- Humana (Annapolis, MD)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director actively uses their medical...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Annapolis, MD)
- … medical management operational improvements, including those within the medical director area + Participate in call rotation + Develop collaborative ... in teams focusing on quality management , utilization management , case management , discharge planning...on size of region or line of business. The Medical Director conducts Utilization Management … more
- Humana (Annapolis, MD)
- …and experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received ... reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those within the medical … more
- Highmark Health (Annapolis, MD)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... delivery and complex case management for our community-based palliative care...leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP… more
- CVS Health (Annapolis, MD)
- …will provide clinical, coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will act as a ... have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical… more
- Highmark Health (Annapolis, MD)
- …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan;...need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral… more
- Sumitomo Pharma (Annapolis, MD)
- …dynamic, highly motivated, and experienced individual for the position of **Associate Director , Strategic Sourcing - R&D and Supply Chain/TOQ.** The Associate ... Director Strategic Sourcing R&D and Supply Chain/Technical Operations &...opportunities. They must provide active category leadership and change management support that challenges traditional spending behavior, service level… more
- Catalent Pharma Solutions (Harmans, MD)
- **Sr. Director , Manufacturing Sciences & Technology (MS&T)** **Position Summary:** The Manufacturing Sciences and Technology Sr. Director will develop and lead a ... the transfer between external clients or Process Development and Manufacturing. The director is responsible for leading the team of strong engineers and scientists… more
- Trustmark (Annapolis, MD)
- …experts in building partnerships with customers and with our employees. Regional Sales Director - Southern California We currently have a position open the in the ... Southern California Market for a Regional Sales Director (RSD). The Regional Sales Director (RSD) for Trustmark Voluntary Benefit Solutions division increases… more
- Amergis (Annapolis, MD)
- …status. + Prepares and implements the initial care plan for patient/family unit with Medical Director approval. + Provides direct nursing care to patients in ... The Registered Nurse- Hospice Case Manager is responsible for providing care, comfort...accountable in managing patient care andassisting others in the management of patient care. Position Details: + Location: Prince… more
- Elevance Health (Hanover, MD)
- …**How you will make an impact:** + Oversee all investigations and overall case management . + Administer HR policies governing issues such as workplace ... ** Director Associate Relations** **Location:** This position will work...rules and conduct, effective complaint resolution/investigation, performance management issues, ensuring fair employment practices, corrective action/performance improvement,… more
- Humana (Annapolis, MD)
- …you ready to lead a transformative journey in the insurance segment as an Associate Director of IT Finance? This is your opportunity to make a significant impact by ... overseeing the financial management . You will be at the helm of budget...IT within the insurance sector! **Job Description** The Associate Director , Financial Analytics collates, models, interprets and analyzes data… more
- SitusAMC (Annapolis, MD)
- …global but act local - come join our team! Job Profile Summary As the Sr Director of the Innovation team you will be at the forefront of developing cutting edge ... of industry and/or relevant experience, typically with 2+ years in a Senior Director level role or external equivalent. + Experience with the most current… more
- Catalent Pharma Solutions (Harmans, MD)
- **Position Summary** We are looking for an experienced Sr. Director level Supply Chain Planning & ERP Transformation to lead our organization's Global Planning ... through all phases of improvement such as: like concept, business case preparation, socialization to approval and subsequently design, implementation, and value… more
- Verint Systems, Inc. (Annapolis, MD)
- …covering the four pillars. + Responsible for all aspects of leave management , 401(k), tuition reimbursement, paid time off, annual holiday schedules and worker's ... meetings with immigration counsel to review latest legal updates, trends and case highlights/movement. + Effectively manage a team of two senior benefits analysts… more
- CenterWell (Annapolis, MD)
- …performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. ... the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case , including… more
- Actalent (Laurel, MD)
- …Additional duties related to/supporting the needs of the business as assigned by the Medical Director or Center Management as deemed necessary. Essential ... Registered Nurse Job Description Under the direction of the Medical Director and/or Center Licensed Physician(s), the...+ Care management + RN license + Medical + Triage + Case management… more
- Gentiva (Beltsville, MD)
- …statutes, and policies and procedures. + Coordinates with the appropriate corporate staff, Medical Director , Clinical Manager, and Executive Director or ... phase of contracts to assure that discharge planning and case review functions are understood and agreed to by...management of the Volunteer Program including supervising the director of volunteers. Assures the performance of the volunteer… more
- Gentiva (Beltsville, MD)
- …the care they need with dignity, grace, and love. **As a Hospice RN/ RN Case Manager, you will:** + Reportdirectly to the Administrator, Executive Director or ... Manager Senior and will maintain primary control and professional management of each patient. + Act as primary liaison...supportive care to the patient's family with a reasonable case load while providing a trusting and compassionate relationship… more
- Johns Hopkins University (Timonium, MD)
- …procedure and cosmetic clinics. Under the direction of the Green Spring Station Clinic Medical Director and the Clinic Manager, will serve to provide high ... protocol. + Provides crisis intervention as needed and triages complex cases; practices case management to ensure longitudinal care for patients and coordinates… more