Medical Director
2 weeks ago
Summit provides workers' compensation programs and services to thousands of employers throughout the Southeast.
Summit is a member of Great American Insurance Group, a company that focuses on building relationships and linking people to various career paths. Whether it's underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a small-company entrepreneurial atmosphere with big- company expertise.
Essential Job Functions and Responsibilities
- Review medical treatment plans for complex claims referred by the managed care team, discuss claims management with treating physicians, and advise internal nurse case managers on appropriate actions.
- Respond to questions submitted by managed care.
- Review external clinical guidelines and review and update internal guidelines and policies to meet specific objectives and improve claim outcomes.
- Ensure medical accuracy and quality by reviewing samples of peer reviews and independent medical exams. Comply with other internal Quality Assurance activities as required by URAC and other accrediting bodies.
- Provide oversight/review of clinical content for internal training programs. Facilitate and participate in new hire and on-going training of clinical personnel (MDs, RNs) when required.
- Explore and disseminate significant updates/changes in internal medical policies to claims managers and the managed care team. Evaluate decision support tools such as treatment guidelines and protocols to support Claims.
- Participate in and provide medical advice to internal steering committees with various missions as well as task forces relating to specific issues/problems.
- Serve as a medical resource for a variety of activities, including Legal, Loss Prevention, and Business Development.
- May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports.
- Performs other duties as assigned.
Job Requirements
Education: Board certified, licensed, practicing physician (MD or DO).
Field of Study: Medicine.
Experience: 5 or more years of clinical practice experience. Experience with workplace issues, short and long term disability, and workers compensation. Expertise with occupational and orthopedic illness/injuries.
Company:
SCI Summit Consulting, LLC
Benefits:
We offer competitive healthcare, retirement, and paid time off benefits for full-time and part-time benefit eligible employees.
-
Medical Director
1 week ago
Lakeland, FL, United States Concentra Full timeAt Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. Our mission is to improve the health of America's workforce, one patient at a time. The Medical Director functions to support the Director of Medical Operations to ensure consistency of clinical care delivery, clinician...
-
Medical Director
1 week ago
Lakeland, FL, United States Concentra Full timeAt Concentra, you will be a vital member of our patient care team and play a crucial role in providing exceptional care to our patients. Our mission is to improve the health of America's workforce, one patient at a time. The Medical Director functions to support the Director of Medical Operations to ensure consistency of clinical care delivery, clinician...
-
Medical Director of Clinical Informatics
2 weeks ago
Lakeland, United States Lakeland Regional Health Full timeDiscover the limitless beauty of the Sunshine State! Join Lakeland Regional Health’s expert team as a Medical Director of Clinical Informatics and contribute to our tradition of providing patient-centered, care in beautiful Lakeland, Florida! At Lakeland Regional Health, we foster an environment of collaboration, inspiration, and respect. The Medical...
-
Medical Director of Clinical Informatics
3 weeks ago
Lakeland, United States Lakeland Regional Health Full timeDiscover the limitless beauty of the Sunshine State! Join Lakeland Regional Health s expert team as a Medical Director of Clinical Informatics and contribute to our tradition of providing patient-centered, care in beautiful Lakeland, Florida! At Lakeland Regional Health, we foster an environment of collaboration, inspiration, and respect.The Medical Director...
-
Medical Director of Clinical Informatics
3 weeks ago
Lakeland, United States Lakeland Regional Health Full timeDiscover the limitless beauty of the Sunshine State! Join Lakeland Regional Health s expert team as a Medical Director of Clinical Informatics and contribute to our tradition of providing patient-centered, care in beautiful Lakeland, Florida! At Lakeland Regional Health, we foster an environment of collaboration, inspiration, and respect.The Medical Director...
-
Medical Director of Clinical Informatics
3 weeks ago
Lakeland, Florida, United States Lakeland Regional Health Full timeDiscover the limitless beauty of the Sunshine State Join Lakeland Regional Health s expert team as a Medical Director of Clinical Informatics and contribute to our tradition of providing patient-centered, care in beautiful Lakeland, Florida At Lakeland Regional Health, we foster an environment of collaboration, inspiration, and respect.The Medical Director...
-
Medical Director
2 weeks ago
Lakeland, United States Great American Insurance Group (DBA) Full timeHeadquartered in the Central Florida city of Lakeland, Summit employs over 700 office and field associates at its main location and regional offices in Baton Rouge, Louisiana, and Gainesville, Georgia. As the people who know workers' comp, we strive to provide an atmosphere of constant growth and development for our employees. Summit provides workers'...
-
Medical Director
2 weeks ago
Lakeland, United States Great American Insurance Company Full timeHeadquartered in the Central Florida city of Lakeland, Summit employs over 700 office and field associates at its main location and regional offices in Baton Rouge, Louisiana, and Gainesville, Georgia. As the people who know workers' comp, we strive to provide an atmosphere of constant growth and development for our employees. Summit provides workers'...
-
Laboratory Director
3 weeks ago
Lakeland, United States Stratum Med Full timeJob DescriptionJob DescriptionAbout Watson ClinicWatson Clinic located in Lakeland, Florida strives to be the home for quality medical care. Lakeland, Florida is located about 45 minutes east of Tampa. Since 1941, Watson Clinic has worked to create a healthcare experience that’s completely centered on the patient - offering the area’s largest team of...
-
Assistant Director of Nursing
4 days ago
Lakeland, United States Westminster Communities of Florida Full timeSUMMARY:The primary purpose of this position is to oversee and direct nursing care for the residents, and to supervise the daily nursing activities on assigned units of the Health Center. At the discretion of Administration, the Assistant Director of Nursing may be required to act as interim Director of Nursing in the event of their absence or vacant...
-
Assistant Director of Nursing
5 days ago
Lakeland, United States Westminster Communities of Florida Full timeSUMMARY: The primary purpose of this position is to oversee and direct nursing care for the residents, and to supervise the daily nursing activities on assigned units of the Health Center. At the discretion of Administration, the Assistant Director of Nursing may be required to act as interim Director of Nursing in the event of their absence or vacant...
-
Director of Sales
4 days ago
Lakeland, United States Westminster Communities of Florida Full timeWhy work for us?Competitive SalaryComprehensive Benefits including Medical, Dental, Vision, Life and 403bPaid Time Off PlanWork Alongside Industry Experts That Take Pride in Their WorkSupportive Management TeamWarm and Friendly Work EnvironmentJOB SUMMARY: In conjunction with the direct supervisor and the Regional Director of Sales, will ensure the...
-
Director of Sales
3 days ago
Lakeland, United States Westminster Communities of Florida Full timeWhy work for us?Competitive SalaryComprehensive Benefits including Medical, Dental, Vision, Life and 403bPaid Time Off PlanWork Alongside Industry Experts That Take Pride in Their WorkSupportive Management TeamWarm and Friendly Work EnvironmentJOB SUMMARY: In conjunction with the direct supervisor and the Regional Director of Sales, will ensure the...
-
Regional Director
2 weeks ago
Lakeland, United States BlueTeam Full timeJob DescriptionJob DescriptionRegional Director - Private Sector - BlueTeamWe are…U.S. based service provider specializing in commercial restoration, construction, and roofing — both domestic and international — and our clients are the world’s premier commercial portfolio owners and operators.We are a turnkey provider for portfolio managers, owners,...
-
Director of Dining Services
4 days ago
Lakeland, United States Westminster Communities of Florida Full timeWhy work for us?Competitive SalaryComprehensive Benefits including Medical, Dental, Vision, Life and 403bPaid Time Off PlanWork Alongside Industry Experts That Take Pride in Their WorkSupportive Management TeamWarm and Friendly Work EnvironmentJOB SUMMARY: Oversees the planning, coordination and implementation of all activities pertaining to a quality dining...
-
Director of Dining Services
3 days ago
Lakeland, United States Westminster Communities of Florida Full timeWhy work for us?Competitive SalaryComprehensive Benefits including Medical, Dental, Vision, Life and 403bPaid Time Off PlanWork Alongside Industry Experts That Take Pride in Their WorkSupportive Management TeamWarm and Friendly Work EnvironmentJOB SUMMARY: Oversees the planning, coordination and implementation of all activities pertaining to a quality dining...
-
Human Resources Director
4 weeks ago
Lakeland, United States Encompass Health Full timeJob DescriptionJob DescriptionTremendous professional abilitiesTremendous impact on patient outcomesBE THE CONNECTION. Your role as human resources (HR) director enables you to be the connection between your strong professional and interpersonal abilities and the positive results and exceptional care patients receive. Apply your outstanding skills and...
-
Human Resources Director
3 weeks ago
Lakeland, United States Encompass Health Full timeTremendous professional abilities Tremendous impact on patient outcomes BE THE CONNECTION. Your role as human resources (HR) director enables you to be the connection between your strong professional and interpersonal abilities and the positive results and exceptional care patients receive. Apply your outstanding skills and knowledge in a...
-
Director of Sales
2 days ago
Lakeland, FL, United States Westminster Communities of Florida Full timeWhy work for us? Competitive Salary Comprehensive Benefits including Medical, Dental, Vision, Life and 403b Paid Time Off Plan Work Alongside Industry Experts That Take Pride in Their Work Supportive Management Team Warm and Friendly Work Environment JOB SUMMARY: In conjunction with the direct supervisor and the Regional Director of Sales, will ensure...
-
Director of Dining Services
2 days ago
Lakeland, FL, United States Westminster Communities of Florida Full timeWhy work for us? Competitive Salary Comprehensive Benefits including Medical, Dental, Vision, Life and 403b Paid Time Off Plan Work Alongside Industry Experts That Take Pride in Their Work Supportive Management Team Warm and Friendly Work Environment JOB SUMMARY: Oversees the planning, coordination and implementation of all activities pertaining to a...