- AmeriHealth Caritas (Newark, DE)
- ** Medical Director , LTSS (must reside in DE)** Location: Newark, DE Primary Job Function: Medical Management ID**: 34195 **Job Brief** Qualified ... policy and practice initiatives in collaboration with the Corporate Medical Director (s), Senior Medical Directors,...of employment. + Must be Board Certified in his/her medical specialty. Internal Medicine, Family Medicine, Geriatrics ,… more
- CVS Health (Hartford, CT)
- …make health care more personal, convenient and affordable. Job Purpose and Summary: The LTSS /SAI National Senior Medical Director , reporting to a Regional ... data analytics team and develops specific actions to manage LTSS related medical cost trends* Develops benchmarks... specialties (IM, FP, specialty certification or training in Geriatrics highly preferred). Current state medical license… more
- CVS Health (Columbus, OH)
- …resistant illnesses through peer review and educational interventions.* Work with medical director teams focusing on inpatient care management, clinical ... as needed. * Outward facing position to interact and collaborate with medical / physical professional associates, the local provider community, state regulatory… more
- CVS Health (Hartford, CT)
- …members' health care and social determinant needs. The Duals Care Management (CM) Medical Director will participate in designing, developing and deploying our ... physical, behavioral and socioeconomic needs.* Partner closely with the Executive Director of Duals and other Duals Care Management leadership to collaborate… more
- Humana (Muncie, IN)
- …+ Assisting members in maintaining Medicaid eligibility + Collaborate with Medical Director /Geriatrician/Care Coordinator as deemed necessary to ensure cohesive, ... include: + Administer initial and ongoing long-term services and support ( LTSS ) related assessments through person-centered thinking approaches. + Contacts members… more
- Highmark Health (Dover, DE)
- …facilities and providers for care-coordination. + Participate in rounds with the Medical Director . + Review documentation and processes for consistent practice, ... use of resources for members enrolled in DSHP Plus LTSS . Provides direct oversight to Case Managers, meets all...to comply with all telecommuter policies + Experience in geriatric special needs, behavioral health, home health + Understanding… more