Medical Director - Spine and Brain Surgery - Remote UnitedHealth Group IncMedical Director - Spine and Brain Surgery - RemoteMiami, FLRemote$248,500–$373,000 / yearTotal cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Medical Director, Utilization Management Physician - Optum - Remote UnitedHealth Group IncMedical Director, Utilization Management Physician - Optum - RemoteMiami, FLRemote$248,500–$373,000 / yearThe Medical Director for Utilization Management will support WellMed Medical Management, Inc. by making utilization management determinations, identifying utilization trends suggesting possible over or under utilization of services and proactively suggesting improvements to WellMed Medical Management's utilization management program. WellMed is a network of doctors, specialists and other medical professionals that specialize in providing care for more than 1 million older adults with over 16,000 doctors' offices.
Medical Director - Hematology/Oncology Trinity Health CorporationMedical Director - Hematology/OncologyFort Lauderdale, FLThis includes holding various degrees of accountability for clinical quality of care, patient safety, patient satisfaction, staff and clinician satisfaction, productivity, revenue enhancement, managed care performance, recruitment, assuring adequate patient access and program growth/development and accreditation. The HCMG Site Medical Director (SMD) Hematology/Oncology is principally responsible for working in partnership with the Service Line Chief, Practice Manager and Division Director to give clinical and professional input of their clinical practice/specialty.
Facial Plastic Surgeon / Medical Director Inspire AestheticsFacial Plastic Surgeon / Medical DirectorFort Lauderdale, FloridaWhether you want to embrace the great outdoors at the many parks and natural wonders—the grand dame of them all being the Florida Everglades—snorkel or sunbathe along 24 miles of beautiful beaches, or eat and drink your way around world-class bars and restaurants, Greater Fort Lauderdale has plenty to offer in every neighborhood. See why the city is dubbed the “Venice of America” while cruising along a small stretch of the 300 miles of inland waterways running through the area and eyeing mansions and superyachts on the iconic Millionaires’ Row along the way.
Psychiatric Medical Director Florida iRecruitmdPsychiatric Medical Director FloridaMiami Beach, FloridaWe are seeking an experienced Psychiatric Medical Director/Principal Investigator (PI) to lead our inpatient psychiatric program and oversee clinical trials at our West Palm Beach (Boynton Beach) facility. Provide medical leadership and oversight for the inpatient psychiatric unit, ensuring delivery of high-quality, evidence-based patient care.
Medical Director - Otolaryngology - Evicore - Remote The Cigna GroupMedical Director - Otolaryngology - Evicore - RemoteFLRemote$207,800–$346,300 / yearThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
Medical Director - Pediatric Otolaryngology - Evicore - Remote The Cigna GroupMedical Director - Pediatric Otolaryngology - Evicore - RemoteFLRemote$207,800–$346,300 / yearThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
Medical Director (Aetna One Advocate) CVS Health CorpMedical Director (Aetna One Advocate)FL$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. Serve as lead clinical and business liaison to network providers and facilities, supporting effective execution of medical services programs.
Medical Director - Pediatric Pulmonology - Evicore - Remote The Cigna GroupMedical Director - Pediatric Pulmonology - Evicore - RemoteFLRemote$207,800–$346,300 / yearThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
Medical Director - Spine Surgery (Orthopedic or Neurosurgery) - Evicore - Remote The Cigna GroupMedical Director - Spine Surgery (Orthopedic or Neurosurgery) - Evicore - RemoteFLRemote$207,800–$346,300 / yearThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
Medical Director - Maternal-Fetal Medicine (OB/GYN) - Evicore - Remote The Cigna GroupMedical Director - Maternal-Fetal Medicine (OB/GYN) - Evicore - RemoteFLRemote$207,800–$346,300 / yearThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. As a Medical Director at EviCore, part of Evernorth Health Services, a division of The Cigna Group, you'll leverage your background in Maternal-Fetal Medicine (OB/GYN) to deliver evidence-based medical reviews that support high-quality patient care.
Remote Inpatient Medicare Medical Director Centene Corporation GroupRemote Inpatient Medicare Medical DirectorFLRemote$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.
Regional Director of Field Medical MoonLake ImmunotherapeuticsRegional Director of Field MedicalFlorida, FLThe leader will manage six MSLs, establish the scientific-engagement model, shape KOL strategy and medical insights, and ensure the field medical team operates with clear independence from promotional objectives. Coach Field Science Lead on peer-to-peer scientific exchange, data interpretation, insight generation, congress engagement and compliant external interactions.
Associate Center Clinical Director ChenMedAssociate Center Clinical DirectorFort Lauderdale, FL$231,876–$331,251 / yearLeads Super Huddle (SH) and Transforming Care Meeting (TCM) weekly, as well as supports Center Manager/Center General Manager center clinical leader and/or market clinical leader is not available, based on guidance from Market Chief Medical Officer. For patients that are unable to come to the office—in hospital, SNF, LTC or homebound, engages with the transitional care team and others including case managers, acute and transitional-care physicians, and other resources that may be available depending on the market.
Associate Creative Director - Brand (Alani) CelsiusAssociate Creative Director - Brand (Alani)Boca Raton, FLLead creative quality control across packaging, POS and product visualizations, working closely with production, CG and external vendors to review and approve assets for print and digital. Collaborate cross-functionality with innovation, digital, ecommerce, marketing, social and project management teams to bring new ideas to market and elevate existing work.
Regional Director of Case Management, Full Time, Job ID # 1869799 Palmetto General HospitalRegional Director of Case Management, Full Time, Job ID # 1869799Hialeah, FLFull timePrimary Information, Tools and Systems Used:• Patient data – hospital admission, discharge, transfer system• Healthcare staff documentation related to patient care• Regulatory and payor requirements• Allscripts Care Management System• McKesson Care Enhance Review Manager (CERMe) InterQual system• Crimson• Clinical data interface and secure faxing• Patient Medical Record including Cerner and HPF• Hospital Specific Clinical Software• Enterprise Reporting: Decision Support reports, PMI reports• Care Discovery• Position Control Communication Skills: Ability to effectively communicate in writing and orally with all levels of the organization This position will oversee utilization performance improvement and operational management of the Case Management Departments in order to promote effective utilization of hospital resources, ensure processes, support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management services.
Medical Management Nurse - Florida Elevance Health IncMedical Management Nurse - FloridaMiami, FLHow you will make an impact: Utilizes nursing judgment and reasoning to analyze members' clinical information, interface with healthcare providers, make assessments based on clinical presentation, and apply clinical guidelines and/or policies to evaluate medical necessity. The Medical Management Nurse will be responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member's clinical presentation to determine whether to approve requested service(s) as medically necessary.
Director Of Human Resources Boca Recovery CenterDirector Of Human ResourcesBoca Raton, FLFounded in 2016, Boca Recovery Center is a nationally recognized addiction treatment provider specializing in substance use disorders and co-occurring mental health conditions. Location: Boca Raton, Florida Company: Boca Recovery Center Job Type: Full-Time | Exempt Reports to: Chief Operating Officer / Chief Administrative Officer.
Associate Executive Director Sunrise Senior Living MgmtAssociate Executive DirectorSunrise, Pennsylvania$79,664–$109,928 / yearAs an Associate Executive Director, you support overall community operations while developing into an Executive Director, driving performance across care, sales, financials and team leadership. And when combined with the support, benefits, and growth opportunities we offer, the result is a career that PositivelyShines with everything you need to reach your goals – at work and in your life.
Director of Utilization Management Palm Medical CentersDirector of Utilization ManagementCoral Gables, FLThe Director of Utilization Management will work closely with healthcare providers, staff, and senior leadership to improve patient care, streamline referral processes, and manage care coordination across the organization. Experience: Minimum of 10 years of progressive experience in healthcare administration, with at least 5 years in a leadership role in utilization management, case management, or a related field.