL)
- …Disease Sales Team, you will be empowered to guide product demand in targeted physician offices and key clinics and impact patients' lives. You will report to the ... Sr. Regional Business Director . **How you will contribute:** + You will understand...assigned customer population. This may include physicians within specialty medical practices and their staff, specialists within local hospitals… more
- BrightSpring Health Services (Prattville, AL)
- …Home Health and Hospice Overview Under the general administrative direction of the Director of Business Development, the Community Liaison will market hospice and or ... maintains professional relationships with all referral sources, including hospitals, physician and surgeon practices, nursing homes, hospital case managers,… more
- Gentiva (Montgomery, AL)
- …RN/ RN Case Manager, you will:** + Reportdirectly to the Administrator, Executive Director or Patient Care Manager Senior and will maintain primary control and ... of each patient. + Act as primary liaison between physician , patient/family and hospice team. + Provide direct patient...you will be eligible for:** + Competitive Pay + Medical , Dental, Vision Plans + Wellness Program and Resources… more
- Takeda Pharmaceuticals (Montgomery, AL)
- …have access to Takeda's IG portfolio. You will report to the Region Business Director . **How you will contribute:** * Achieve sales quotas and goals through growing ... to work multiple sites of care and product channels ( physician office, infusion centers, hospitals, specialty pharmacy) along with...US based employees may be eligible to participate in medical , dental, vision insurance, a 401(k) plan and company… more