- 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
- LifePoint Health (Rutherfordton, NC)
- …and knowledge and experience operating community hospitals and healthcare organizations. The Director of Case Management is responsible for the oversight of ... for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran* **Job:** ** Case Management/Social Services* **Organization:** ** **Title:** * Director ,… more
- Houston Methodist (The Woodlands, TX)
- At Houston Methodist, the Director Case Mgmt Social Svcs position is responsible for strategy, function and operations of the Case Management & Social Work ... while promoting the most cost-effective utilization of the hospital's resources. The Director Case Mgmt Social Svcs position deploys population-focused teams to… more
- Henry Ford Health System (Clinton Township, MI)
- …practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles. . Knowledge of medical ethics and legal ... Under the direction of VP Operations, CNO, the Regional Director of Case Management is responsible for...Ford is one of the nation's most respected academic medical centers and is leading the Future of Health:… more
- LifePoint Health (Johnstown, PA)
- …Case Management/Social Services* **Organization:** ** **Title:** *Market Director Case Managemen* **Location:** *Pennsylvania-Johnstown* **Requisition ID:** ... 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 for hospitals within a… more
- Humana (Columbus, OH)
- **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 (Columbus, OH)
- **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 (Columbus, OH)
- **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
- Cedars-Sinai (Los Angeles, CA)
- **Job Description** The Medical Director of Mental Health is a psychiatrist who oversees mental health services in the Medical Network and provides support ... mental health needs of patients cared for across the Medical Network. The Medical Director ...conditions. + Assists with the supervision and teaching of medical students, residents, fellows, social workers, case … more
- Katmai (Usaf Academy, CO)
- **SUMMARY:** Performs healthcare coordination and case management activities IAW Medical Treatment Facility (MTF) instructions. **ESSENTIAL DUTIES & ... Central Referral Center. + Maintains current directories of local Medicare providers, suppliers, and Institutions. + Evaluates case...upon request. + Reports monthly summary of care to Director , Medical Management (MM) or designee. +… more
- CareOregon (Portland, OR)
- Position Title: Medical Director - Clinical Services Requisition #: 24590 Department: Department: Medical Management Administration Title of Manager: Sr ... Medical Director - Clinical Services Supervises: Non-Supervisory Exemption Status: Exempt...Aim. Direct support may be focused on Medicaid or Medicare lines of business in a Coordinated Care Organization… more
- Sharp HealthCare (San Diego, CA)
- …the position, and employer business practices. **What You Will Do** This Senior Medical Director position provides critical management and oversight for Sharp ... + 5 years' experience as an HMO Health Plan Medical Director . + California Physicians and Surgeons...and reports findings in conjunction with the Quality Improvement Director . + Assists in POS/PPO Case Management… more
- Magellan Health Services (San Diego, CA)
- …quality improvement activity (QIA) in collaboration with the clinical lead senior medical director , and quality improvement staff. May participate in various ... assigned interdisciplinary UM team, including regular involvement in the case management of at-risk cases and medical ...committees or project teams as directed by the senior medical director or vice-president. + Supports senior… more
- Magellan Health Services (Albuquerque, NM)
- …Commercial) and implements and manages programs to support this vision. The Senior Medical Director ensures the delivery of appropriate health care by overseeing ... staff and physician advisors. Ensures adequate physician resources. Develops and manages medical director and physician advisor budgets, travel budgets, and… more
- UPMC (Washington, PA)
- …Management staff + Assists with management of departmental budget. + Collaborates with Director , Medical Director /Physician Advisor and staff to ensure ... operations of the Case management department under the direction of the Director . The Manager is accountable for the following Case Management functions:… more
- HCA Healthcare (West Palm Beach, FL)
- …the needs of each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental functions. ... 156,000 hours volunteering in our communities. As a(an) RN Case Manager PRN with HCA Florida JFK North Hospital...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no… more
- HCA Healthcare (Fort Pierce, FL)
- …and Qualifications The Manager for Case Management services reports to the Case Management Director and is responsible for promoting patient-centered care by ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...daily, weekly and monthly reports as assigned by the Director of Case Management. + May be… more
- Molina Healthcare (Columbus, OH)
- …Certification in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in ... State Medical License, free of sanctions from Medicaid or Medicare . **Preferred Experience** * Peer Review, medical policy/procedure development, provider… more
- Cedars-Sinai (Los Angeles, CA)
- …and collaboration with internal and external stakeholders. + Promotes the role of Case management, medical social work & utilization management within the ... governing the Case Management department including but not limited to Medicare , Medicaid, and The Joint Commission (TJC). Ensures departmental adherence to all… more
- CVS Health (Columbus, OH)
- …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