CVS Health Medical Director - (Ortho/Total Joint) Columbia, South Carolina Apply Now. The Medical Director (Ortho/Total Joint) will be a Subject Matter Expert (SME) with a background in Orthopedic specialty, including post-graduate direct patient care experience specifically. This role expands Aetna...
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 Medical Director provides medical interpretation and determinations whether se...
Internal Medicine - MDstaffers is seeking a qualified Medical Director in Columbia, SC. A Medical Director is needed in Columbia, SC to join a group that is dedicated to providing high-quality care to the community. The primary focus of the Medical Director is to oversee and collaborate with the cli...
CVS Health Medical Director - (Cardiology) Columbia, South Carolina. Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from home. The Medical Director (Cardiology) will be a Subject Matter Expert (SME) with a background in Car...
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...
In the Medical Director role, you will provide oversight for medical policy implementation, participate in the development, implementation, and evaluation of clinical/medical programs, and expand Aetna's medical management programs to address member needs across the continuum of care. CVS Health Med...
The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director reviews medical necessity and appropriateness of services rendered by healthcare professionals in compliance with CMS guidelines, clinical coverage criteria, a...
This is an opportunity to continue practicing medicine while establishing the direction and medical quality of the hospital like an owner would, but without the risks of ownership. Competitive compensation along with a comprehensive benefits package including medical, dental, vision, and paid vacati...
Medical Director / Physician at Sheriff Al Cannon Detention Center in North Charleston, South Carolina!. MEDICAL DIRECTOR / PHYSICIAN BENEFITS PACKAGE:. MEDICAL DIRECTOR / PHYSICIAN POSITION SUMMARY:. The Site Medical Director serves as the responsible Physician and health authority required by nati...
Eskenazi Health is seeking a Director of Medical Coding Operations to oversee and manage all aspects of medical coding operations within Eskenazi Health, including the Clinical Documentation Improvement Program (CDIP). Expertise in medical coding and billing is essential in ensuring accurate and tim...
Highmark Health Medical Director Columbia, South Carolina. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Conduct electronic review of escalated cases against med...
ADON - Assistant Director of Nursing -Women & Children / Inpatient Float Pool*. Consistently named best hospital, Lexington Medical Center dedicates itself to providing quality health services that meet the needs of its communities. News & World Report, Lexington Medical Center is the only hospital ...
The Medical University of South Carolina is an Equal Opportunity Employer. Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. ...
Consistently named best hospital, Lexington Medical Center dedicates itself to providing quality health services that meet the needs of its communities. News & World Report, Lexington Medical Center is the only hospital named one of the Best Places to Work in South Carolina. The 607-bed teaching...
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...
Educates providers on issues concerning medical policies, utilization specifications, coding/medical necessity issues. Provides medical and administrative oversight of the health and disease management programs including budgeting, program strategic planning, and review of outgoing correspondence an...
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...
Medical Director (Hospitalist) Position near Greenville, SC. Employer is seeking an experienced Hospitalist with a leadership background for medical directorship near Greenville, SC. ...
Highly qualified candidates may also be considered for a Center Medical Director position. Our Primary Care Physicians operate at a single medical center supported by large care teams so our providers can focus on delivering a better. Maintain Patient Electronic Medical Record data via canopy and gr...
Consistently named best hospital, Lexington Medical Center dedicates itself to providing quality health services that meet the needs of its communities. News & World Report, Lexington Medical Center is the only hospital named one of the Best Places to Work in South Carolina. The 607-bed teaching...
Internal Medicine - MDstaffers is seeking a qualified Medical Director in Columbia, SC. ...
Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Pain Management) that can be remote based, work from home. The Medical Director (Pain Management) will be a Subject Matter Expert (SME) with a background in Pain Management specialty, including post-graduate direct pati...
Aiken Regional Medical Centers has been ranked a top hospital in South Carolina by the Carolina Center for Medical Excellence for its treatment of heart attack, heart failure and pneumonia. The Assistant Director plans and administers the annual budget in collaboration with the Director. Assistant D...
Consistently named best hospital, Lexington Medical Center dedicates itself to providing quality health services that meet the needs of its communities. News & World Report, Lexington Medical Center is the only hospital named one of the Best Places to Work in South Carolina. The 607-bed teaching...
Consistently named best hospital, Lexington Medical Center dedicates itself to providing quality health services that meet the needs of its communities. News & World Report, Lexington Medical Center is the only hospital named one of the Best Places to Work in South Carolina. The 607-bed teaching...