The Medical Director, working together with a coder (DRG Integrity Specialist), will review inpatient charts to ensure the acuity and complexity of the patient's hospital stay is appropriately captured in the clinical documentation and translated into coding. The Medical Director is responsible for ...
If this sounds like you, apply to our Medical Director-Inpatient Utilization Management opportunity today! . What you will do as a Medical Director for Inpatient Utilization Management (UM):. You will concisely, effectively, and consistently synthesize clinical information to document a clear s...
The Medical Director relies on medical background and reviews health claims. The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. The M...
If this sounds like you, apply to our Medical Director-Case Management & Quality opportunity today! . What you will do as a Medical Director for Case Management & Quality:. You will concisely, effectively, and consistently synthesize clinical information to document a clear summary of a...
May serve as a resource to staff including Medical Director Associates. The Medical Director typically has program management responsibilities including clinical policy development, program development/implementation, and overseeing clinical/non-clinical activities. Additional experience may be requ...
Merck Global Senior Director, Medical Affairs - Atherosclerosis Des Moines, Iowa Apply Now. The Global Senior Director, Medical Affairs (GDMA) is responsible for driving execution of value and implementation plans for atherosclerosis programs in key countries and regions. They consolidate actionable...
CVS Health Behavioral Health Medical Director - Des Moines, Iowa. Ensures timely medical decisions, including after-hours consultation as needed. Develops, implements, and interprets medical policies and procedures. Leads the administration of all medical management activities. ...
The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should meet authorization requirements. The Medical Director provides medical interpretation and determi...
CVS Health Medical Director - Behavioral Health - Des Moines, Iowa. In this role as Medical Director (Behavioral Health), you will:. Assist with the development, implementation, and interpretation of medical policy including medical necessity criteria, clinical practice guidelines, and new technolog...
The Medical Director reports directly to the Executive Director, Medical & Scientific Affairs. The Medical Affairs Director provides support to the Medical Affairs/Clinical Affairs Group for the Pharma and Consumer products portfolio. Bausch + Lomb Director, Medical Affairs Des Moines, Iowa Appl...
The Medical Director (Medical Affairs) will report into the Medical Affairs Department and is responsible for clinical support and consultative activities across the PBM. CVS Health - Medical Director - Medical Affairs (Oncology) - Des Moines, Iowa. CVS Health, a Fortune 4 company, has an outstandin...
The Medical Director relies on medical background and reviews health claims. The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. The M...
May serve as a resource to staff including Medical Director Associates. The Medical Director typically has program management responsibilities including clinical policy development, program development/implementation, and overseeing clinical/non-clinical activities. Additional experience may be requ...
The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should meet authorization requirements. The Medical Director provides medical interpretation and determi...
Follow direction from regional leadership (regional medical director or senior medical director) in collaboration with CMDs in the region to implement regional priorities and reach regional objectives. The Center Medical Director is the medical leader for his/her OSH center. The purpose of the Cente...
The Hospice Medical Director will work with the Executive Director, Director of Clinical Services and Hospice Supervisors to plan and evaluate clinical services. Trinity Health At Home is seeking a part-time Board Certified or Board Eligible Hospice & Palliative Medicine physician to serve as Hospic...
If this sounds like you, apply to our Medical Director-Case Management & Quality opportunity today! . What you will do as a Medical Director for Case Management & Quality:. You will concisely, effectively, and consistently synthesize clinical information to document a clear summary of a...
Further, if offered a position with Broadlawns Medical Center, I also agree to submit to a medical history and physical examination, which includes drug testing, provided by Broadlawns Medical Center and understand that my appointment is conditional on satisfactorily passing the examination prior to...
The Medical Director will provide qualified medical direction and consultation for care delivery and complex case management for our community-based palliative care program. The medical director will partner with the APP, RN and SW as needed to interact/ communicate with the primary care physician a...
Behavioral Health Medical Director. May serve as a resource to staff including Medical Director Associates. This level may provide oversight, direction, and guidance to Medical Director Associates. The Medical Director typically has program management responsibilities including clinical policy devel...
In the Medical Director role you will provide oversight for medical policy implementation. The Medical Director will act as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams. You will participa...
If this sounds like you, apply to our Medical Director-Case Management & Quality opportunity today! . What you will do as a Medical Director for Case Management & Quality:. You will concisely, effectively, and consistently synthesize clinical information to document a clear summary of a medically ne...
The Medical Director (Medical Affairs) will report into the Medical Affairs Department and is responsible for clinical support and consultative activities across the PBM. The Medical Director (Medical Affairs) will report into the Medical Affairs Department and is responsible for clinical support an...
Understands, meets and exceeds medical regulations pertaining to an Intermediate Care Facility for Intellectual Disability (ICF/ID) and Iowa Medicaid Enterprise (IME) and Managed Care Organizations (MCOs). Develops cooperative relationships with other medical providers and community agencies to purs...
If this sounds like you, apply to our Medical Director-Inpatient Utilization Management opportunity today! . Previous administrative medical experience ( clinical coordination, medical consulting, health plan, provider group, hospital group, etc. What you will do as a Medical Director for Inpatient ...