- 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
- AmeriHealth Caritas (Newtown Square, PA)
- …in and supports the corporate Medical Management Strategy. 5. Directs the case management activities to comply with the Medicare Model for case ... about us at www.amerihealthcaritas.com **Responsibilities:** Under the supervision of the Director of Care Management, the Manager of Care Management is responsible… more
- AmeriHealth Caritas (Southfield, MI)
- …facilitating authorizations/referrals for the utilization of services. + Interfaces with the Medical Director and other Integrated Care Team participants on ... this job:** Under the supervision of the Supervisor of Medicare LTSS Operations, the Medicare LTSS Care...chronic illnesses, co-morbidities, and/or disabilities in a service coordinator, case management, or similar role or any combination of… 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 (Columbia, SC)
- **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 (Salem, OR)
- **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...reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and … more
- Humana (Frankfort, KY)
- **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