• Physician Medical Director - LTSS

    Humana (Harrisburg, PA)
    …community and help us put health first** The Long-term services and supports (LTSS) Medical Director 's primary responsibility is the review of medical ... the medical necessity of a given service, level of care, or medical item/supply. The Medical Director 's work assignments involve moderately complex… more
    Humana (01/25/25)
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  • Medical Director - Medicaid N.…

    Humana (Harrisburg, PA)
    **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...or InterQual + Internal Medicine, Family Practice, Geriatrics, Pediatrics, Hospitalist , Emergency Medicine clinical specialists + Advanced degree such… more
    Humana (03/11/25)
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  • Medical Director - Care Plus…

    Humana (Harrisburg, PA)
    **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...MCG(R) or InterQual + Internal Medicine, Family Practice, Geriatrics, Hospitalist , Emergency Medicine clinical specialists + Advanced degree such… more
    Humana (03/18/25)
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  • Medical Director - Florida

    Humana (Harrisburg, PA)
    **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...MCG(R) or InterQual + Internal Medicine, Family Practice, Geriatrics, Hospitalist , Emergency Medicine clinical specialists + Advanced degree such… more
    Humana (03/22/25)
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  • Physician Director Pediatric Nephrology

    Geisinger (Danville, PA)
    …and consultative services. We will also consider candidates who wish to start as an associate staff physician in lieu of the director role. Janet Weis Children's ... seeking a BE/BC pediatric nephrologist to serve as the Director of Pediatric Nephrology. Also able to consider candidates...hospitalist and intensive care services. JWCH's team of medical and surgical specialists provide care in over 30… more
    Geisinger (01/13/25)
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  • Community Care Nurse (RN)

    ChenMed (Philadelphia, PA)
    …management departments, and other healthcare facilities. + In conjunction with the PCP, Hospitalist , Medical Director , insurance case manager and the ... Participates in surveys, studies and special projects as assigned. + Conducts concurrent medical record review using specific indicators and criteria as approved by … more
    ChenMed (03/08/25)
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