- CVS Health (Annapolis, MD)
- …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
- 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 (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 relies on medical ...in teams focusing on quality management , utilization management , case management , discharge planning… more
- Humana (Annapolis, MD)
- …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 (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
- Evolent Health (Annapolis, MD)
- …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
- J&J Family of Companies (Annapolis, MD)
- 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
- 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
- Merck (Annapolis, MD)
- …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 (Annapolis, MD)
- …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
- 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
- Humana (Annapolis, MD)
- …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
- Johns Hopkins University (Baltimore, MD)
- …and administrative teams including clinic staff meetings, case consultation, high-risk case management , peer chart reviews, medical leave review, ... involvement in the medical leave of absence process. The Senior Associate Director of Clinical Services will actively lead and contribute to data management … more
- CVS Health (Annapolis, MD)
- …**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
- Mindoula Health (Baltimore, MD)
- Join Our Team as a Child & Adolescent Psychiatrist and Inpatient BHU Medical Director ! Are you a passionate and board-certified Child & Adolescent Psychiatrist ... Medical Center in Salisbury, Maryland. Role Overview: As the inpatient BHU Medical Director for Child & Adolescent Psychiatry, you will play a pivotal… more
- University of Maryland, Baltimore (Baltimore, MD)
- …*Education:*Master's degree in Social Work. *Preferred Experience:*Experience in case management . *Certification/Licensure:*Licensed Master Social Worker (LMSW) ... experience in related area of treatment. *Preferred Experience:*Experience in case management . *Certification/Licensure:*Licensed as (LCSW) or (LCSW-C) in… more
- CVS Health (Annapolis, MD)
- …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
- 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