- Evolent Health (Springfield, IL)
- …for utilization management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:** + MD /DO/MBBS- **Required** ... the culture. **What You'll Be Doing:** As a Cardiology, Physician Clinical Reviewer you will be a key member...review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance… more
- Ascension Health (Schaumburg, IL)
- …training and competitive wages. **Requirements** **Licensure/Certification/Registration** : + Physician MD /DO credentialed from the Illinois Department ... Travel, PRN, Short-Term Option, etc.). Actual compensation offer will vary based upon role, education, experience, location, and qualifications. Connect with your… more
- Veterans Affairs, Veterans Health Administration (Quincy, IL)
- …physical and/or behavioral problems. Works with the registered nurse (RN) and/or physician ( MD /DO) to appropriately orient/train less experienced LPNs and/or ... required by 38 USC 7402(d), and 7407(d). May qualify based on being covered by the Grandfathering Provision as...nursing care work in a hospital, outpatient clinic, nursing home , or other supervised medical, nursing, or patient care… more
- Loyola University Chicago (Chicago, IL)
- …details. Please apply by sending a cover letter and CV to: Katie Delaney, Physician Recruitment Office, ###@luhs.org Attn: Vivian Gahtan, MD , FACS John P. Igini, ... the group. Loyola Medicine is a quaternary care system based in the western suburbs of Chicago that includes...sending a cover letter and CV to: Katie Delaney, Physician Recruitment Office, ###@luhs.org Attn: Vivian Gahtan, MD… more
- Elevance Health (Deerfield, IL)
- WARNING: Please beware of phishing scams that solicit interviews or promote work-at- home opportunities, some of which may pose as legitimate companies. Elevance ... as part of consideration for employment. **Medical Oncology Medical Director - Utilization Review** + Job Family: MED >...- Utilization Review** + Job Family: MED > Licensed Physician /Doctor/Dentist + Type: Full time + Date Posted:Apr 17,… more
- Humana (Springfield, IL)
- …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer- based review of moderately complex to complex ... processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups,… more
- Elevance Health (Chicago, IL)
- WARNING: Please beware of phishing scams that solicit interviews or promote work-at- home opportunities, some of which may pose as legitimate companies. Elevance ... as part of consideration for employment. **National Solution Medical Director - Surgery** + Job Family: MED > Licensed... - Surgery** + Job Family: MED > Licensed Physician /Doctor/Dentist + Type: Full time + Date Posted:Apr 17,… more
- Elevance Health (Chicago, IL)
- WARNING: Please beware of phishing scams that solicit interviews or promote work-at- home opportunities, some of which may pose as legitimate companies. Elevance ... payment as part of consideration for employment. **Senior Medical Director , Clinical UM Operations** + Job Family: MED >...Clinical UM Operations** + Job Family: MED > Licensed Physician /Doctor/Dentist + Type: Full time + Date Posted:Apr 16,… more
- Elevance Health (Deerfield, IL)
- WARNING: Please beware of phishing scams that solicit interviews or promote work-at- home opportunities, some of which may pose as legitimate companies. Elevance ... part of consideration for employment. **Orthopedic Surgery Associate Medical Director - Sign on Bonus $7,500** + Job Family:...on Bonus $7,500** + Job Family: MED > Licensed Physician /Doctor/Dentist + Type: Full time + Date Posted:Apr 15,… more
- Elevance Health (Chicago, IL)
- WARNING: Please beware of phishing scams that solicit interviews or promote work-at- home opportunities, some of which may pose as legitimate companies. Elevance ... payment as part of consideration for employment. **National Medical Director , Post Acute Solutions** + Job Family: MED >...Post Acute Solutions** + Job Family: MED > Licensed Physician /Doctor/Dentist + Type: Full time + Date Posted:Apr 08,… more
- Elevance Health (Chicago, IL)
- WARNING: Please beware of phishing scams that solicit interviews or promote work-at- home opportunities, some of which may pose as legitimate companies. Elevance ... payment as part of consideration for employment. **Associate Medical Director - Interventional Pain** + Job Family: MED >...- Interventional Pain** + Job Family: MED > Licensed Physician /Doctor/Dentist + Type: Full time + Date Posted:Apr 16,… more
- Trinity Health (Oak Brook, IL)
- …CPI Committee. Assume a leadership role on the QAPI Committee. **Qualifications:** + A physician (Medicine doctor, MD or Doctor of Osteopathy, DO) licensed to ... home care and end-of-life care in the sacred place that people call home . A Catholic- based , non-profit organization, we serve patients and their loved ones… more
- Marriott (Springfield, IL)
- …duty and quality care are always adhered to. + Maintain and update physician networks and panels. + Collaborate with treating providers, working cooperatively for ... and Vocational Rehabilitation for injured workers per regional guidelines. + Oversee Home Health and Field Case Managers. Claims Services + Collaborate with Claims… more
- Elevance Health (Springfield, IL)
- WARNING: Please beware of phishing scams that solicit interviews or promote work-at- home opportunities, some of which may pose as legitimate companies. Elevance ... LOUIS + GA, SAVANNAH + CA, COSTA MESA + MD , HANOVER + NJ, ISELIN + CA, CERRITOS +...for case management or disease management services to include home health, nutritional counseling, etc. **How you will make… more
- Trinity Health (Berwyn, IL)
- …needs of patients that may affect their overall health. This role will support a new Home MD Visit program using CMA skills as well as be responsible for some ... we aim to change healthcare delivery! LUHS/LPP has joined forces with several community- based organizations to form the West Cook Coalition (WCC) that will focus on… more
- Humana (Springfield, IL)
- …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer based review of moderately complex to complex ... processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups,… more
- Humana (Springfield, IL)
- …operationalize this knowledge in their daily work. The Behavioral Health Medical Director may speak with contracted external physicians, physician groups, ... community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new delivery models.… more
- Elevance Health (Chicago, IL)
- WARNING: Please beware of phishing scams that solicit interviews or promote work-at- home opportunities, some of which may pose as legitimate companies. Elevance ... for payment as part of consideration for employment. **Medical Director Clinical Programs (US)** + Job Family: MED >...Clinical Programs (US)** + Job Family: MED > Licensed Physician /Doctor/Dentist + Type: Full time + Date Posted:Feb 19,… more
- Elevance Health (Deerfield, IL)
- WARNING: Please beware of phishing scams that solicit interviews or promote work-at- home opportunities, some of which may pose as legitimate companies. Elevance ... LOUIS + GA, SAVANNAH + CA, COSTA MESA + MD , HANOVER + NJ, ISELIN + OH, MASON +...of the client health plan network. + Notifies ordering physician or rendering service provider office of the preauthorization… more
- ChenMed (Chicago, IL)
- …transitional care team, hospital, skilled nursing facility, post-acute, utilization management, and home - based services for the market. + The position will have ... compliance measures, provider workflow planning under the Guidance of Medical director CVC and Regional leaders. In addition, cardiologist is responsible for… more