- 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
- Intermountain Health (Montgomery, AL)
- …In addition, Physician shall work closely with the Medical Director (Executive/Community/Rural), Nursing Administrator, Case Management Director ... **Job Description:** Physician will provide Physician Advisor Utilization...coach physicians and other clinicians in appropriate documentation of medical necessity for hospital admissions and other diagnostic and… 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
- Veterans Affairs, Veterans Health Administration (Montgomery, AL)
- …for carrying out the goals, objectives, and plans and policies established by the Medical Center Director (MCD). Ensure the service functions as an integrated ... Responsibilities VA offers a comprehensive total rewards package. VHA Physician Total Rewards. Recruitment Incentive (Sign-on Bonus): Approved Pay: Competitive… more
- Evolent Health (Montgomery, AL)
- …on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... culture. **What You'll Be Doing:** As a Vascular Surgery, Physician Clinical Reviewer you will be a key member...support. + On a requested basis, may function as Medical Director for selecting health plans or… 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
- 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 relies on medical background and reviews health claims. The Medical… 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
- YesCare Corp (Clayton, AL)
- …**Responsibilities** Below is a list of your responsibilities as a **Site** ** Medical Director II** with YesCare located at **Ventress Correctional Facility ... to validate need for non-formulary medication on non-formulary request form for Medical Director 's approval when non-formulary medication is ordered. + Utilizes… 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
- YesCare Corp (Clayton, AL)
- …, check charts for completeness. + Release information at the direction of the Medical Records Supervisor, Medical Director or Health Services Administrator. ... & Requirements** + High School graduate or equivalent. + Minimum one-year medical records experience. + Familiarity with the Problem Oriented Medical … more
- Highmark Health (Montgomery, AL)
- …disease management identification process, and consult with the Organization's Associate Medical Directors and Medical Directors when appropriate, follow-up on ... accordance with our regulatory guidelines. The incumbent develops and implements physician , pharmacy, account, and member educational initiatives that promote the… more
- CSL Plasma (Auburn, AL)
- …to determine suitability to donate plasma * In conjunction with the Center Medical Director , responds to medically related questions and provides information to ... routine care following Standard Operating Procedures (SOPs); escalates critical medical situations to Center Physician or local...(SOPs); escalates critical medical situations to Center Physician or local medical service providers as… more
- Aveanna (Montgomery, AL)
- …to determine continued hospice eligibility. + Shares the clinical findings with the hospice medical director . + Attests in writing that he/she performed the face ... and that these findings were provided to the certifying physician . + Communicates with Clinical Director and...State of Alabama. + Minimum of one (1) year medical /surgical experience. Hospice/Home Health experience preferred. + Acceptance and… 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