- CenterWell Home Health (Avon, IN)
- …services provided by clinical personnel. This role is a focused on both home health clinical quality assurance and home health clinical operations ... on-site at our Avon, IN branch location. The RN Clinical Manager coordinates and oversees all direct care patient...fourth largest pharmacy benefit manager, CenterWell is focused on whole -person health by addressing the physical, emotional… more
- Veterans Affairs, Veterans Health Administration (Marion, IN)
- …Repayment Services program office after complete review of the EDRP application. Responsibilities The Whole Health Clinical Director (WHCD) position is ... Professional Duties include but are not limited to: Whole Health System of Care Management and...business direction. Development of annual budgetary report based on clinical work, quality activity, and financial information and projections.… more
- Veterans Affairs, Veterans Health Administration (Marion, IN)
- …Repayment Services program office after complete review of the EDRP application. Responsibilities The Whole Health Clinical Director (WHCD) position is ... Rewards of a Allied Health Professional Duties include but are not limited to: Whole Health System of Care Management and Planning: Admin 50% Defines a… more
- Veterans Affairs, Veterans Health Administration (Marion, IN)
- …Indiana Healthcare System has an immediate career opportunity available for a Registered Nurse Whole Health Clinical Director to provide vision, ... planning, management, and coordination for the implementation of the Whole Health System of Care, Health...such as TEACH for Success and Motivational Interviewing. B. Clinical : 50%: Provide clinical care as required… more
- Veterans Affairs, Veterans Health Administration (Marion, IN)
- …immediate career opportunity available. We are currently seeking a Clinical Medical Director to support our Whole Health Program. Responsibilities The ... primary role of a Clinical Director is to manage and plan how services are...duties). This will involve responsibility for creating an annual Whole Health System Strategic Plan, identifying … more
- Humana (Indianapolis, IN)
- …of 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 to complex issues...will develop and present educational seminars on various behavioral health topics to the clinical operations team… more
- CenterWell (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health ... situations or data requires an in-depth evaluation of variable factors. The Medical Director relies on medical background and reviews health claims. The Medical… more
- Humana (Indianapolis, IN)
- **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 ... or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice… more
- Humana (Indianapolis, IN)
- **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 ... or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice… more
- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to ... or other medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice… more
- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health , SNF, DME, dual Medicare/Medicaid and Waiver requests. The...guidelines such as NCD/LCD, MCG(R) or InterQual** **The Medical Director conducts clinical case reviews of requests… more
- Humana (Indianapolis, IN)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing home health , SNF, DME, dual Medicare/Medicaid and Waiver requests. The...guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests… more
- Lilly (Indianapolis, IN)
- …duties within scope of clinical practice as requested by the Senior Director , Employee Health Services **Qualifications** **Required** + **MD or DO** from an ... chronic disease management, acute care, basic gynecologic care, and longitudinal health planning. We are seeking a mission-driven, clinically focused Primary Care… more
- Humana (Indianapolis, IN)
- …and help us put health first** The Chief Psychiatrist oversees our behavioral health (BH) clinical program for our Illinois FIDE members. The individual in ... models in their practices + Coordinates with the Medical Director to integrate the administration and management of behavioral...and be board-certified in psychiatry- Psychiatrist + 8+ years clinical experience working in behavioral health +… more
- Humana (Indianapolis, IN)
- …health first** Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
- Evolent (Indianapolis, IN)
- …and/or system support. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall accountability for ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...Director . **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical license in medicine or required specialty + Obtaining… more
- Evolent (Indianapolis, IN)
- …and/or system support. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall accountability for ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity… more
- Evolent (Indianapolis, IN)
- …and/or system support. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall accountability for ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity… more
- Evolent (Indianapolis, IN)
- …inter-rater reliability process. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall accountability ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity… more
- Humana (Indianapolis, IN)
- …part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & ... B). The Medical director work assignments involve moderately complex to complex issues...Knowledge of the managed care industry, Integrated Delivery Systems, health insurance, or clinical group practice management… more