Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in...
Job SummaryThe Senior Director, Medical Affairs, Parenteral Nutrition (PN) is a critical role as this individual serves as the lead for the US PN Medical Affairs team and is responsible for developing and executing the US Medical Affairs strategy. Additionally, the Senior Director is responsible for...
Services include minor work injury care, NO chronic pain management!Fully integrated EMR system with complete automation provides the Medical Director opportunity to focus on delivering a high quality of patient care with minimal administrative duties required of the provider. NOVA MEDICAL CENTERS s...
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in...
Works with the Medical Team to provide patients with primary medical care services within the standards of practice and care for facility patients/residents. Healthcare Providers in various post-acute facilities, providing in-patient holistic medical services utilizing innovative technologies to imp...
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in...
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in...
Seeking Medical Director for Wound Care Program - Fort Wayne, Indiana!!Hospital is searching for a Medical Director for affiliated Wound Care Program. Seeking Medical Director for Wound Care Program – Fort Wayne, Indiana!!. ...
VCA West 86th Street Animal Hospital is** looking for an **Medical Director** to lead our doctor team in Indianapolis, IN!. We work as a team to deliver the best medical care for our patients, as well as the best experience for our clients. Benefits: We offer competitive compensation along with a...
The Optum Radiation Oncology Medical Director will provide clinical guidance to help implement a next-generation comprehensive Radiation Oncology solution which will successfully meet clinical, quality, and financial performance objectives. Enhance clinical expertise of the radiation oncology team t...
Inpatient Care Management Medical Director. The Medical Directors work with groups of nurses and support staff to manage inpatient care utilization at a hospital, market, regional or national level. Although the United Health Services ICM Medical Director's work is typically concentrated in a region...
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...
The Adult Academic Health Center is looking for an experienced and qualified candidate to serve as the peri-operative medical director across both IU Health Methodist and University Hospital peri-operative services. The Peri-Operative Medical Director will develop and maintain strong collaborative r...
The Duals Care Management (CM) Medical Director will participate in designing, developing and deploying our Models of Care across all markets. Consults with plan medical staff regarding adverse determinations, addresses issues related to network providers, performs medical chart reviews, and conduct...
Anesthesiology - Anesthesiologist Medical Director Needed in Indiana. ...
The Adult Academic Health Center is looking for an experienced and qualified candidate to serve as the Peri-Operative Medical Director at Methodist Hospital perioperative services. The Peri-Operative Medical Director will develop and maintain strong collaborative relationships with stakeholders incl...
In addition, with input from the Director-Medical and Business Unit Team Physician/Regional Medical Leader, the CRP is responsible for assuring that his/her activities are clearly aligned with the strategic priorities of the respective business unit global Medical Affairs team, brand team(s), global...
The Optum Radiation Oncology Medical Director will provide clinical guidance to help implement a next-generation comprehensive Radiation Oncology solution which will successfully meet clinical, quality, and financial performance objectives. Enhance clinical expertise of the radiation oncology team t...
The Medical Director leads, manages, and supervises the medical team and assures the highest quality of patient care at the lowest cost, including comprehensive evaluations, patient consultations, and medication management (including detox protocols) to an ethnically diverse patient population. Prov...
Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote based, work from home. The Medical Director (Spine) will be a Subject Matter Expert (SME) with a background in Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care expe...
The Division of Neonatal-Perinatal Medicine is announcing the search for a Medical Director of the Riley Early Years Program. The Riley Early Years Medical Director will be responsible for:. Supporting the education of medical students, residents and fellows in the care of the medically complex infa...
The Medical Director Clinical Programs is responsible for designing and implementing clinical programs with specific medical condition focus for all lines of business enterprise wide. Provides clinical expertise, captures and shares best practices across regions to provider partners as well as the c...
Medical Director and Full Time or Part time Veterinarian. ...
Medical Director Associate - Utilization Mgmt. Medical Director Associate (UM). May be responsible for supporting one or more Medical Directors in ensuring clinical integrity of broad and significant clinical programs. Under direction, may be responsible for the administration of medical services fo...
The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process ...