- Humana (Washington, DC)
- **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...work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference… more
- Humana (Washington, DC)
- …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 ... work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference...with compensated days off during the work week The Medical Director 's work includes reviewing of all… more
- CenterWell (Washington, DC)
- **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...work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference… more
- University of Maryland, Baltimore (Baltimore, MD)
- The University of Maryland School of Medicine is seeking a Chair and Medical Director of Critical Care for the UM Capital Region Health Medical Center ... Associates, PA They will work closely and in collaboration with the Trauma Medical Director , Chief of Cardiac Surgery, Surgery, Medicine, Neurocritical Care. The… more
- University of Maryland, Baltimore (Baltimore, MD)
- …physician-scientist with expertise in clinical trial design and execution to serve as Director of Clinical Trial Innovation.* The UM -IHC is a large-scale ... life and longevity of the citizens of Maryland. The UM -IHC, located in North Bethesda, MD, is a collaborative...of Maryland College Park, and the University of Maryland Medical System, funded with initial grants from the State… more
- University of Maryland, Baltimore (Baltimore, MD)
- …Comprehensive Cancer Center (UMGCCC), located in Baltimore, MD are recruiting for a*full-time Medical Director of the University of Maryland St. Joseph Cancer ... Institute, located in Towson, MD.**_ Administrative duties and responsibilities of the Medical Director role will include, but not limited to the following:_* *… more
- University of Maryland, Baltimore (Baltimore, MD)
- …a state-wide figure of prominence, serving as a liaison between the medical school, community, and statewide/ national advocacy organizations (eg, American ... */ Director /**, Maryland Epilepsy and Functional Neurosurgery Program* *Department...with the accelerating integration of the University of Maryland Medical System (UMMS), linking care networks across a growing… more
- University of Maryland, Baltimore (Baltimore, MD)
- …chief administrator of the Radiology practice to provide high quality imaging services. The medical director would report to the chief of the Body radiology ... service and to the system Vice Chair for UM Community Radiology. They would act as a liaison...workload with time specifically allotted for administrative duties. The medical director would work with UMMC-MTC leadership… more
- University of Maryland, Baltimore (Baltimore, MD)
- …Data/Adaptive Clinical Trials*at the University of Maryland-Institute for Health Computing ( UM -IHC) and*Assistant Director for Learning Health System and ... and innovation to win extramural funding and new public-private partnerships involving UM -IHC, respectively. UMGCCC: The role of*Assistant Director for Learning… more
- Evolent (Washington, DC)
- …Tasks are performed within the RN/LVN/LPN scope of practice, under Medical Director direction, using independent nursing judgement and decision-making, ... that do not meet established clinical criteria to the Medical Director . + Appropriately identifies and refers.... + Appropriately identifies and refers quality issues to UM Leadership. + Appropriately identifies potential cases for Care… more
- University of Maryland, Baltimore (Baltimore, MD)
- …senior level Neonatologist to join UM -SJMC as the level III NICU Medical Director . This position requires someone with strong clinical, operational, and ... * Medical Director , Level III Neonatal Intensive Care Unit* *University of Maryland St Joseph's Medical Center ( UM -SJMC) * *I. GENERAL SUMMARY* The… more
- Compass Group, North America (Gwynn Oak, MD)
- …NUTRITION MANAGER in Gwynn Oak, MD!** **Location** : Morrison Healthcare at UM Rehabilitation and Orthopaedic **Setting** : Rehab **Schedule** : Full time, Monday ... our nutrition education webinar series **Morrison Healthcare** is a leading national food and nutrition services company exclusively dedicated to serving more… more
- Datavant (Washington, DC)
- …appropriate letter language to author appeal letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted ... + Work directly with the provider(s) and health plan Medical Director as needed to facilitate timely...table:** + Two (2) years managed care experience in UM /CM/CDI Department preferred + Knowledge of CMS, State Regulations,… more
- Ivyhill Technologies LLC (Bethesda, MD)
- …duty and reserve/guard referrals under the supplemental health care program. Coordinate with Medical Director , Product Line leaders, and/or RM leadership for all ... with the Integrated Referral Management and Appointing Center (IRMAC), the National Capital Regions' premier coordinating authority for appointing and referral… more
- Humana (Washington, DC)
- …the Regional Vice President of Health Services (RVP) and Health Services Director (HSD). This position focuses on enabling connections with providers, supporting ... for provider partners regarding utilization management operations questions, interfacing with central UM team. + Collaborate with the delegation team to identify and… more
- University of Maryland, Baltimore (Baltimore, MD)
- …of Maryland School of Dentistry (its practices and campus partners - UMB, UM FPI and UMMC/S). *Benefits (Exempt Regular): * UMB offers acomprehensive benefits ... all trend reports generated in the department in conjunction with the Director of Communications and Marketing, UMSOD leadership and other department Directors to… more