- Optum (Gretna, LA)
- …and experience match your skills, please ensure you apply promptly. As the Clinical Director , you will assists the Executive Director in all functions of ... hospice regulations, laws, policies and procedures, including regulations related to the Medicare and Medicaid hospice benefit, as well as any requirements related… more
- Fresenius Medical Care (Olmito, TX)
- …minutes. . Provide support to the Medical Executive Committee as requested by the Medical Director and in accordance with the Medical Staff Bylaws. . ... regulatory body having jurisdiction in the premises. Assists the Medical Staff to ensure that medical practices...of nursing staff will be provided by a charge nurse/ director of nursing. EDUCATION AND REQUIRED CREDENTIALS: . Bachelor's… more
- Aveanna Healthcare (Madison, WI)
- …job description and applying promptly. Position Overview The Area Executive Director (AED) is responsible for the administrative, operational, and leadership ... branches and operational leadership. Essential Job Functions The Area Executive Director is responsible for directly managing all essential operational and… more
- Aveanna Healthcare LLC (Orlando, FL)
- …to provide supervision of all clinical staff working with high medical acuity clients and/or clients receiving extended nonlicensed support services. This ... place. Ensures that services are delivered according to licensing guidelines, professional medical standards and agency policies and procedures. ** This position is… more
- Aveanna Healthcare LLC (Lakeland, FL)
- …to provide supervision of all clinical staff working with high medical acuity clients and/or clients receiving extended nonlicensed support services. This ... place. Ensures that services are delivered according to licensing guidelines, professional medical standards and agency policies and procedures. This position is 80%… more
- Aveanna Healthcare (Waite Park, MN)
- …to provide supervision of all clinical staff working with high medical acuity clients and/or clients receiving extended nonlicensed support services. This ... Ensures that services are delivered according to licensing guidelines, professional medical standards and agency policies and procedures. Essential Job Functions:… more
- Optum (Tuscumbia, AL)
- …by LHC Group. Is able to articulate competitive advantages, specialty programs, and Medicare guidelines. Educates the medical community about the services of our ... company market share through account development and educating the medical community on services provided by the company while...to follow the plan of care Presents agency Executive Director with identification of patient needs to obtain branch… more
- Aveanna Healthcare (Muscle Shoals, AL)
- …the plan of care, the interdisciplinary team, attending physician and Hospice Medical Director . Territory: Colbert, Lauderdale, Franklin, and Marion Essential ... Coordinates total patient/family hospice care under the supervision of the Director and with the interdisciplinary team, the attending physician, and other… more
- Aveanna Healthcare (Muscle Shoals, AL)
- …the plan of care, the interdisciplinary team, attending physician and Hospice Medical Director . Territory: Colbert, Lauderdale, Franklin, and Marion Schedule: ... Coordinates total patient/family hospice care under the supervision of the Director and with the interdisciplinary team, the attending physician, and other… more
- Aveanna Healthcare (Birmingham, AL)
- …by the plan of care, the interdisciplinary team, attending physician and Hospice Medical Director . **$10,000 Sign On Bonus** Schedule: Monday through Friday with ... Coordinates total patient/family hospice care under the supervision of the Director and with the interdisciplinary team, the attending physician, and other… more
- Peoples Home Health, LLC (Pensacola, FL)
- …The Nurse Practitioner will collaborate and cooperate with the Peoples Hospice Medical Director and will not certify the terminal illness. Requirements: ... Care patients, ensuring comprehensive treatment plans and collaborate with Palliative care Medical Director and team members Prescribes or recommends drugs or… more
- Elevance Health (FL)
- **Appeals Medical Director - Medicare ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... as required by law. Alternate locations may be considered. The **Appeals Medical Director ** is responsible for the appeal reviews for physical health medical… more
- CVS Health (Hartford, CT)
- …(work at home) based anywhere in the US. **Responsibilities of this Medical Director role are related to Medicare Appeals:** * Direct daily work on part ... * Board Certified in ABMS or AOA Recognized Specialty **Preferred Qualifications** * Medical Management - Medicare Complaints, Grievance & Appeals experience. *… more
- Humana (Honolulu, HI)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The ... Corporate Medical Director works on problems of diverse scope and complexity...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis… more
- Centene Corporation (Jefferson City, MO)
- …IRE and ALJ hearings, STARS metrics + Previous experience with ensuring high quality medical director training to review Medicare UM and appeals, Clinical ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- ChenMed (Richmond, VA)
- …preferred. + Strongly prefer one (1) years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population + Board ... preferred. + Preferred to be an existing high performing PCP partner and/or Medical Director within the ChenMed core model, with a proven ability to manage a… more
- Humana (Montgomery, AL)
- …of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... SNF, DME, dual Medicare /Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided… more
- Humana (Charleston, WV)
- …of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... SNF, DME, dual Medicare /Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided… more
- Gentiva (Milwaukee, WI)
- …Hospice and Palliative Medicine board certification and/or Hospice Medical Director Certification Board certification preferred. + Current Medicare Provider ... Transform Care through Compassionate Hospice Leadership.** We are seeking a dedicated Hospice Medical Director to join our leadership team and provide expert… more
- CVS Health (Austin, TX)
- …process, pre-certification, and predetermination of covered benefits in the Commercial and Medicare environment. This Medical Director provides subject ... 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… more
