- Northeast Georgia Health System, Inc (Gainesville, GA)
- …admission criteria and in consultation/coordination with attending physician and hospice medical director . Completes the admission visit utilizing specialized ... complete and thorough assessment. Collaborates with the attending physician, hospice Medical Director , referral source, and hospice intake department. Delivers… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …admission criteria and in consultation/coordination with attending physician and hospice medical director . Completes the admission visit utilizing specialized ... complete and thorough assessment. Collaborates with the attending physician, hospice Medical Director , referral source, and hospice intake department. Delivers… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …admission criteria and in consultation/coordination with attending physician and hospice medical director . Completes the admission visit utilizing specialized ... complete and thorough assessment. Collaborates with the attending physician, hospice Medical Director , referral source, and hospice intake department.Delivers… more
- Kaiser Permanente (Duluth, GA)
- …ambulatory case/care management program.Attends scheduled rounds 2 times/week with the Physician Director of Resource Stewardship to discuss clinical course and ... all levels of internal & external customers, including but not limited to medical staff, patients and families, clinical personnel, support and technical staff,… more
- Elevance Health (Atlanta, GA)
- …Health office locations Work schedule: Monday - Friday, standard business hours.** The Medical Director Clinical Programs is responsible for designing and ... of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative...implementing clinical programs with specific medical condition focus for all lines of business enterprise… more
- CenterWell (Atlanta, GA)
- …part of our caring community and help us put health first** The National Director , Clinical Pharmacy is a strategic pharmacy leader responsible for developing, ... Medical Officer. This role reports to the National Director , High Risk Patient Management. Responsibilities will include: +...(SME) and clinical liaison to the national clinical leadership (including Chief Medical Officer, Complex… more
- The Cigna Group (Atlanta, GA)
- …collaborative organization (which includes Market Provider Performance, Sales, Clinical Operations, Stars & Risk Adjustment, Finance , Cross-Segment ... & Solutions). Reporting to the Network Operations Senior Manager or Director , this individual ensures the effective performance management of the provider… more
- Prime Therapeutics (Atlanta, GA)
- …our passion and drives every decision we make. **Job Posting Title** Director , Specialty Clinical Solutions -RPH/PharmD required- REMOTE **Job Description ... Medical Pharmacy clients and potential new clients. Required to serve as a Medical Pharmacy clinical resource throughout the organization and support all … more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
- Humana (Atlanta, GA)
- … Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex hospital-based clinical scenarios, and providing expert ... caring community and help us put health first** The Medical Director actively uses their medical...reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and … more
- Humana (Atlanta, GA)
- …of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing ... consumer experiences and a highly engaged team culture The Medical Director conducts clinical case... Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify … more
- Humana (Atlanta, GA)
- …our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. ... The Behavioral Health Medical Director work assignments involve moderately complex...conferences, and other sources of expertise. The Behavioral Health Medical Directors will learn Medicare , Medicare… more
- Elevance Health (Atlanta, GA)
- …reviews within our Medicaid and Medicare programs.** The **Behavioral Health Medical Director ** is responsible for the administration of behavioral health ... of Elevance Health's family of brands, offering Medicaid and Medicare plans in several states. We also provide administrative...an entire clinical program and/or independently performs clinical reviews. + The Medical Director… more
- Humana (Atlanta, GA)
- …& Supports or LTC/SNF with 5+ years of experience preferred **Additional Information** The Medical Director conducts clinical reviews of the care received by ... caring community and help us put health first** The Medical Director 's primary responsibility is the review...an in-depth evaluation of variable factors that rely on clinical experience and knowledge of both medicine and social… more
- Humana (Atlanta, GA)
- …moderate to substantial. Humana Clinical Contracting Team is looking for a medical director with utilization management process skills. This MD will provide ... community and help us put health first** The Corporate Medical Director relies on medical ...in current up to date status + Unrestricted US Medical license + 5+ years of direct clinical… more
- Elevance Health (Atlanta, GA)
- …May be responsible for an entire clinical program and/or independently performs clinical reviews. + The Medical Director typically has program management ... miles of one of our Elevance Health locations.** The Medical Director is responsible for the administration...Director Associates. May be responsible for an entire clinical program. How you will make an impact: +… more
- Elevance Health (Atlanta, GA)
- …May be responsible for an entire clinical program and/or independently performs clinical reviews. + The Medical Director typically has program management ... of one of our Elevance Health office locations.** The Medical Director is responsible for the administration...Director Associates. May be responsible for an entire clinical program. How you will make an impact: +… more
- CenterWell (Savannah, GA)
- …achievement of key performance indicators, and people management/development. The Branch Director supervises the branch/ clinical staff. Direct responsibility of ... and help us put health first** The RN Branch Director is accountable for managing the day-to-day branch operations...the Branch by providing supervision and support to the Clinical Manager(s). + Works in conjunction with the Area… more
- CenterWell (Atlanta, GA)
- …in Medicare /seniors * Demonstrated ability to work collaboratively with clinical and operational leaders across a complex health care organization. * Knowledge ... a part of our caring community and help us put health first** **National** ** Director of Transitional Care and High-Risk Patient Management** The Director of… more
