- Humana (Nashville, TN)
- …and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether services ... Medical Director . **Other duties:** + Identify medical management operational improvements, including those within...partners within the Medicare Line of Business. + Support Home Solutions as needed Other activities as assigned by… more
- HCA Healthcare (Nashville, TN)
- …Build collaborative working relationships In addition to basic supplier relationship management , the Portfolio Director will strategically foster excellent ... the career opportunities as a Laboratory Portfolio and Services Director you want with your current employer? We have...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Nashville, TN)
- …sites of care in 21 states and the United Kingdom. We are looking for a(an) Home Health Director for our TriStar Healthcare at Home team where excellence ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...to be an influencer in healthcare? **Apply for our Home Health Director role today!** **Job Summary… more
- Humana (Nashville, TN)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director actively uses their medical...quality management , utilization management , case management , discharge planning and/or home health or… more
- Humana (Nashville, TN)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director relies on medical ...leading teams focusing on quality management , utilization management , discharge planning and/or home health or… more
- Humana (Nashville, TN)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director relies on medical ...quality management , utilization management , case management , discharge planning and/or home health or… more
- HCA Healthcare (Nashville, TN)
- …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Director of IPS Risk Management with HCA Healthcare you can be a ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...in our organization. We are looking for an enthusiastic Director of IPS Risk Management to help… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Director of Clinical Case Management ? At HCA Healthcare, you come first. HCA ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...make a difference. We are looking for a dedicated Director of Clinical Case Management like you… more
- Humana (Nashville, TN)
- … medical management operational improvements, including those within the medical director area + Participate in call rotation + Develop collaborative ... quality management , utilization management , case management , discharge planning and/or home health or...on size of region or line of business. The Medical Director conducts Utilization Management … more
- Gentiva (Jackson, TN)
- …to patient's/families/caregivers. + Collaborate with Nurse Practitioner, PCP, and/ or Medical Director to address patient needs. **About You** **Registered ... Gentiva family - an industry leader in hospice, palliative, home health, and personal home care. Our...they need with dignity, grace, and love. The **RN Director of Advanced Illness Management (AIM)** will… more
- Humana (Nashville, TN)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
- Humana (Nashville, TN)
- …with mandated and corporate policies regarding other departmental areas such as medical management , utilization management , population health and quality. ... put health first** Humana Healthy Horizons in Virginia is seeking an Associate Director , Care Management (LTSS/ABD) who will lead teams of healthcare… more
- CenterWell (Nashville, TN)
- …a part of our caring community and help us put health first** **National** ** Director of Transitional Care and High-Risk Patient Management ** The Director ... Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as well as… more
- J&J Family of Companies (Nashville, TN)
- Group Product Director , GU Thought Leader Engagement, Medical Oncology - 2406186853W **Description** Johnson & Johnson is recruiting for Group Product ... Director , GU Thought Leader Engagement, Medical Oncology....based position with significant travel to customers and the home office in Horsham, PA. This is a field-based… more
- Humana (Nashville, TN)
- …our caring community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new ... and work is performed without direction. The Behavioral Health Medical Director actively uses their medical...quality management , utilization management , case management , discharge planning and/or home health or… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Senior Director Clinical Resource Management ? At HealthTrust, you come first. HCA Healthcare has ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...a difference. We are looking for a dedicated Senior Director Clinical Resource Management like you to… more
- Elevance Health (Nashville, TN)
- …Medical Benefits Management is looking to hire a **National Solution Medical Director for Post Acute Care Solutions** . This high-performing individual ... will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions...Management decision support in the Post-Acute Domain, DME, Home Health, and Wound Care. + Experience with Clinical… more
- HCA Healthcare (Nashville, TN)
- …Medicine **Job Summary:** CareNow Urgent Care is recruiting an Urgent Care Area Medical Director with demonstrated leadership qualities to join the management ... for this team under the direction of the Market Medical Director , it is important that the...PTO including paid time off for CME + Paid medical malpractice Nashville is home to nearly… more
- Elevance Health (Nashville, TN)
- **Clinical Operations Medical Director ** **Utilization Management of Medical Oncology Benefits** **Carelon Benefits Management ** **$20,000 Sign On ... set of clinical domains, including radiology, cardiology and oncology._ The **Clinical Operations Medical Director supporting our Medical Oncology team** is… more
- Fresenius Medical Center (Memphis, TN)
- …communication of company initiatives. + Responsible for developing and maintaining strong Medical Director and physician relationships. + Presides over facility ... standards. + Provides leadership support and guidance to facility/program management including clinical and home therapy managers...as the primary liaison between the company and the Medical Directors, Medical Advisory Board members, and… more