- Parexel (Nashville, TN)
- …are expanding our esteemed Medical Sciences Team and seeking an Associate/Medical Director to support the growth of our Global Immunology and Inflammation ... Therapeutic Franchise. As an Associate / Medical Director , you will work closely with some of the...include any direct medical advice on patient care or management + Communicate with relevant sponsor counterparts on challenges… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Director Case Management ? At TriStar Skyline Medical Center, you come first. ... and you have the opportunity to make a difference. We are looking for a dedicated Director Case Management like you to be a part of our team. **Job Summary… more
- Select Medical (Nashville, TN)
- …, while also completing medical record documentation. You will report directly to the Director of Case Management and provide social work services, as ... ICU, step-down, med surg, vents)** + Adequate experience in an acute medical case management setting and confidence to manage and direct a plan of care for… more
- Select Medical (Nashville, TN)
- …, while also completing medical record documentation. You will report directly to the Director of Case Management and provide social work services, as ... Share this job **Job ID** _346711_ **Experience (Years)** _0_ **Category** _Case Management - Case Manager_ **Street Address** _2000 Hayes Street_ more
- HCA Healthcare (Nashville, TN)
- …270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Director Case Management opening. Qualified candidates will be ... contacted for interviews. **Submit your resume today to join our community of caring!** We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status,… more
- Humana (Nashville, TN)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants..., depending on the line of business. The Medical Director conducts Utilization Management or clinical validation… more
- Humana (Nashville, TN)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care… more
- Humana (Nashville, TN)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Humana (Nashville, TN)
- …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...management operational improvements, including those within the medical director area + Participate in call rotation + Develop… more
- Humana (Nashville, TN)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). ... The Medical director work assignments involve moderately complex to complex issues...where the analysis of situations or data requires a case -by- case consideration of the Medicare rules, Humana… more
- Highmark Health (Nashville, TN)
- …required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + ... as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases, particularly… more
- Humana (Nashville, TN)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of ... the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those… more
- Humana (Nashville, TN)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual** **The Medical Director conducts clinical case reviews of requests received by members ... of the Medicare population and reports to the Lead Medical Director .** **Other duties:** + Identify medical management operational improvements, including those… more
- Lumen (Nashville, TN)
- …we digitally connect the world and shape the future. **The Role** The Director of the Unified Communications & Collaboration and Contact Center (UC&C-CC) Specialized ... for managing and growing new revenue in this specialized product portfolio. This Director manages and leads a team that is accountable for the overall customer… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a PRN Director Pharmacy Solutions? At HealthTrust, a division of HCA, you come first. HCA Healthcare has ... a difference. We are looking for a dedicated PRN Director Pharmacy Solutions like you to be a part...to develop and maintain go-to-market collateral (eg white papers, case studies) related to services + Mentors and assists… more
- Evolent (Nashville, TN)
- …meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use ... Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On a requested… more
- Capgemini (Nashville, TN)
- …Engagements. He/she reports in these aspects to the local or remote Engagement Director /Manager. In case of remote reporting relationship, he/she maintains a ... **About the job you're considering** Within each Centre, Service Delivery Director is responsible for delivery of service for a Client and/or for a specific function… more
- Datavant (Nashville, TN)
- …**You Will:** + Reporting to the Head of Commercial GTM, the Director , Sales Enablement will develop client-facing messaging, design sales training programs, and ... and analyze full-funnel metrics to find insights and assist management in making sound decisions + Set up &...reviewed by Datavant Human Resources and determined on a case -by- case basis. Depending on the state in… more
- Elevance Health (Nashville, TN)
- **Behavioral Health Medical** ** Director -Psychiatrist** **Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... Monday - Friday. Half day Saturday rotation, once a month.** The **Medical Director ** is responsible for the administration of behavioral health medical services, to… more
- BrightSpring Health Services (Clarksville, TN)
- …nursing field. + Valid driver's license. + Must have two years of experience with case management or related discipline + Must be able to communicate both ... clients and exchanges information to identify the clients' needs and consults with Director of Clinical Management to determine the Company's ability to meet… more
