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Job Information Humana Care Team Medical Director in Cincinnati Ohio Description The ... in Cincinnati Ohio Description The Care Team Medical Director is responsible for improving the ... for improving..
... members in our community. Our medical group provides home-based medical care to chronically ill patients, many ... frail and elderly, we deliver care primarily in the comfort of .....
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Description CenterWell Senior Primary Care, a subsidiary of Humana Inc., ... new brand for a primary care medical group practice with centers open ... and Texas. CenterWell Senior Primary Care..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors Responsibilities..
... ensure our members get the care they need, when they need ... match every single requirement. The Medical Director is a primary clinical subject ... is a hands-on, roll-up-your-sleeves,..
Description The Medical Director's primary responsibility is the review ... responsibility is the review of medical authorizations or claims to determine ... or claims to determine the medical necessity of..
... dialysis services and outstanding patient care to the community. Participates in ... of customer service, quality patient care, marketing, and responsible fiscal management. ... provision of outstanding quality patient..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... valid Ohio license. Responsibilities..
... Ensure provision of quality patient care while maintaining cost-effective clinical operations ... Compliance Program, and FMS patient care and administrative policies as the ... decisions to ensure continuity of..
... Stars and Risk Adjustment National Medical Director in Cincinnati Ohio Description The ... role leads HQRI's Provider Support team (PST) that drives national provider ... nationally. This role relies..
Description The Medical Director actively uses their medical background, experience, and judgement to ... requested services, requested level of care, and/or requested site of service ... conferences, and other reference..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... considered for position. Responsibilities..
... a Clinical Manager with Fresenius Medical Care, you will ensure that quality ... will ensure that quality patient care is delivered while maintaining clinical ... part of a close-knit,..
Description The Medical Director relies on fundamentals of CMS ... and per diem requests. The Medical Director provides medical interpretation and determinations whether services ... some cases) contracts. Responsibilities The..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... of variable factors. Responsibilities..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... factors. Responsibilities Job Profile..
Description The Medical Director relies on fundamentals of CMS ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... a rotating basis Responsibilities The..
Description The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... Government Business's (HGB) Behavioral..
Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral ... and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex .....
Description The Behavioral Health Medical Director makes determinations regarding prior authorization ... Humana coverage policies and determinations, medical necessity criteria, clinical reference materials, ... conferences, and other reference sources. Medical..
Description The Medical Director relies on fundamentals of CMS ... C Line of Business. The Medical Director provides medical interpretation and determinations whether services ... Saturday and Sunday. Responsibilities The..
