- 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 skilled nursing facility requests. The Medical Director provides medical interpretation...partners within the Medicare Line of Business. + Support Home Solutions as needed Other activities as assigned by… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medical Director 's primary responsibility is the review of medical authorizations ... necessity of a given service, level of care, or medical item/supply. The Medical Director 's...based services) environments. Reviews include, but not limited to, home health services, therapy services, consumable medical … more
- HCA Healthcare (Nashville, TN)
- …role in analyzing and exploring Service Line (including BHS and Post-Acute (Rehab, SNF , Home Health, Hospice)) margins, volume, payor mix, LOS, operating ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low… more
- CenterWell (Clarksville, TN)
- …but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as an active participant ... the care team through daily huddles. + Helps Regional Medical Director and Center Administrator in setting...senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager,… more