The Medical Director at CenterWell Home Health actively uses their medical background, experience, and judgement to make determinations on requested services, level of care, and site of service authorization. This role involves computer-based review of clinical scenarios, communication of decisions, and possible participation in care management. The position focuses on regulatory compliance, operationalizing knowledge of Medicare and Medicare Advantage requirements, and supporting Humana values and its Bold Goal mission.

MEDICAL DIRECTOR - NORTHEAST REGION

Medical Director

Valor Healthcare is seeking a Telehealth Registered Nurse (RN) Program Manager for a government contract to support the Global Nurse Advice Line (NAL), providing telehealth services, customer service, and care coordination to Military Health System (MHS) eligible beneficiaries. This remote position involves leading a team of healthcare professionals, managing program implementation, and ensuring compliance with healthcare regulations. The ideal candidate will have extensive experience in supervisory healthcare roles, especially in call centers or nurse triage positions.

Remote Program Manager Registered Nurse (RN) - Government Healthcare Call Center- Program Manager

Program Manager Registered Nurse

Lumanity is seeking an experienced professional to serve as Director of Patient-Centered Outcomes, responsible for providing strategic and scientific guidance on clinical outcome assessments, including literature reviews, gap analyses, and regulatory strategy. This role involves supervising junior staff, managing projects, and contributing to business development efforts. The position requires an undergraduate degree in a health-related field, at least 8 years of relevant experience, and a strong publication record.

DIRECTOR, PATIENT-CENTERED OUTCOMES

Director, Patient-Centered Outcomes

The Medical Director Associate at Elevance Health is responsible for providing day-to-day guidance, support, and leadership for clinical and/or quality activities under the guidance of a Medical Director. This role may involve supporting one or more Medical Directors, ensuring clinical integrity of broad and significant clinical programs, performing clinical reviews, and participating in peer-to-peer clinical reviews. The position is remote but requires candidates to live within 50 miles of an Elevance Health location.

Medical Director Associate

The Director of Nursing at Sunrise Senior Living is responsible for leading and managing the health and wellness, coordination of care and services to residents within the community. This role involves overseeing all care programs, ensuring regulatory compliance, recruiting, performance management, and collaborating with various clinical providers to coordinate care for residents. The Director of Nursing also plays a key role in quality assurance, medication management, and staff development.

Director of Nursing

Join a team of passionate and caring clinicians at BrightSpring Health Services, focusing on compassion and meeting the needs of clients in various settings such as Home Health, Hospice, Residential, and Private Duty. This role involves planning, coordinating, delivering, and overseeing healthcare services, directly supervising clinical personnel, and ensuring compliance with policies and regulations. The ideal candidate will have a Bachelor's Degree in Nursing, Social Services, or a related healthcare field, along with healthcare management experience.

DIRECTOR OF NURSING

The Senior Medical Director - Neurosciences at ThermoFisher Scientific provides medical oversight of clinical trials, ensuring compliance with company SOPs, client directives, good clinical practice, and regulatory requirements. This role involves attending and presenting at investigator and sponsor meetings, providing medical consultation, and supporting business development activities. Additionally, the Senior Medical Director will manage all medical aspects of contracted tasks across the pharmaceutical product life-cycle, including clinical trial support and marketed products support.

Medical Director/Sr Medical Director - Neurosciences(Remote U.S/LATAM)

Senior Medical Director - Neurosciences

As an experienced M.D. or D.O. in adult acute care settings, the Medical Director for Inpatient Utilization Management at Wellmark will perform inpatient case reviews based on evidence-based decision making. This role involves concisely documenting medical necessity determinations, making recommendations for efficiencies and innovations, and partnering across the organization. The position is open to remote candidates but prefers those based in Iowa or South Dakota, with a rotating on-call schedule for weekends and holidays.

Medical Director - Inpatient Utilization Management

The Medical Director at Aetna Duals Center of Excellence (COE) is responsible for performing utilization management tasks including concurrent and prior authorization reviews, appeals, and pharmacy reviews. This role involves leading daily rounds and requires a minimum of 3-5 years of clinical practice experience, with a preference for those with managed care experience. The position is work-at-home, located anywhere in the US, and requires working Eastern or Central Standard time hours, with occasional weekend/holiday coverage.

Medical Director Aetna Duals Center of Excellence

The Senior Medical Director at Legend Biotech is a key role responsible for providing strategic leadership in the development and life cycle of drug development projects. This position involves developing and implementing the Clinical Development Plan, leading clinical programs across various indications, ensuring program consistency and alignment, and managing clinical research scientists. The role requires a passion for science, patients, and an entrepreneurial drive to help the organization succeed.

Senior Medical Director (Remote)

Senior Medical Director

Huron Consulting Group is seeking a Consulting Director for Healthcare, Pharmacy to lead and direct teams in delivering complex performance improvement engagements. This role involves creating customized solutions, managing client expectations, and leading a multi-faceted change process. The ideal candidate will have a strong analytical and critical thinking skills, exceptional communication abilities, and a proven track record in building strong relationships. This position requires a bachelor's degree, 8-10 years of consulting and/or healthcare operations experience, and the ability to travel up to 80%.

Consulting Director - Healthcare, Pharmacy (Flexible Living Locations)

Consulting Director - Healthcare, Pharmacy

The Director of Pharmacy at Sutter Health is responsible for the strategic focus and operational planning for the Pharmacy Department. This role involves leadership and administrative support in operations, budget planning, high cost pharmacy product purchases, and ensuring the optimal provision and coordination of services and resources. The Director also oversees the implementation of patient medication safety strategies and utilizes best practice clinical programs and cost savings initiatives.

Director of Pharmacy

As an experienced M.D. or D.O. in a managed care or healthcare administration setting, you will partner closely with the internal Case Management and Health Services Quality teams to coordinate care through evidence-based decision making. You will also lead the Quality Improvement Committee and chair the Credentialing Committee, perform outpatient case reviews, and support NCQA accreditation and quality case reviews. This role requires decisiveness, strong analytical and critical thinking skills, and the ability to influence internally and externally.

Medical Director Case Management & Quality

The Director of Care Coordination at Dignity Health MSO is responsible for leading the Care Coordination teams, including clinical resource management, discharge planning activities, patient advocacy, clinical social work, and best practice in out of network review. This role operates under the direction of the VP Clinical Care Services and involves directing and managing all activities, staffing, and performance improvement in the delivery of clinical services. The position is remote within California, Nevada, or Arizona, requiring a clear and current CA RN license.

RN Director Care Coordination

Director of Care Coordination

The Nursing Director at Sunrise Senior Living plays a crucial role in providing strategic leadership for resident care, coordinating care and services to promote quality of life, and ensuring the health and wellness of the resident population. This position involves direct management of the nursing team and medication care managers, clinical care, oversight of the community medication management program, collaboration with healthcare providers, clinical training, and quality improvement initiatives. The role requires a passion for senior care and a commitment to making a positive impact on seniors' lives.

Nursing Director

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