- CVS Health (Harrisburg, PA)
- …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
- WellSpan Health (York, PA)
- …a liaison between physician advisors in the designated geographic area and the Medical Director of Corp. Case Management + Attends CM RN morning report ... as needed and at the direction of the Medical Director of Corp. Case Management Common Expectations: + Fully documents review activities according… more
- LifePoint Health (Johnstown, PA)
- …sufficient to provide and receive instructions/directions. **Job:** ** Case Management /Social Services* **Organization:** ** **Title:** *Market Director ... are not just what you can do. Conemaugh Memorial Medical Center is the largest healthcare provider in west...Growth Opportunities . And much more Position Summary: Provide Case Management leadership and management … more
- Humana (Harrisburg, PA)
- …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 (Harrisburg, PA)
- … 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 (Harrisburg, PA)
- … 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 (Harrisburg, PA)
- …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
- Select Medical (Erie, PA)
- …patients. (example: ICU, step-down, med surg, vents)** + Adequate experience in an acute medical case management setting and confidence to manage and direct ... discharge planning, treatment plan management and financial management , while also completing medical record documentation.... record documentation. You will report directly to the Director of Case Management and… more
- Highmark Health (Harrisburg, PA)
- **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
- J&J Family of Companies (Spring House, PA)
- 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
- Spectrum Health Services (Philadelphia, PA)
- …+ Nurse Practitioner + Three years minimum managerial experience + FQHC experience preferred Keyword: Senior Medical Director From: Spectrum Health Services, Inc ... Director under the direction of the Chief Medical Officer and in collaboration with the Chief Operating...out of care. This requires working closely with the Director of Integrated Services, Case Managers, Clinicians,… more
- J&J Family of Companies (Horsham, PA)
- Director , Medical Safety Officer (Neurovascular) - 2406209070W **Description** **Johnson & Johnson, is recruiting for a Director , Medical Safety Officer ... considered. Remote work options may be considered on a case -by- case basis and if approved by the...Duties & Responsibilities:** + Assess product risk-benefit and offer medical input/review to: Risk Management Reports, Product… more
- Commonwealth of Pennsylvania (PA)
- Medical Records Director - SCI Somerset...and technical staff who are involved in maintaining complex medical case histories. Your work will be ... Print (https://www.governmentjobs.com/careers/pabureau/jobs/newprint/4664207) Apply Medical Records Director - SCI Somerset Salary $58,035.00 - $88,235.00 Annually… more
- Merck (Harrisburg, PA)
- …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
- CVS Health (Harrisburg, PA)
- …preferably resides in PA/DE/WV and have a PA/WV/DE License without encumbrances. In the Medical Director role you will provide oversight for medical policy ... clinical / medical programs and expand Aetna's medical management programs to address member needs...and consistent responses to members and providers. As a Medical Director you will focus primarily on… more
- WellSpan Health (York, PA)
- …and non-physician staff within the department. + Provides direct patient care and medical case management services and otherwise performs the duties ... Medical Director -Employee Health and Safety Location:...###@wellspan.org. We will evaluate requests for accommodation on a case -by- case basis. Please note that we will… more
- Penn Medicine (Bala Cynwyd, PA)
- …expertise, within a nursing or similar healthcare environment.3+ years Experience in care/ case management within a multidisciplinary team for patients with ... actively managing a percentage of our managed lives population. Additionally, the Director is responsible for our mental health co- management program (PIC)… more
- Evolent Health (Harrisburg, PA)
- …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
- Humana (Harrisburg, PA)
- …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
- BluePearl (Conshohocken, PA)
- …clinical experience to lead our team of emergency and specialty clinicians in the role of ** Medical Director ** . As Medical Director you will partner in ... offer a competitive salary and relocation assistance. Your primary responsibilities as Medical Director include **upholding medical quality standards**… more