NewDialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNColumbia, SCOther: • Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. • Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.
Divisional Medical Director of Anesthesia- MUSC Health Orangeburg Medical Center Medical University of South Carolina HealthDivisional Medical Director of Anesthesia- MUSC Health Orangeburg Medical CenterOrangeburg, SCOrangeburgs network includes seven primary care practices in Orangeburg, Calhoun, and Bamberg counties; express care locations in Orangeburg and Santee; Bamberg-Barnwell Emergency Medical Center; specialty practices in cardiology, endocrinology, general surgery, urology, behavioral health, neurology, obstetrics and gynecology, internal medicine, and orthopedics; a breast health center with mobile mammography capabilities; vein and vascular services; outpatient physical, occupational, and speech therapy locations; and five fitness centers. As a partner and collaborator with our academic medical center, youll have access to advanced technologies such as specialty and sub-specialty diagnostic support, and direct affiliation with clinical centers of excellence, all to better empower you to increase and optimize care locally.
NewAnesthesiology, Divisional Medical Director of Anesthesia- MUSC Health Orangeburg Medical Center Medical University of South Carolina HealthAnesthesiology, Divisional Medical Director of Anesthesia- MUSC Health Orangeburg Medical CenterOrangeburg, SCOrangeburgs network includes seven primary care practices in Orangeburg, Calhoun, and Bamberg counties; express care locations in Orangeburg and Santee; Bamberg-Barnwell Emergency Medical Center; specialty practices in cardiology, endocrinology, general surgery, urology, behavioral health, neurology, obstetrics and gynecology, internal medicine, and orthopedics; a breast health center with mobile mammography capabilities; vein and vascular services; outpatient physical, occupational, and speech therapy locations; and five fitness centers. As a partner and collaborator with our academic medical center, youll have access to advanced technologies such as specialty and sub-specialty diagnostic support, and direct affiliation with clinical centers of excellence, all to better empower you to increase and optimize care locally.
Regional Medical Network Director UnitedHealth Group Inc.Regional Medical Network DirectorColumbia, SC$248,500–$373,000 / yearCollaborates in teaching clinicians and clinical operations teams about Medicare Risk Adjustment, CMS STARs/HEDIS, and overall population health approach to patient care in both formal presentations and off the cuff at impromptu opportunities. General knowledge of clinical programs, trends and medical management, medical care delivery systems, utilization management, disease management, analytics quality management, contracting, provider relations and customer service.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DOSC$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
Medical Director MPO CVS Health CorpMedical Director MPOSC$174,070–$374,920 / yearIn this role as Medical Director MPO (Medical Policy & Operations) you will be responsible for providing clinical expertise to promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. Additional responsibilities may include: Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services.
PM&R Medical Director – Inpatient Rehab | Columbia, SC HealthwazePM&R Medical Director – Inpatient Rehab | Columbia, SCColumbia, South CarolinaWe are seeking a Board-Certified or Board-Eligible Physical Medicine & Rehabilitation (PM&R) physician to serve as Medical Director for an established Inpatient Rehabilitation Facility (IRF) in Columbia, South Carolina . With a thriving downtown, excellent schools, and proximity to the mountains and the coast, Columbia offers a fantastic lifestyle for physicians and families alike.
Medical Director AnyPlace MDMedical DirectorColumbia, South CarolinaLucrative Compensation: Competitive base salary with annual merit increases, monthly leadership stipend + RVU bonuses, and quarterly quality performance incentives. Recognized as one of "America's Greatest Workplaces" (Newsweek), we empower our Medical Directors to excel clinically and shape the future of workplace health.
Medical Director - Medicaid Appeals CVS Health CorpMedical Director - Medicaid AppealsSC$174,070–$374,920 / yearOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. You will support the Medical Management staff ensuring timely and consistent responses to member and provider appeals, state fair hearings, and escalated complaints.
Medical Director - ENT CVS Health CorpMedical Director - ENTSC$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
NewBehavioral Health Medical Director BlueCross BlueShield of South CarolinaBehavioral Health Medical DirectorColumbia, South CarolinaThe role ensures Healthy Blue’s BH strategy aligns with SCDHHS priorities, providing clinical authority to direct program strategy, oversee clinical policies, and support statewide goals such as improved transitions of care and reduced emergency department dependence. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.
Medical Director/Attending Physician - Post-Acute Care & SNF (Part-Time) Theoria MedicalMedical Director/Attending Physician - Post-Acute Care & SNF (Part-Time)Columbia, South CarolinaCombined with comprehensive benefits, professional development support, and resources that make practicing easier, our Total Rewards Package reflects our commitment to recognizing clinical excellence, rewarding long-term dedication, and investing in provider success. Theoria Medical is leading the charge in healthcare innovation, bringing multispecialty physician services and forward-thinking technology to skilled nursing facilities across the country.
Medical Director (IM / FM / Geriatrics) – Post Acute Care | Hilton Head, SC - 3586292 Necnic GroupMedical Director (IM / FM / Geriatrics) – Post Acute Care | Hilton Head, SC - 3586292Hilton Head, South CarolinaMedical Director (IM / FM / Geriatrics) – Post Acute Care | Hilton Head, SC . 12 miles of Atlantic beaches, boating, golf, and outdoor recreation.
Physician Medical Director-Urgent Care/Occupational Medicine KPG HealthcarePhysician Medical Director-Urgent Care/Occupational MedicineColumbia, SCKPG Healthcare is currently seeking Physician Medical Director-Urgent Care/Occupational Medicines to fill opportunities throughout our network of hospitals. From our location in the Western U.S., we build relationships nationwide, ensuring our professionals can access the ideal opportunity for their backgrounds, interests and experience.
Medical Director – Columbia, SC FenixHireMedical Director – Columbia, SCColumbia, South CarolinaA veterinary practice is seeking a Medical Director to guide its clinical team while delivering high-quality companion animal care. This opportunity is ideal for an experienced veterinarian who enjoys mentoring others, promoting medical excellence, and fostering a collaborative, patient-focused environment.
Remote Inpatient Medicare Medical Director Centene Corporation GroupRemote Inpatient Medicare Medical DirectorSCRemote$236,500–$449,300 / yearCollaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. License/Certifications: Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services.
Remote Behavioral Medical Director, Eastern Region Centene Corporation GroupRemote Behavioral Medical Director, Eastern RegionSCRemote$236,500–$449,300 / yearCollaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.
Medical Director Anesthesiology | Coastal South Carolina Region Medical Edge RecruitmentMedical Director Anesthesiology | Coastal South Carolina RegionTeamHealth, SCLocated in the Coastal South Carolina region , this area offers year-round outdoor recreation, beaches, golf, dining, and a lower cost of living than many coastal markets. StaffMed is partnering with an established anesthesia program in the Coastal South Carolina region to recruit a Medical Director of Anesthesiology .
Medical Director - Urgent Care/OccMed KPG HealthcareMedical Director - Urgent Care/OccMedColumbia, SCFrom our location in the Western U.S., we build relationships nationwide, ensuring our professionals can access the ideal opportunity for their backgrounds, interests and experience. KPG Healthcare is currently seeking Medical Director - Urgent Care/OccMeds to fill opportunities throughout our network of hospitals.
Physical Medicine and Rehabilitation Medical Director BlueCross BlueShield of South CarolinaPhysical Medicine and Rehabilitation Medical DirectorSouth CarolinaPosition Purpose: As a member of the senior management team, the Physical Medicine and Rehabilitation Medical Director provides administrative oversight to the medical staff, analyzes medical review utilization data, researches new medical procedures or technology, and acts as a resource to providers and internal staff on issues concerning medical policies. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.