- CVS Health (Tallahassee, FL)
- …the full continuum of our members' health care and social determinant needs. The Case Management (CM) Medical Director will participate in designing, ... reside in Florida and and must have a Florida medical license or be willing to obtain one. **Primary...business needs * 3-5 years of Managed Care experience; Medicare highly preferred * 3-5 year of Case… more
- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and ...to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all… more
- Humana (Tallahassee, FL)
- **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 (Tallahassee, FL)
- **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 (Tallahassee, FL)
- …and help us put health first** Job Description Summary The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing ... national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case ... Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify … more
- CVS Health (Tallahassee, FL)
- …and reimbursement expertise as well as directing case management when necessary. The Medical Director will act as a business and clinical liaison to network ... have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical… more
- HCA Healthcare (Tallahassee, FL)
- …the needs of each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. ... and inclusion thrive? Submit your application for our RN Case Manager opening with HCA Florida Capital Hospital today...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Tallahassee, FL)
- …the needs of each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. ... an organization that invests in you as a(an) RN Case Manager PRN? At HCA Florida Capital Hospital, you...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- Service Source (Tallahassee, FL)
- … Director , Project Evaluator, and key team members, including case managers, youth transition specialists, and employment development specialists from ... people who drive innovation, embrace change, and serve humanity. Job Summary Case Managers play a critical role in the multi-year grant-funded program designed… more