Medical Director
4 weeks ago
We are seeking a highly skilled Medical Director to join our team at Humana. As a Medical Director, you will be responsible for leading the clinical review process and making determinations on whether requested services, level of care, and site of service should be authorized at the inpatient level.
Key Responsibilities- Lead the clinical review process and make determinations on inpatient services
- Use medical background, experience, and judgment to make informed decisions
- Collaborate with internal teams and external physicians to gather additional clinical information and discuss determinations
- Participate in care management and prioritize daily work
- Communicate decisions to internal associates and participate in project teams or organizational committees
- MD or DO degree
- 5+ years of direct clinical patient care experience post-residency or fellowship
- Board certification in an approved ABMS medical specialty
- Current and unrestricted license in at least one jurisdiction
- Excellent verbal and written communication skills
- Evidence of analytic and interpretation skills
- Understanding of Medicare Inpatient Guidelines
- Knowledge of the managed care industry
- Utilization management experience in a medical management review organization
- Experience with national guidelines such as MCG or InterQual
- Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialization
Humana is committed to putting health first for our teammates, customers, and company. We make it easier for the millions of people we serve to achieve their best health through our Humana insurance services and CenterWell healthcare services.
We are an equal opportunity employer and comply with all applicable federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity, or religion.
-
Public Policy Director
3 weeks ago
Helena, Montana, United States Alzheimer's Association Full timeJob SummaryThe Alzheimer's Association is seeking a highly skilled and experienced Public Policy Director to lead our state government affairs efforts in Montana. This is a unique opportunity to make a meaningful impact on the lives of individuals and families affected by Alzheimer's disease.The successful candidate will serve as the principal staff for...
-
Ambulance Service Director
3 weeks ago
Helena, Montana, United States St. Peter's Health Full timeJob SummaryThe Ambulance Manager at St. Peter's Health is responsible for overseeing the operational functions of the Ambulance Service. This includes providing active supervision to EMS staff, acting as a clinical resource, and representing standards of professionalism throughout the local and regional EMS systems.Key ResponsibilitiesSupervise EMS staff on...
-
Interim Director of Pharmacy Leadership
4 weeks ago
Helena, Montana, United States Soliant Full timeSoliant is seeking a highly experienced Interim Director of Pharmacy to lead our pharmacy team in a rural medical facility in Arkansas. The ideal candidate will have a strong background in inpatient management and be available to start ASAP. The position offers a competitive salary, housing, meals, and travel tax-free stipends. The successful candidate will...
-
Medical Claims Processing Director
3 weeks ago
Helena, Montana, United States Conduent State Healthcare, LLC Full timeJob Summary: We are seeking a highly skilled Medical Claims Processing Manager to lead our team in processing medical claims efficiently and effectively. As a key member of our Conduent State Healthcare, LLC team, you will be responsible for managing a claims processing department, interacting with government personnel, and driving operational success.Key...
-
Medical Assistant
3 weeks ago
Helena, Montana, United States Pureview Health Center Full timePureView Health Center Career OpportunityJob Summary:PureView Health Center is seeking a highly skilled and compassionate Medical Assistant to join our team in Helena, Montana. As a Medical Assistant, you will play a vital role in providing direct patient care and supporting healthcare providers in our nursing department.Responsibilities:Provide direct...
-
Director of Outpatient Cancer Center Leader
4 weeks ago
Helena, Montana, United States Jobot Full timeWe're seeking an experienced, clinically trained leader to join our team as the Director of the Outpatient Cancer Center.This role will oversee clinical operations, focus on quality outcomes, and ensure the financial health of the service line.You'll work across departments in a multidisciplinary setting, leading with a customer-focused, team-oriented...
-
Director of Clinical Research and Strategy
4 weeks ago
Helena, Montana, United States Cardinal Health Full timeJob SummaryAt Cardinal Health, we empower community oncology practices to deliver patient-centered cancer care. Our mission is to provide advanced support services and technology to help practices remain independent and thrive. As the Director of Clinical Research and Strategy, you will execute innovative strategies for programs and products to enhance our...
-
Operating Room Nurse
3 weeks ago
Helena, Montana, United States OneStaff Medical Full timeTravel Operating Room Nurse OpportunityWe are OneStaff Medical, a nationally-recognized and independently-owned staffing firm dedicated to providing exceptional care to our patients. As a travel Operating Room Nurse, you will play a vital role in delivering high-quality patient care in a dynamic and fast-paced environment.The Position:The Operating Room...
-
Government Affairs Director, EV Sales
4 weeks ago
Helena, Montana, United States Ford Motor Company Full timeJob SummaryWe are seeking a highly skilled Government Affairs Director, EV Sales to join our team at Ford Motor Company. This role will be responsible for building and executing a comprehensive EV sales strategy for government, non-profit, and public institutions, aligning with the company's financial and strategic goals.Key ResponsibilitiesPartner with...
-
Diagnostic Medical Sonographer
3 weeks ago
Helena, Montana, United States St. Peter's Health Full timeJob Summary:As a Diagnostic Medical Sonographer at St. Peter's Health, you will play a vital role in providing high-quality patient care by performing diagnostic ultrasound examinations. Your expertise will help verify patient identification, correlate exam requests with clinical history, and explain procedures to patients.Key Responsibilities:• Perform...
-
Associate Director Insights Partner for Oncology
3 weeks ago
Helena, Montana, United States Sumitomo Pharma Full timeJob SummaryWe are seeking an Associate Director, Insights Partner for Oncology to play a vital role in the Oncology Commercial Organization.Key ResponsibilitiesGenerate highly actionable insights that inform commercial brand strategy through both qualitative and quantitative market research, competitive intelligence, and secondary data analytics.Collaborate...
-
Diagnostic Medical Sonographer
3 weeks ago
Helena, Montana, United States St. Peter's Health Full timeJob Summary:As a Diagnostic Medical Sonographer at St. Peter's Health, you will play a vital role in verifying patient identification and ensuring that requested exams correlate with patients' clinical history and presentation. Your primary responsibility will be to perform two and/or three-dimensional ultrasonic recordings/imaging of internal...
-
Nurse Care Specialist
3 weeks ago
Helena, Montana, United States PureView Health Center Full timePureView Health Center Career OpportunityThe PureView Health Center has a career opportunity for a Licensed Practical Nurse (LPN) in Helena, Montana. This role is within the Nursing department and reports to the Director of Nursing and/or Nursing Supervisor.Responsibilities• Provide direct patient care and healthcare provider support as instructed by the...
-
Full-Time Administrative Professional
3 weeks ago
Helena, Montana, United States Carroll College Full timeCarroll College is seeking a highly skilled and organized individual to fill the role of Athletics Operations Assistant. This full-time position will be a member of the Athletic Department support staff team, providing administrative support to the coaching staff and Director of Athletics.Responsibilities: The successful candidate will have an Associate's...
-
Service Center Director
3 weeks ago
Helena, Montana, United States Gills Point S Tire and Auto Service Full timeAt Gills Point S Tire and Auto Service, we are seeking a highly skilled Service Center Manager to oversee all aspects of our operations. This key role involves managing staff, ensuring high-quality customer service, overseeing inventory, maintaining financial profitability, and ensuring the store meets sales targets and operates efficiently. The Manager is...
-
Hospice Certified Home Health Caregiver
4 weeks ago
Helena, Montana, United States The Staff Pad Full timeJob Title: Hospice Certified Home Health AideThe Staff Pad is proud to partner with a non-profit healthcare system in Helena, Montana, dedicated to providing exceptional care and a commitment to the community. We are seeking a skilled Hospice Certified Home Health Aide to join their team.Job SummaryAs a Hospice Certified Home Health Aide, you will provide...
-
Pharmacy Assistant
4 weeks ago
Helena, Montana, United States St. Peter's Health Full timeJob SummaryUnder the direction of the Director of Pharmacy, the Pharmacy Technician is responsible for assisting pharmacists in providing safe and effective medication therapy to patients at St. Peter's Health.Key ResponsibilitiesAssist pharmacists in providing medication therapy to patientsManage multiple tasks simultaneously, prioritizing emergent and stat...
-
Radiology Technologist
4 weeks ago
Helena, Montana, United States St. Peter's Health Full timeJob Summary:As a Radiology Technologist at St. Peter's Health, you will play a vital role in ensuring the highest quality patient care. Your primary responsibility will be to operate imaging equipment to produce high-quality diagnostic images. You will work closely with radiologists, nurses, and other healthcare professionals to provide exceptional patient...
-
Physician
4 weeks ago
Helena, Montana, United States Pureview Health Center Full timeJob OpportunityPureView Health Center is seeking a dedicated Physician to join our team in Helena, Montana.About the RoleThis career opportunity involves providing high-quality primary care and preventive health services to our patients, including examination, diagnosis, treatment, and therapeutic procedures.ResponsibilitiesCollaborate with the Medical...
-
Helena, Montana, United States Archway Physician Recruitment LLC Full timeAbout the Opportunity:We are seeking a highly skilled Psychiatric Mental Health Physician Assistant to join our team at a nonprofit healthcare system in Helena, Montana. This is a full-time, employed position that offers a comprehensive benefit package, including a signing bonus, relocation assistance, and continued medical education allowance.About the...