- CVS Health (Nashville, TN)
- …continuum of our members' health care and social determinant needs. The Duals Care Management (CM) Medical Director will participate in designing, developing ... and socioeconomic needs. * Partner closely with the Executive Director of Duals and other Duals Care Management...and quality objectives are met. * Consults with plan medical staff regarding adverse determinations, addresses issues related to… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Director of Clinical Case Management ? At HCA Healthcare, you come first. ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...make a difference. We are looking for a dedicated Director of Clinical Case Management … more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you want to join an organization that invests in you as a Case Management Virtual Onboarding Director ? At HCA Healthcare, you come first. ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...make a difference. We are looking for a dedicated Case Management Virtual Onboarding Director … more
- HCA Healthcare (Nashville, TN)
- …Case Managers and Social Workers. The Manager will work closely with the Hospital Case Management (HCM) Education Director to learn about upcoming changes ... of the CMVO Director and with other members of the corporate Case Management Department.** **Major Responsibilities:** + Executes the annual CMVO education… more
- Humana (Nashville, TN)
- …relationships, value-based care, quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may develop ... and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Nashville, TN)
- … 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
- HCA Healthcare (Nashville, TN)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Manager of Case Management with TriStar Skyline Medical Center you can be ... daily, weekly and monthly reports as assigned by the Director of Case Management . +...Management and/or InterQual or IQCI preferred TriStar Skyline Medical Center is a 250+ bed facility. We are… more
- Humana (Nashville, TN)
- … 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
- Guidehouse (Nashville, TN)
- …**:** Up to 25% **Clearance Required** **:** None **What You Will Do:** + The Management Consulting Associate Director and Director in Guidehouse's State and ... and 10+ years minimum of experience for the Director in management consulting with at least...the following areas: business process redesign, HR consulting, business case development, IT strategy and implementation + Management… more
- Select Medical (Nashville, TN)
- …patients. (example: ICU, step-down, med surg, vents)** + Adequate experience in an acute medical case management setting and confidence to manage and direct ... discharge planning, treatment plan management and financial management , while also completing medical record documentation.... record documentation. You will report directly to the Director of Case Management and… more
- Evolent Health (Nashville, TN)
- …training classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. ... Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Medical Director for the Musculoskeletal department, you will be a key member of… more
- Highmark Health (Nashville, TN)
- **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
- J&J Family of Companies (Nashville, TN)
- Director , Regulatory Medical Writing (1 of 4)...countries. Remote work options may be considered on a case -by- case basis and if approved by the company. ... - 2406211847W **Description** Johnson & Johnson is currently seeking a Director , Regulatory Medical Writing. The primary location for this position is the United… more
- Merck (Nashville, TN)
- …systems accounts + Serves as a resource for the HSO MAD Team Lead, HSO Executive Director Medical Affairs, and other members of Country Medical Affairs on ... **Job Description** **Health Systems Oncology Medical Affairs Director , US Medical...This role also serves as a resource for the Medical Affairs (MA) management team on strategic… more
- Evolent Health (Nashville, TN)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Behavioral Health Field Medical Director will be a key member of the utilization management ... Opportunities:** Evolent Health is looking for a Behavioral Health Medical Director to be a member of...in risk management , claim adjudication, pharmacy utilization management , catastrophic case review, outreach programs, +… more
- Humana (Nashville, TN)
- …our caring community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The ... Behavioral Health Medical Director work assignments involve moderately complex...experience post-training providing clinical services + Experience in utilization management review and case management … more
- Merck (Nashville, TN)
- **Job Description** The Executive Director , Global Medical and Scientific Affairs (EDMA) GYN Malignancies is accountable for the development and execution of ... scientific & medical affairs Value and Implementation (V&I) plans for their...and Implementation (V&I) plan, in collaboration with the Executive Director of Scientific Affairs (EDSA), that guides TA scientific… more
- CVS Health (Nashville, TN)
- …**Position Summary** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from home. This ... can be remote based anywhere in the US. The Medical Director (Cardiology) will be a Subject...will lead all aspects of utilization review/quality assurance, directing case management . In this role you will… more
- CVS Health (Nashville, TN)
- …preferably resides in North Carolina and have a NC License without encumbrances.** In the Medical Director role you will provide oversight for medical policy ... evaluation of clinical/ medical programs and expand Aetna's medical management programs to address member needs...In addition you will oversee utilization review/quality assurance, directing case management . In this role you'll provide… more
- CVS Health (Nashville, TN)
- …**This is a remote based (work at home) based anywhere in the US.** The Medical Director (Ortho/Total Joint) will be a Subject Matter Expert (SME) with a ... direct patient care experience specifically. This role expands Aetna's medical management programs to address member needs...will lead all aspects of utilization review/quality assurance, directing case management . In this role you will… more