• Aveanna Healthcare (Decatur, AL)
    …the plan of care, the interdisciplinary team, attending physician and Hospice Medical Director . Territory: Morgan, Lawrence and Winston Counties Schedule: ... call. Essential Job Functions: Ensures the timely and adequate delivery of hospice services to the terminally ill patient and their family, operating within the plan… more
    Upward (08/11/25)
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  • Indian Rivers Behavioral Health (Tuscaloosa, AL)
    …Full-time 7:30a-7:30p - Tuscaloosa, AL - Competencies: Knowledge of medications: medical - purpose for usage, administration details, possible complications, side ... side effects and interactions. Knowledge of physiological responses to medical illnesses and treatment and psychiatric illnesses and treatment. Knowledge… more
    Upward (08/06/25)
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  • Aveanna Healthcare (Birmingham, AL)
    …by the plan of care, the interdisciplinary team, attending physician and Hospice Medical Director . Territory is primarily Jefferson County, AL. Schedule Monday - ... : Ensures the timely and adequate delivery of hospice services to the terminally ill patient and their family,...total patient/family hospice care under the supervision of the Director and with the interdisciplinary team, the attending physician,… more
    Upward (08/12/25)
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  • Aveanna Healthcare (Pleasant Grove, AL)
    …plan of care, the interdisciplinary team, attending physician and Hospice Medical Director . **$10,000 Sign On Bonus**Territory: Jefferson CountyPosition ... Overview:Ensures the timely and adequate delivery of hospice services to the terminally ill patient and their family, operating within the plan of care as… more
    Talent (10/09/25)
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  • Aveanna Healthcare (Decatur, AL)
    …established by the plan of care, the interdisciplinary team, attending physician and Hospice Medical Director . $5,000 Sign On Bonus Monday - Friday visits needed ... countiesEssential Job Functions:* Ensures the timely and adequate delivery of hospice services to the terminally ill patient and their family, operating within the… more
    Talent (10/05/25)
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  • Medical Director , Clinical

    Highmark Health (Montgomery, AL)
    …responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using ... Medical Policy criteria sets to evaluate the ... necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic… more
    Highmark Health (07/29/25)
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  • Medical Director - OneHome

    Humana (Montgomery, AL)
    …and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the… more
    Humana (09/27/25)
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  • RN / Director Of Clinical Operations…

    BrightSpring Health Services (Florence, AL)
    …looking for a new opportunity?Hospice of North Alabama is seeking a passionate, dedicated Director of Clinical Operations to join our team in Florence , AL ... staff, leaving a legacy of strong leadership. As a Director of Clinical Operations, You will: +... Operations, You will: + Oversees all patient care services provided by the hospice team. + Supports and… more
    BrightSpring Health Services (09/17/25)
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  • Director of Clinical Education (RN)

    Diversicare Healthcare Services & Diversicare Ther (Hoover, AL)
    **Overview** **Join Diversicare as a Director Clinical Educator and Elevate Patient Care!** At Diversicare, we're more than just a company - we're a passionate ... team members, fostering trust, respect, and collaboration. + **Leadership Opportunity:** As a Director Clinical Education, you will be at the forefront of… more
    Diversicare Healthcare Services & Diversicare Ther (10/06/25)
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  • Sr Director Clinical Strategy…

    Prime Therapeutics (Montgomery, AL)
    …our passion and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job ... Description** The Senior Director Clinical Strategy and Oncology Specialty Solutions...the development of strategic business roadmaps that integrate both medical and pharmacy solutions. This position will provide leadership… more
    Prime Therapeutics (10/02/25)
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  • Clinical Transformation Director

    Highmark Health (Montgomery, AL)
    …anchor, including MAQCs and pharmacists, in collaboration with the partnership director who manages non- clinical workforce activity. + **Relationship Management ... :** **JOB SUMMARY** This role will support the leadership team for Clinical Transformation and executive physicians in leading the day-to-day operational model of… more
    Highmark Health (08/21/25)
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  • Registered Nurse - Clinical Appeals…

    Cognizant (Montgomery, AL)
    …submit the medical necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with ... denials including but not limited to referral, preauthorization, medical necessity, non-covered services , investigational/experimental and billing resulting… more
    Cognizant (10/09/25)
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  • Field Director , Medical Science…

    Grifols Shared Services North America, Inc (Hueytown, AL)
    …(MSL primary call points include Immunology, Neurology, Hematology/Oncology). The Field Director ensures compliant execution of field medical plans, strategy, ... and develop, produce and market innovative medicines, solutions and services in more than 110 countries and regions. The...solutions for the therapeutic area(s). + Partners with the Medical Directors, National MSL Sr Director , and… more
    Grifols Shared Services North America, Inc (07/24/25)
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  • Medical Director - Florida

    Humana (Montgomery, AL)
    …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... , requested level of care, and/or requested site of service should be authorized. All work occurs with a...**Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
    Humana (10/03/25)
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  • Medical Director -Payment Integrity

    Humana (Montgomery, AL)
    …an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... clinical documentation, dispute/grievance and appeals processes, and outpatient services and equipment, within their scope. Medical ...a Lead Medical Director . The Medical Director conducts post- service , inpatient… more
    Humana (09/26/25)
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  • Medical Director - Mid West Region

    Humana (Montgomery, AL)
    …all activities. **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other ... Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex hospital-based clinical scenarios, and providing expert… more
    Humana (09/16/25)
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  • National Medical Director

    CenterWell (Montgomery, AL)
    Medical Director for Home-Based Care Programs is a key clinical leadership position responsible for the medical direction, clinical oversight, ... polychronic, and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership with the Strategy… more
    CenterWell (10/02/25)
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  • Medical Director - Northeast Region

    Humana (Montgomery, AL)
    …an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... caring community and help us put health first** The Medical Director relies on medical ...medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with… more
    Humana (07/25/25)
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  • Field Medical Director

    Evolent (Montgomery, AL)
    …non- clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to...Inspector General of the Department of Health and Human Services or the General Service Administration (GSA),… more
    Evolent (07/30/25)
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  • Field Medical Director , Cardiology

    Evolent (Montgomery, AL)
    …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to...Inspector General of the Department of Health and Human Services or the General Service Administration (GSA),… more
    Evolent (10/01/25)
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