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Job Information Humana Care Team Medical Director in Pittsburgh Pennsylvania Description The ... in Pittsburgh Pennsylvania Description The Care Team Medical Director is responsible for improving the ... for improving..
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Job SummaryThe Medical Director, Health Services along with the ... along with the Vice President, Medical Operations, is directly responsible for ... continuous improvement in quality of care and service..
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..
Bilingual Psychiatric Medical Director - to $270k DOE - ... currently looking for a Psychiatric Medical Director to work in our community ... that seeks a dynamic Psychiatric Medical Director..
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..
... 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..
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..
... a Social Worker with Fresenius Medical Care, you will provide psychosocial services ... will work with the health care team to promote positive adjustment, rehabilitation, ... Manager, Senior Manager..
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 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'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..
Description Job Description Summary The Medical Director relies on medical background and reviews health claims. ... and reviews health claims. The Medical Director work assignments involve moderately complex ... factors...
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..
... Stars and Risk Adjustment National Medical Director in Pittsburgh Pennsylvania Description The ... role leads HQRI's Provider Support team (PST) that drives national provider ... nationally. This role relies..
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..
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 .....
... 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 .....
