MEDICAL DIRECTOR LTSS MUST jobs in USA, United Kingdom

and practice initiatives in collaboration with the Corporate Medical Director(s), Senior Medical Directors, Utilization Management.... Must be licensed to practice in the state of Delaware as a medical director. Additional state licensure required in all states...

Anticipated End Date: 2024-10-18 Position Title: LTSS Medical Director Job Description: Wellpoint, formerly.... Work schedule: Monday - Friday, 8:00 am to 5:00 pm CST. The Medical Director is responsible for the administration...

in collaboration with the Corporate Medical Director(s), Senior Medical Directors, Utilization Management and the CMO.... Must be licensed to practice in the state of Delaware as a medical director. Additional state licensure required in all states...

to bring accessible healthcare to our members. The LTSS Director, Clinical Health Services (Director), will partner closely... with the LTSS Executive Director, Market CEO, DSNP Senior Leadership Clinical Health Services, Centers for Medicare...

Anticipated End Date: 2024-07-28 Position Title: Director GBD Special Programs, LTSS Care Coordination... Job Description: Director GBD Special Programs, LTSS Care Coordination Location: Topeka or Kansas City, KS. Hybrid (1-2 days onsite) Position...

Anticipated End Date: 2024-07-05 Position Title: Program Director, LTSS Kansas Job Description: Program Director..., LTSS Kansas Location: Kansas. This position will work a hybrid model (remote and office). The ideal candidate will live...

Suite (Word, Excel, etc.) Strong knowledge of Medicare/MMP LTSS Ability to communicate with beneficiaries who have medical... more about us at www.amerihealthcaritas.com. Responsibilities: The Medicare LTSS Care Coordinator is responsible for the overall...

, complex, and/or treatment resistant illnesses through peer review and educational interventions. Work with medical director... (must have at least three years of training in a medical specialty). 3+ years of experience in the managed care industry. 1 year LTSS/MLTSS...

care and social determinant needs. The Duals Care Management (CM) Medical Director will participate in designing.... Partner closely with the Executive Director of Duals and other Duals Care Management leadership to collaborate across the...

Become a part of our caring community and help us put health first The Director of State Public Policy role resides..., Medicaid, and CenterWell businesses. The Director of State Public Policy role resides within the Corporate Affairs Department...

Pharmaceutical director to ensure the integration of physical and Behavioral Health Services and supports and LTSS, as applicable... and other key stakeholders. The Behavioral Health Executive Director must coordinate with all functional areas of shared services...

Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking a Program Director to assist... ongoing review of DCCI programs to ensure that services are provided in a comprehensive manner. The Program Director...

be required to attend Fair Hearings with Medical Director relating to specific cases. Attends departmental meetings, as required. Works.... This is accomplished by utilizing required NYS UAS Assessment Tools to determine functional status, medical, behavioral, psychological...

identify and refer requests to the Medical Director when guidelines are not met. The Reviewer will maintain current knowledge... information from Service Coordinators. Accessing and applying Medical Guidelines for decision making prior to Medical Director...

or medical director review or input, routes accordingly and closes cases according to procedures and guidelines in a timely... Follow-up provider care and ensuring scheduled appointments Durable medical equipment and supplies Community resources...

needing manager, director or medical director review or input, routes accordingly and closes cases according to procedures... resources and available benefits Follow-up provider care and ensuring scheduled appointments Durable medical equipment...

or medical director review or input, routes accordingly and closes cases according to procedures and guidelines in a timely... and available benefits Follow-up provider care and ensuring scheduled appointments Durable medical equipment and supplies Community resources...