- Humana (Tallahassee, FL)
- …of our caring community and help us put health first** The Medical Director 's primary responsibility is the review of medical authorizations to determine the medical ... of a given service, level of care, or medical item/supply. The Medical Director 's work assignments involve moderately complex to complex issues where the analysis of… more
- CVS Health (Tallahassee, FL)
- …license without encumbrances and willing to obtain the other. In the Medical Director role you will provide oversight for medical policy implementation. You will ... timely and consistent responses to members and providers. **As a Medical Director you will focus primarily on overseeing utilization review / quality assurance… more
- Elevance Health (Tallahassee, FL)
- …Behavioral Health Services** is responsible for Behavioral Health Utilization Management (BH UM ), or Behavioral Health Case Management (BH CM) or a combination of ... of care initiatives. + May attend meetings to review UM and/or CM process and discusses facility issues. +...federal requirements that may apply; provided that the manager's director has one of the types of licensure specified… more