- Medalogix (Nashville, TN)
- …platform focused on the advancement of intelligent patient care within home -based care providers and ultimately across the entire healthcare continuum. Click ... about the merging of Forcura and Medalogix. Position Summary The Director , Clinical Operations leverages his/her extensive knowledge managing multiple agency… more
- Insync Healthcare Recruiters (Knoxville, TN)
- …leaveAverage 25 patients per dayCall during the day taken by the IM teamProgram Director and Medical Director opportunitiesTreatment for spasticity or pain ... infrastructure and support teamEMR training and supportSign-on and relocationAbout the location: Home to The University of Tennessee and the corporate headquarters of… more
- CenterWell (Nashville, TN)
- …part of our caring community and help us put health first** The National Medical Director for Home -Based Care Programs is a key clinical leadership ... 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 (Nashville, TN)
- …Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all ... and help us put health first** As an **Area Director of Sales** , you will: + Manage, develop...in healthcare revenue in a multi-location setting + Previous home health or hospice sales experience strongly preferred +… more
- Humana (Nashville, TN)
- **Become a part 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 health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations… more
- HCA Healthcare (Nashville, TN)
- …in 21 states and the United Kingdom. We are looking for a Medical Director for our Work from Home team where excellence creates excellence. **Benefits** Work ... from Home , offers a total rewards package that supports the...to be an influencer in healthcare? **Apply for our Medical Director role today!** **Job Summary and… more
- Humana (Nashville, TN)
- …a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims ... and preservice appeals. The Corporate Medical Director works on problems of diverse...and other healthcare providers, patient interaction, etc. **Work at Home Guidance** To ensure Home or Hybrid… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference… more
- Humana (Nashville, TN)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse...Emergency Medicine, and General Surgery clinical specialists **Work at Home Guidance** To ensure Home or Hybrid… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... and will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical … more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and… more
- Evolent (Nashville, TN)
- …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. ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Evolent (Nashville, TN)
- …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Evolent (Nashville, TN)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a specialty match reviewer for Spine ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- HCA Healthcare (Brentwood, TN)
- …care without reservations or limits? Our TriStar Health team is looking for a Medical Staff Services Director . HCA Healthcare is an advanced healthcare network ... to impact standards of care and save lives across the country? Apply today to our Medical Staff Services Director and be a part of the innovation of ideas. **Job… more
- Evolent (Nashville, TN)
- …per inter-rater reliability process. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall ... accountability for utilization management while working in conjunction with the Senior Medical Director . May assist the Senior Medical Director in… more
- HCA Healthcare (Nashville, TN)
- …position is incentive eligible. Do you have the career opportunities as a Contract Director you want with your current employer? We have an exciting opportunity for ... leading provider of healthcare services, HCA Healthcare. We are seeking a Contract Director who is an expert negotiator to manage the full sourcing lifecycle for… more
- Evolent (Nashville, TN)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of the utilization management ... recorded in a timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management… more
- Evolent (Nashville, TN)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a key member of the utilization ... recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management… more
