Current jobs related to Medical Director - Orlando - Nexus Hr
-
Medical Director
4 days ago
Orlando, Florida, United States CSL Plasma Full timeJob SummaryWe are seeking a highly skilled Medical Director to join our team at CSL Plasma. As a Medical Director, you will be responsible for providing medical oversight and ensuring compliance with applicable Federal and State regulations.Key ResponsibilitiesProvide medical oversight and ensure compliance with applicable Federal and State...
-
Neuromuscular Neurology Medical Director
3 days ago
Orlando, Florida, United States AdventHealth Medical Group Central FL Full timeLead Neuromuscular Neurology Care at AdventHealth Medical Group Central FLAdventHealth Medical Group Central FL is seeking a fellowship-trained Neuromuscular Neurologist to lead our expanding program in Central Florida. As Medical Director, you will be responsible for providing direction for the development and clinical performance of the Neuromuscular...
-
Orlando, United States c2 Medical Full timeJob DescriptionJob DescriptionHappy Health & Wellness is seeking a dedicated Primary Care Medical Director to join our expanding locations in FloridaHappy Health & Wellness is committed to delivering exceptional and comprehensive primary care services, enhancing the overall health and well-being of our patients. Our vision focuses on integrating high-quality...
-
Medical Director
6 days ago
Orlando, Florida, United States CSL Plasma Full timeJob SummaryClinical oversight and medical direction are key responsibilities of this role. The Center Medical Director will provide medical oversight and direction to the center, ensuring compliance with federal and state regulations. This position requires a strong medical background and leadership skills.Key ResponsibilitiesProvide medical oversight and...
-
Physician Clinic Medical Director
3 weeks ago
Orlando, United States Concentra Full timeOverview:Are you ready to take your career to new heights?At 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. Join us at Concentra and see how your clinical competency and compassion can make...
-
Medical Director
2 weeks ago
Orlando, Florida, United States Blueprint 30 Full timeJob SummaryBlueprint 30 is seeking a highly skilled Medical Director to lead our medical team in Jacksonville, FL. As a key member of our organization, you will be responsible for overseeing the coordination and delivery of medical care and services at our center.Key ResponsibilitiesLeadership and Oversight: Provide strategic leadership and oversight to our...
-
Medical Director in Jacksonville, FL
6 days ago
Orlando, Florida, United States Blueprint 30 Full timeJob SummaryThe Medical Director is a key leadership position responsible for overseeing the delivery of medical care and services at our centers. This role requires a strong clinical background, excellent leadership skills, and the ability to drive quality and efficiency in our operations.Key ResponsibilitiesProvide clinical leadership and oversight to...
-
Medical Director for Humana Type Environment
1 week ago
Orlando, Florida, United States Doctor's Choice Placement Services, Inc Full timeMedical Director Opportunity in Miami, FloridaWe are seeking a highly experienced Medical Director to lead our team in Miami, Florida. The ideal candidate will have a strong background in administration and a proven track record of success in a Humana type environment.Key Responsibilities:Lead a team of physicians in Dade CountyDevelop and implement...
-
Medical Director
1 week ago
Orlando, Florida, United States Pailin Group Psc Full timeJob Summary:We are seeking a highly skilled and compassionate Primary Care Physician to serve as a Medical Director at our premier client's primary care outpatient facility. As a Medical Director, you will be responsible for providing high-quality patient care, leading a team of healthcare professionals, and contributing to the organization's mission to...
-
Medical Director
4 days ago
Orlando, Florida, United States VirtualVocations Full timeMedical Director Job Description **Key Responsibilities:** Review health claims and clinical records to determine service authorization based on national guidelines and regulatory compliance. Engage in discussions with external physicians to gather clinical information and resolve conflicts. Support regional market priorities through collaboration with...
-
Orlando, Florida, United States TeamHEALTH Full timeMedical Director Job DescriptionWe are seeking a skilled Medical Director to join our hospitalist team at HCA Florida Orange Park Hospital Acute Inpatient Rehabilitation Center. As a Medical Director, you will be responsible for overseeing and supporting all clinical and non-clinical activities provided by the hospitalist program.Key Responsibilities:Manage...
-
Healthcare Professional
2 weeks ago
Orlando, Florida, United States Humana Inc Full timeJob SummaryWe are seeking a highly skilled Medical Director to join our team at Humana Inc. As a Medical Director, you will play a critical role in ensuring the delivery of high-quality healthcare services to our members.Key ResponsibilitiesProvide medical interpretation and determinations on services provided by other healthcare professionals to ensure...
-
Physician Clinic Medical Director
2 weeks ago
Orlando, United States Concentra Full timeAre you ready to take your career to new heights? At 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. Join us at Concentra and see how your clinical competency and compassion can make a...
-
Neuromuscular Neurology Medical Director
3 days ago
Orlando, Florida, United States AdventHealth Full timeOpportunity OverviewAdventHealth Medical Group is seeking a fellowship-trained Neuromuscular Neurologist to serve as the Medical Director of our expanding Neuromuscular Neurology program in Central Florida.Key ResponsibilitiesLead the development and clinical performance of the Neuromuscular Neurology ProgramProvide direction for program building, clinical...
-
Director of Quality and Medical Staff
3 weeks ago
Orlando, Florida, United States Jobot Full timeHealthcare DirectorWe are seeking a seasoned Healthcare Director to lead our team of architects and projects in the rapidly growing healthcare sector.About Us:We are a leading architecture and engineering firm focused on healthcare, government, educational, and commercial work.We work nationally and internationally, with a strong presence in the healthcare...
-
Orlando, Florida, United States AdventHealth Central Florida Full timeOverviewAdventHealth Central Florida is seeking a highly skilled and experienced physiatrist to serve as Medical Director for inpatient physical medicine and rehabilitation. This physician leader will have clinical duties at AdventHealth Winter Park and oversee the consult service at AdventHealth Orlando. The Winter Park location features a state-of-the-art...
-
Neuromuscular Neurology Medical Director
6 days ago
Orlando, Florida, United States AdventHealth Full timeOpportunity OverviewAdventHealth Medical Group is seeking a fellowship-trained Neuromuscular Neurologist to serve as the Medical Director of our expanding Neuromuscular Neurology program in Central Florida.Key ResponsibilitiesLead the development and clinical performance of the Neuromuscular Neurology ProgramProvide direction for program building, clinical...
-
Medical Director
1 week ago
Orlando, Florida, United States Concentra Full timeJob SummaryWe are seeking a highly skilled and experienced Medical Director to join our team at Concentra. As a Medical Director, you will play a crucial role in providing exceptional clinical care to our patients and ensuring optimal clinical outcomes.Key ResponsibilitiesProvide direct patient care and mentorship to staff membersCollaborate with the...
-
Physical Therapist Clinic Director
14 hours ago
Orlando, Florida, United States InSearch Medical Full timePhysical Therapist Clinic DirectorAt InSearch Medical, we are dedicated to providing exceptional clinical services to our patients. We are seeking a highly skilled Physical Therapist to lead our outpatient rehabilitation team as Clinic Director.Key Responsibilities:Ensure departmental compliance with regulatory and practice act requirementsScreen, interview,...
-
Physical Therapist Clinic Director
6 days ago
Orlando, Florida, United States InSearch Medical Full timePhysical Therapist Clinic DirectorAt InSearch Medical, we are dedicated to providing exceptional clinical services to our patients. We are seeking a highly skilled Physical Therapist to lead our outpatient rehabilitation clinic as Clinic Director.Key Responsibilities:Ensure departmental compliance with regulatory and practice act requirementsScreen,...
Medical Director
4 months ago
Medical Director - Homestead, FL 33032
Compensation: $165k
Overview: Nexus HR is looking for a passionate and dedicated Medical Director who actively seeks new ways of exceeding the expectations of patients, families, caregivers, support persons, and co-workers, for a reputable medical center in Homestead, Florida.
Client-highlighted qualifications
- 5 to 8 years of medical experience, with at least 2 years of medical directorship experience, a medical license in Florida, a strong foundation in primary care and geriatric care
About The Job
The Medical Director will provide medical and clinical oversight and maintain the medical management to ensure quality healthcare is provided
Duties and Responsibilities:
Monitoring the level of care using both statistical information and chart review and may offer unsolicited medical judgment when appropriate
Monitoring the use of medical services, and has the authority to issue denials of service deemed appropriate
Oversees Utilization Management Programs and may oversee Quality Improvement Programs
Oversee, implement, and constantly update utilization management policies for referrals and medications for cost-effectiveness.
Serves as a clinical resource for senior administrative management and case managers.
Assists in the development and implementation of “best practice patterns” in the form of both medical protocols and process management protocols
Participates in the review and assessment, and provides advice on complex, controversial, and/or unique claims that are outside the realm of medical policy, including solicitation and evaluation of advice from outside medical consults and physicians concerning complex, controversial, experimental and/or innovative techniques
Provides medical expertise and support to ensure appropriate care and services through a continuum between hospitals, skilled nursing facilities, and home care to ensure quality and continuity of care for complex case management
Facilitate conformance with DHS, DMHC, NCQA, and other regulatory requirements
Evaluate referral authorization requests in support of nurse reviewers and manage the denial process
Teaching and administration of charts review for Family Nurse Practitioners and Physician Assistants.
Supervises, advises and trains clinical professionals and/or students in areas of expertise.
Qualifications :
At least three (3) years of experience as a Medical Doctor
At least 10 years of experience as a medical provider
Board Certified Family Practice / Internal Medicine Physician
ACLS or CPR / AED Certified
Current medical license to practice, without restrictions, in Florida
Education, training, or experience related to NCQA, QM, multi-specialty group practice, and HMO industry
Broad knowledge base regarding managed care systems, quality improvement, medical utilization, and risk management
Must be analytical, results-oriented, able to establish priorities, and respond to requests for assistance, guidance, or decision-making on time
Preferably free from any insurance exclusivity agreement.
Experience in EMR/EHR is highly preferred
Able to work in Homestead, FL
Bilingual (English/Spanish) is highly preferred.
#J-18808-Ljbffr
