- Humana (Washington, DC)
- … 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
- Trinity Health (Silver Spring, MD)
- …a Registered Nurse + RN with BSN or RN with > 10 years case management experience. Masters Degree preferred. **Minimum Knowledge, Skills, and Abilities ... Director , is responsible and accountable for the operational management , leadership, professional development and quality assessment and improvement...+ At least 3 years of experience in hospital case management or related activity + At… more
- Humana (Washington, DC)
- … 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 (Washington, DC)
- …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 (Washington, DC)
- **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
- Trinity Health (Silver Spring, MD)
- …care coordination, social work, utilization review, and discharge planning. + Collaborate with the Medical Director of Care Management and the Director ... **Employment Type:** Full time **Shift:** **Description:** **Position Title:** Director , Multi Complex Care Management **Job...field, with 2+ years in a leadership role in case management , utilization review, or similar areas.… more
- CVS Health (Washington, DC)
- …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
- CareFirst (Baltimore, MD)
- …based on business needs and work activities/deliverables that week. The Director , Utilization Management provides strategic leadership of the utilization ... for the design, assessment, implementation and outcomes of utilization management strategies using a multidisciplinary approach to enhance member engagement,… more
- Georgetown Univerisity (Washington, DC)
- …to others and disruptive to University business or community stability. + Provide case management services to students whose disruption to academic progress is ... demonstrated knowledge of crisis response, student conduct, student affairs administration, and case management support teams + Working knowledge of relevant… more
- Pretrial Services Agency (Washington, DC)
- …District of Columbia is looking for an individual to serve as the Deputy Director who performs the full range of forensic screening and confirmation analyses to ... Duties As a Supervisory Toxicologist (Forensic) or Supervisory Chemist (Forensic) (Deputy Director ), you will: 1. Serve as the Deputy Director of… more
- Johns Hopkins University (Baltimore, MD)
- …we are seeking a **_Clinical Nurse Case Manager_** who will perform duties related to medical case management and non- medical case management ... clinics. **Specific Duties & Responsibilities** _HIV program duties_ + Case management of a panel of HIV...prescription refills. + Consult with the ordering clinician or medical director for patients with complex … more
- Guidehouse (Baltimore, MD)
- …**Clearance Required** **:** None Job Posting **What You Will Do:** + The Management Consulting Director in Guidehouse's State and Local Government Practice ... **Job Family** **:** Management Consulting **Travel Required** **:** Up to 25%...**If you proceed to interview you will complete a case study that will be presented verbally by the… more
- Highmark Health (Washington, DC)
- …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
- Georgetown Univerisity (Washington, DC)
- …interested in intellectual inquiry and making a difference in the world. Requirements Director of Development, McDonough School of Business - Office of Advancement - ... Georgetown University Job Overview The Director of Development is responsible for managing a portfolio...in order to be able to effectively articulate the case for support, vision, and mission of the McDonough… more
- Elevance Health (Washington, DC)
- …Spine Surgeons are encouraged to apply.** The **Clinical Operations Associate Medical Director - Neurosurgery/Orthopedic Spine** is responsible for performing ... Primary duties may include, but are not limited to: + Determines the medical necessity of requests using clinical criteria. + Performs physician-level case … more
- ABM Industries (Washington, DC)
- …searching for an Account Director in Washington, DC. The Account Director is responsible for oversight of operational management and administrative ... facilities management services in conformity with contractual requirements. The Director will be expected to positively contribute to the strategic direction and… more
- Johns Hopkins University (Baltimore, MD)
- …including supply delivery, medical outreach, and pop-up events. + Provide case management services, as needed. + General clerical duties. + Assist ... and harm reduction supply delivery in Southwest Baltimore. The Center offers general case management , hosts a number of clinical and service providers (eg,… more
- DAI (Bethesda, MD)
- …and other reports that enhance learning activities and inform adaptive management decisions. Additionally, the Communications Director will promote project ... **Communications Director - Advancing Women for Resilient Agriculture Supply...US based employees, will be able to enroll in medical , dental and vision insurance, plus a 401(k)-retirement plan… more
- SpaceX (Washington, DC)
- Contracts Director at SpaceX Washington, DC SpaceX was founded under the belief that a future where humanity is out exploring the stars is fundamentally more ... this possible, with the ultimate goal of enabling human life on Mars. CONTRACTS DIRECTOR SpaceX's rapid growth has created an opportunity to add a Contracts … more
- Trinity Health (Silver Spring, MD)
- …Washington DC and Baltimore, MD **Description:** + Full-Time 8am - 4:30pm + Reporting to the Director of Care Management + Case Managers works with a high ... and informs physicians of appropriate patient status, based upon medical record documentation. Works closely with physicians, nurses, and...disease management and expected outcomes + Implements case management activities for all age groups… more