- 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
- 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 (Chicago, IL)
- **Clinical Operations Medical Director ** **Utilization Management of Medical Oncology Benefits** **Carelon Benefits Management** **$20,000 Sign On Bonus** ... our Elevance Health PulsePoint locations with the opportunity to work remotely from home . _A proud member of the Elevance Health family of companies, Carelon Medical… more
- Rush University Medical Center (Chicago, IL)
- …Schedule:** 12 Hr (6:45:00 PM - 7:15:00 AM) FULLY REMOTE, WORK FROM HOME **Summary:** The Organ Placement Clinical Coordinator is a registered nurse trained in ... and assists in reviewing, screening, selecting, and recommending transplant candidates based on organ specific criteria. Coordinates the transplant event process… 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
- CVS Health (Springfield, IL)
- …Position Summary Aetna, a CVS Health company has an outstanding opportunity for a Medical Director . Ready to take your career to the next level with a Fortune 6 ... company?This is a remote Work at Home position and can be located anywhere in the...anywhere in the United States.In this role as Medical Director MPO (Medical Policy & Operations) you will be… 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
- 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
- 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
- SSM Health (Centralia, IL)
- …no weekends or Holidays + Practice inclusive of Hyperbaric medicine and Nursing Home work + Fully electronic office and dedicated staff + 250,000 population service ... area covering 9 counties **Job Summary:** In collaboration with physician (s), demonstrates and provides professional nursing care to specialty patients requiring an… more