- Elevance Health (Waukesha, WI)
- ** Medical Director - Medicare ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... Candidates must be able to work Eastern Time Zone hours. The ** Medical Director ** is responsible for the administration of physical and/or behavioral health … more
- Molina Healthcare (Milwaukee, WI)
- **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support to ... quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Molina Healthcare (Milwaukee, WI)
- …Certification in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in ... State Medical License, free of sanctions from Medicaid or Medicare . **Preferred Experience** * Peer Review, medical policy/procedure development, provider… more
- Molina Healthcare (Milwaukee, WI)
- …with the standards and requirements established by the Centers for Medicare and Medicaid **Knowledge/Skills/Abilities** * Leads, organizes, and directs the ... to members or authorized representatives in accordance with Centers for Medicare and Medicaid standards/requirements. * Provides direct oversight, monitoring and… more
- Genesis Healthcare (Mequon, WI)
- …Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time and Part-Time team members. + **Support ... Clinicians in Action professional development program. Responsibilities As a Director of Rehabilitation, you are leading a team of...in the state of practice 3. Thorough knowledge of Medicare and third party billing required 4. Must have… more
- St Croix Hospice (Oak Creek, WI)
- …the local coverage determinations. Provides clinical information to the hospice medical director for interpretation for eligibility for hospice re-certification. ... + Makes recommendations to the hospice medical director regarding patient eligibility for certification...Duties + Maintains knowledge of and compliance with current Medicare /Medicaid, state/federal rules and regulations for hospice services +… more
- Gentiva (Milwaukee, WI)
- …Provides diagnosis, treatment, consultation, and follow-up under the direction of the Palliative Medical Director (if required under State law). **As a Nurse ... Practitioner, you will:** + Work in collaboration with the Palliative Care Medical Director and other palliative team members to deliver palliative care by… more