Medicare Medical Director Utilization & Care Oversight
$223.8k - $313.1kHumana
Humana Inc is seeking a Medical Director to oversee preauthorization requests, leveraging extensive medical knowledge. Candidates should possess an MD or DO degree, along with over five years of clinical experience, particularly in Medicare-related care. The role involves in-depth clinical reviews and collaboration with both internal teams and external physicians. This is a full-time position based in Des Moines, Iowa, offering a competitive salary ranging from $223,800 to $313,100 annually. Humana provides comprehensive benefits to support overall well-being. #J-18808-Ljbffr
$223.8k - $313.1k
...Become a part of our caring community The Medical Director relies on medical background and reviews health... ...Medicine, or those experienced in Utilization Review are encouraged to apply.... ...utilization management or inpatient review (Medicare Advantage, Managed Medicaid, or...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeMonday to FridayWeekend work$223.8k - $313.1k
...Become a part of our caring community The Behavioral Health Medical Director is responsible for behavioral health care... ...Health Medical Directors will learn Medicare, Medicare Advantage and... ...focusing on quality management, utilization management, case management, discharge...SuggestedBi-weekly payFull timeTemporary workApprenticeshipRemote workWork from homeHome officeWeekend work- ...VCA Seaside Animal Hospital in Des Moines seeks a Medical Director to lead a compassionate veterinary team. This role involves strategic leadership to promote high-quality care and continuous professional development. Benefits include a competitive salary of USD 120,0...Suggested
- ...New Frontier Animal Medical Center in Des Moines seeks a Medical Director to lead a passionate veterinary team and uphold high standards of patient care. The ideal candidate should have strong clinical skills and a passion for mentorship. Benefits include a competitive...Suggested
- ...Iowa. This role involves delivering high-quality, person-centered care in skilled nursing facilities and senior living communities. As... ..., professional development, and a comprehensive benefits package including medical, dental, and vision insurance. #J-18808-Ljbffr...Suggested
$113k - $132k
Cognizant is seeking a Clinical Product Consultant - CareAdvance to lead the design and configuration of clinical workflows that support care management operations. The role demands expertise in clinical product configuration and strong knowledge of healthcare processes. It...Remote jobFull time$130k - $150k
Dmvet in Des Moines is seeking a compassionate Medical Director to improve veterinary care quality. You'll conduct patient examinations, perform diagnostics, and collaborate with staff. Ideal candidates possess a DVM or VMD, a current veterinary license, and strong clinical...$60.2k - $107.4k
...Case Manager in Des Moines, Iowa, responsible for case management and utilization review of behavioral health services. This position involves managing behavioral health cases and coordinating care in a home setting. The ideal candidate will have a Master's Degree in Social...$60.2k - $107.4k
Optum Home & Community Care, part of the Optum family of businesses... ...for case management and utilization review of behavioral health and... ...health treatments for medical necessity, emergency status,... ...Assist in coordinating Medicaid/Medicare benefits and transitions between...Minimum wageFull timeWork experience placementLocal area- ...Veterinary in Des Moines, Washington is looking for an experienced Veterinarian to become the Medical Director. This hands-on role involves mentoring team members and overseeing patient care standards while enjoying a supportive work environment with no on-call or overnight...Relocation package
- ...Hospice Medical Director The hospice Medical Director will have overall... ...Director will provide oversight of physician services by acting... ...complementing attending physician care. The Medical director will... ...and conditions required by Medicare Conditions of Participation,...
$170 - $175 per hour
...Medical Director Req number: R7707 Employment type: Full time Worksite flexibility... ...for a Medical Director to ensure utilization management responsibilities are performed... ...consistent with community standards of care Participate as a member of the CMDM...Hourly payFull timePrivate practiceWork at officeLocal areaRemote workWorldwide$227.6k
...part of a physician team, ensures that utilization management responsibilities are performed... ...escalated cases electronically and using Medical Policy criteria sets to evaluate the... ...projects to help support and improve the care of our members ESSENTIAL RESPONSIBILITIES...For contractorsPrivate practiceWork at officeLocal area$120k - $180k
...to deliver exceptional patient care. Reflecting the trust we have... ...you can truly focus on complex medical cases and grow professionally,... ..., giving you the chance to utilize advanced diagnostic and therapeutic... ...is looking for a medical director to lead our growing practice,...Local areaShift work- ...ensure quality standards are met. Ideal candidates must possess an MD or DO, be board certified in Psychiatry, and hold an unrestricted Iowa license. The role also requires the ability to prescribe medications and eligibility to work in the United States. #J-18808-Ljbffr...Remote work
$246.1k - $344.2k
...Become a part of our caring community The Corporate Medical Director relies on medical background and reviews health claims. You will work on problems... ...education as needed. Maintain current knowledge of Medicare regulations, managed care requirements, and industry...Bi-weekly payFull timeTemporary workApprenticeshipInterim roleWork at officeRemote workWork from homeHome officeMonday to Friday$270k - $340k
...across specialties and primary care, we seek to connect the... ...cancer. As a Performance Suite Medical Director in Medical Oncology, you... ...throughput, this position integrates utilization management with... ...sanction or exclusion from Medicare/Medicaid programs. To ensure...Immediate start- ...Clinical Care Manager Join our team and support clinical excellence while leading and developing a high-performing care team. Innovive... ...package. Flexible schedules to fit your lifestyle. Medical, dental, and vision benefit. Mileage reimbursement. 401k with...Local areaFlexible hours
$231.5k - $396.86k
...Medical Director Associate - CarelonRx Location: This role enables associates to work virtually... ...of the United States when conducting utilization review or an appeals consideration and... ...awareness resources at HB531 | Florida Agency for Health Care Administration ( ....Full timeTemporary workWork experience placementLocal areaWeekend work1 day per week$191.15k - $305.85k
...Job Description The Medical Director brings a unique set of knowledge and skills to the business... ...groups, and members as needed. Utilizes clinical knowledge and experience to support... ...of high quality and cost-effective care for members. The application of a Medical...Local areaRemote work- ...Patient Logistics Medical Director MercyOne is seeking a Patient Logistics Medical Director to... ...is redesigning where and how we provide care. The MercyOne Medical Group leads the way... ...services and employment functions. We utilize a statewide recruitment approach with system...Local areaFlexible hours
$79.1k - $158.2k
...lifesaving decisions and better patient care. We want people just as dedicated as we... ...electronic health record across services. Utilizing effective consulting skills during... ...package which includes the following: # Medical, dental, and vision insurance, including...Contract workTemporary workWork experience placementLocal areaRemote workFlexible hours$130 - $140 per hour
...across specialties and primary care, we seek to connect the... ...What You’ll Be Doing: Field Medical Director, Radiation Oncology As a FMD... ...will be a key member of the utilization management team. We can offer... ...health care program, including Medicare or Medicaid, and is not...Full timePart timeWork at officeImmediate start- ...healthcare organization in Des Moines is seeking a Clinic Supervisor who will oversee clinical operations and ensure patient-centered care. The role includes guiding staff performance, assisting in hiring and training, and ensuring compliance with organizational...Day shift
- A leading healthcare provider in Des Moines, Iowa, is seeking a Behavioral Health Care Coordinator to support care management activities. The candidate will perform assessments, develop care plans, and work closely with a multidisciplinary team to ensure member outcomes...Local area
- ...career path. Our competitive benefits include medical, dental, vision, LTD, STD, and life... ...excellence. Key Responsibilities: Client Care • Create a welcoming and professional... ...work schedules effectively. • Utilize time management tools such as calendars and...Private practice
$18.65 - $27.98 per hour
...Full Time OCS Des Moines, IA, US Salary Range: $18.65 To $27.98 Hourly As a Medical Assistant Care Navigator, you will work collaboratively with a multidisciplinary team to support the delivery of quality healthcare through a Ryan White funded grant program...Hourly payFull timeTraineeshipWork experience placementWork at officeMonday to FridayFlexible hours- ...Primary Health Care, Inc. is seeking a dedicated RN Nurse Care Manager for the East Side Clinic in Des Moines. This full-time position involves implementing strategic care management to improve patient outcomes and working collaboratively within an interdisciplinary team...Full time
$97.5k - $199.5k
...lifesaving decisions and better patient care. We want people just as dedicated as we are... ...will support the ongoing operational oversight for the various solutions and service areas... ...package which includes the following: # Medical, dental, and vision insurance, including...Contract workTemporary workLocal areaRemote workFlexible hours- ...Regional Travel Interim Director Of Nursing / Mds Clinical Consultant Are you ready to... ...Clinical Consultant to support our long-term care facilities during periods of leadership... ...is vacant and will also assist with MDS oversight, assessment completion, care plan accuracy...Hourly payContract workInterim roleImmediate startNight shift
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