Senior Medical Director, Post-Acute Care Utilization Review
Cigna Health and Life Insurance Company
Cigna Health and Life Insurance Company is seeking a Medical Director for Post-Acute Care. This role requires providing timely expert medical reviews for post-acute care services, engaging in peer discussions with physicians, and conducting case conferences. The ideal candidate has an M.D. or D.O. degree, at least five years of clinical practice experience, and an active board certification in Physical Medicine and Rehabilitation. A comprehensive benefits package is offered. #J-18808-Ljbffr Cigna Health and Life Insurance Company
$223.8k - $313.1k
...Become a part of our caring community The Medical Director relies on medical background and reviews health claims. The Medical Director... ...Medicine, or those experienced in Utilization Review are encouraged to... ...MD or DO ~5 or more years post-residency clinical...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeMonday to FridayWeekend work- ...healthcare organization is seeking a Medical Director to conduct inpatient medical necessity reviews while collaborating with... ...physician with at least 5 years of post-residency experience and strong... ...clinical reviews, providing utilization management determinations, and...SuggestedRemote jobMonday to Friday
$223.8k - $313.1k
...Become a part of our caring community The Medical Director uses their medical background... ...includes computer-based review of moderately complex to... ...predominantly arise from post-acute care environments. The work... ...mentored training programs; utilize ongoing team support...SuggestedBi-weekly payFull timeTemporary workApprenticeshipRemote workWork from homeHome office- ...Nurse at TriStar Summit Medical Center, you’ll have all... ...safe, high-quality care—so you can focus on what... ...offer a full array of acute care services. These include... ..., BSN, RN, NEA-BC Senior Vice President and Chief... ...Our team will promptly review your application....SuggestedHourly payTemporary workFlexible hoursShift work
- ...quality of life for seniors.... ...Compensation: ~ Medical/Dental ~ Flex... ...inclusive program of care, personalized... ...Regional Medical Director Reside in... ...efficient resource utilization. Support... ...therapeutics, peer review, credentialing,... ...populations in acute care, primary...SuggestedFull timeLocal areaHome officeFlexible hoursShift work
- ...Join Revere Medical as the Senior Medical Director in Nashville, TN This role will include three days of Primary Care clinical time and two days of administrative time (one day for clinic responsibilities and one day for Senior Medical Director role) The time allocation...SeniorLocal area
- ...license Nurse Case Management Senior Analyst Delivers... ...evaluates appropriate health care services in conjunction with... ...physician treatment plan. Utilizes clinical skills to assess,... ...concurrent, and retrospective reviews for inpatient acute care, rehabilitation,...SeniorImmediate startRemote work
- ...over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We are looking for a Medical Director for our Work from Home team where... .... ~ Performs data analysis related to utilization review (UR) metrics, works with hospital utilization...Daily paidFull timeTemporary workPart timeWork experience placementFlexible hours
$725 per month
...Health & Wellness Director (Delegating... ...overseeing nursing care, regulatory compliance... ...~ Medical, Dental, Vision... ...the date of the posting. Responsibilities... ...Visit Form and reviews and updates resident... ...Nurse management, senior living, or post-acute care experience...SeniorHourly payFull timeTemporary workPart timeFlexible hoursShift workNight shiftAfternoon shift- ...Medical Director, Value Based Care Founded in 2017 and headquartered in Nashville, Tennessee, Upperline... ...and telehealth - reduces avoidable utilization and total cost of care. The Upperline... ...region including clinical quality review of providers and serving as the collaborating...Full timeWork from home
- ...Overview Reporting to the Chief Medical Officer (CMO), the LTSS Medical Director will provide clinical... .... This role focuses on utilization management, quality... ...-quality, cost-effective care delivery. Key Responsibilities Conduct daily reviews of home and community-based...Work from homeMonday to Friday
$115.4k - $251.6k
...About the Role As an Senior Principal Product... ...tests and unit test plans. Review integration and regression... ...provided in this posting are specific to the stated... ...includes the following: # Medical, dental, and vision... ...Spouse/Child) # Health care and dependent care...SeniorTemporary workFlexible hours- Humana Inc is seeking a Medical Director to oversee clinical determination requests in the United States. This full-time, remote role involves... ...to maintain regulatory compliance and to support the review of acute inpatient rehabilitation authorizations. Applicants should...Remote jobFull time
$300k
...the LHP Model of Care, trains and monitors... .... Works with the Medical Director of Clinical Services... .... Hold periodic review meetings with... ...reviews with APPs for acute and chronic condition... .... Provide post‑review education on... ...quality programs, utilization management, and managed...Contract workWork at office$66.48k - $89.74k
...interfacing and providing care to our patients and... ...'ll contribute A Senior Staff Accountant who... ...reporting. Prepares, reviews, and posts journal entries,... ...financial accuracy. Utilizes Excel extensively, including... ...continuum, such as acute rehabilitation units,...SeniorFull timeImmediate startVisa sponsorship- ...Become a part of our caring community and help us... ...first The Associate Medical Director (AMD) is an... ...initiatives • Champion our senior-focused primary care strategic... ...professionals) • Utilize clinical performance... ...utilization • Periodically review clinician charts to...Local area
$82.5k - $166.1k
...Job Description As a Senior Clinical Consultant, you will... ...formerly known as Clairvia, in Acute and Outpatient care. Drawing on your clinical... ...provided in this posting are specific to the stated... ...includes the following: # Medical, dental, and vision insurance...SeniorTemporary workFlexible hours- ...Humana Inc. is seeking a Medical Director for clinical leadership across home health and post-acute care. This role is crucial for influencing care for Medicare Advantage... ..., and significant experience in Medicare Advantage and utilization management. #J-18808-Ljbffr...Senior
- * Recognized Care - Consistently ranked among... ...Day One Benefits - Medical, dental, vision,... ...populations including post-operative cardiac... ...comfort working in acute care or ICU environments... ...templates and utilizes only approved abbreviations... ...measured by peer-reviewed grant funding from...SeniorImmediate start
$79.1k - $158.2k
...decisions and better patient care. We want people just... ...across services. Utilizing effective consulting... ...activities and workflow reviews, facilitate business... ...including go-live and post-go-live stabilization.... ...includes the following: # Medical, dental, and vision...Contract workTemporary workWork experience placementLocal areaRemote workFlexible hours$96.8k - $251.6k
...Description The Senior Principal AI Agent... ...in design, code, reviews, operations, and... ...latency, throughput, utilization, availability, and... ...provided in this posting are specific to... ...the following: Medical, dental, and... ...Child) Health care and dependent care...SeniorTemporary workFlexible hours- ...redefining what’s possible inpatient care. By leveraging the power of... ...is seeking an experienced senior-level Clinical Informaticist to... ...in Expanse to optimize utility of the system to ensure that clinical... ...CT&I, CSG, and ITG teams to review feedback from facilities live...Senior
- ...easier to access. Through its subsidiaries, Ardent delivers care through a system of 30 acute care hospitals, 24,000+ team members and more than 280... ...gaps to future state goals related to IT application utilization. ~ Provides ongoinganalysis, technical and functional...Senior
- ...and specialty clinicians in the role of Medical Director . The Medical Director will partner in... ...upholding medical quality standards (patient care, client and referral veterinarian... ...benefits and perks. Efficiency Tools: Utilize Talk-a-too and text expander, our...Temporary workSummer workWork at officeRelocation packageFlexible hoursNight shift
- ...redefining what’s possible inpatient care. By leveraging the power of... ...informatics solutions across all acute care and post-acute care facilities. The Senior Clinical Informaticist leverages an... ...clinical documentation and chart review across all specialties and clinical...Senior
- ...Discover Vanderbilt University Medical Center: Located in Nashville,... ...teaching, discovery, and patient care, VUMC is a community of... ...Surgical Sciences Job Summary Reviews, accurately assigns, and abstracts... ...requirements and hospital targets. Utilize designated coding...SeniorWork experience placementRemote work
$140k - $154k
...COMPASSION. At Family Care Center, we are on a... ...competitive benefits, including medical, dental, fertility,... ...with the Clinic Director oversee the services provided... ...(s) and schedules peer reviews and ensures adequate... ...and families undergoing acute episodes of psychiatric...Local areaRelocation packageWeekend workAfternoon shift- ...coordinate patients' care among a team of... ...everything we do. The Director of Population... ...reporting to the Senior Vice President of... ...management, medication adherence, preventive... ...across quality, utilization, and financial metrics... ..., please review the Know Your Rights...Temporary workImmediate start
$178.3k - $407k
...& Data, Advanced Analytics - Health Sector – Senior Manager - Consulting We are helping our clients transform care delivery and obtain their most critical business... ...addition, our Total Rewards package includes medical and dental coverage, pension and 401(k) plans,...SeniorWork experience placementSummer holidayFlexible hours- ...Envision is looking for a Site Medical Director to lead our growing Critical Care Intensivist team at Medical City McKinney, located in McKinney, TX. SMD... ...Magnet® recognized for nursing excellence. This 318-bed, acute care hospital is a Level II Trauma Center, Primary...Hourly payLocal areaFlexible hoursShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Medical Director, Post-Acute Care Utilization Review. Be the first to apply!
- senior manager clinical operations Nashville, TN
- medical director utilization management Nashville, TN
- clinical director Nashville, TN
- medical director neurology Nashville, TN
- medical device manager Nashville, TN
- clinical supervisor lmft lcsw Nashville, TN
- medical director global medical affairs Nashville, TN
- clinical data manager remote Nashville, TN
- director of health and wellness Nashville, TN
- entry level clinical data manager Nashville, TN


