Director of Medical Services
6 days ago
- The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts.
- The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues, and the Regional VP Health Services.
- After completion of structured and mentored training, daily work is performed with minimal direction, but with ready support from other team members.
- Enjoys working in a structured environment with expectations for consistency in thinking and authorship.
- Exercises independence in meeting departmental expectations, and meets compliance timelines.
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Medical Director
7 days ago
Lincoln, Nebraska, United States Theoria Medical Full time2 days ago Be among the first 25 applicantsDirect message the job poster from Theoria MedicalCompensation: Up to $400,000 annually + monthly Medical Director StipendJob Location: In personJob HighlightsWork-Life Balance: Competitive compensation with balanced hours.Always Supported: NP/PA support at all locations, always.Pre-Screened Patient Interactions:...
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Medical Director
1 week ago
Lincoln, Nebraska, United States Theoria Medical Full time5 days ago Be among the first 25 applicantsGet AI-powered advice on this job and more exclusive features.Direct message the job poster from Theoria MedicalCompensation: Up to $400,000 annually + monthly Medical Director StipendJob Location: In personJob HighlightsWork-Life Balance: Competitive compensation with balanced hours.Always Supported: NP/PA support...
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Medical Director
5 days ago
Lincoln, Nebraska, United States Theoria Medical Full time3 days ago Be among the first 25 applicantsGet AI-powered advice on this job and more exclusive features.Direct message the job poster from Theoria MedicalCompensation: Up to $400,000 annually + monthly Medical Director StipendJob Location: In personJob HighlightsWork-Life Balance: Competitive compensation with balanced hours.Always Supported: NP/PA support...
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Medical Director for Anesthesia Services
6 days ago
Lincoln, Nebraska, United States Alliance Health Staffing Full timeJob DescriptionMedical Director for Anesthesia ServicesWe are seeking an experienced Medical Director to join our anesthesia team in Nebraska. As a leader, you will be responsible for developing and implementing ERAS programs, quality initiatives, and mentoring the team to achieve exceptional patient care and professional standards.Key Responsibilities:-...
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Medical Director
1 week ago
Lincoln, Nebraska, United States Humana Full timeLocation field must contain 'city, state' or a zip code to perform a radius search (e.g., Denver, CO or 46122 ). City and state must be separated by a comma followed by a space (e.g., Houston, TX )Humana Medical Director - Care Plus - Florida in Lincoln, NebraskaBecome a part of our caring community and help us put health firstThe Medical Director relies on...
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Medical Director
6 days ago
Lincoln, Nebraska, United States Humana Full timeHumana Medical Director - Mid West Region Lincoln, Nebraska Apply NowBecome a part of our caring community and help us put health firstThe Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All...
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Medical Director
1 week ago
Lincoln, Nebraska, United States Humana Full timeHumana Medical Director - National Medicare Team Lincoln, Nebraska Apply NowBecome a part of our caring community and help us put health firstThe Medical Director relies on medical background and reviews preauthorization requests for services. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations...
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Assistant Director for Fitness Services
7 days ago
Lincoln, Nebraska, United States University of Nebraska Full timePosition Information Position Information Working Title Assistant Director for Fitness Services Department Campus Recreation-0965 Requisition Number S_250232 Posting Open Date 03/17/2025 Application Review Date: (To ensure consideration, please submit all application materials before review date) 04/14/2025 Posting Close DateOpen Until Filled Yes...
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Regional Medical Director
1 day ago
Lincoln, Nebraska, United States Wexford Health Full timeJob Description Job Description To Apply for this Job Click Here POSITION: Regional Medical Director - Central ILSCHEDULE: Full-Time FACILITY: Central ILLOCATION: Remote (30-50%travel, based in Illinois)A Job Should be MORE than just a paycheck.Wexford Health Sources, Inc. is one of the nation's largest correctional health care providers. Over the past 30...
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Medical Director
3 weeks ago
Lincoln, Nebraska, United States SimplyApply Full timeYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Assist the Chief Medical Director to direct and coordinate the...
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Medical Director
6 days ago
Lincoln, Nebraska, United States Humana Full timeHumana Medical Director - Medicare Grievances and Appeals Corporate in Lincoln, NebraskaBecome a part of our caring community and help us put health firstThe Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of diverse scope and complexity ranging from...
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Medical Director
1 day ago
Lincoln, Nebraska, United States Wexford Health Full timeJob Description Job Description To Apply for this Job Click Here Wexford Health Sources, one of the nation's leading innovative correctional health care companies, provides clients with experienced management and technologically advanced services, combined with programs that control costs while ensuring quality. For nearly two decades, Wexford Health has...
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Medical Director Assistant
3 days ago
Lincoln, Nebraska, United States Centene Full time**Overview of the Position:**This is an exciting opportunity to join Centene's Medical Management/Health Services team as a clinical professional. As a key member of our team, you will assist the Chief Medical Director in directing and coordinating medical management, quality improvement, and credentialing functions for our business unit.
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Director of Rehabilitation
4 days ago
Lincoln, Nebraska, United States Evolve Therapy Services Full timeEvolve Therapy Services - Evolve Therapy Services is a therapy management organization hiring compassionate therapists for our partner located in Lincoln, NE.Job Position: Director of Rehabilitation (PT, PTA, SLP, OT, or COTA) for an In-house Skilled Nursing FacilityJob Summary: Is responsible for all aspects of therapy operations at the facility in...
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Medical Director
6 days ago
Lincoln, Nebraska, United States Evolent Full timeEvolent Medical Director- (MD/DO) Job SummaryWe partner with health plans and providers to drive better outcomes for individuals with complex health conditions. This role requires collaboration across specialties and primary care, aiming to connect the fragmented healthcare system and ensure people receive compassionate care.Our employees enjoy a healthy...
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Business Services Division Director
14 hours ago
Lincoln, Nebraska, United States State of Nebraska Full timeThe work we do mattersHiring Agency:Secretary of State - Agency 9Location: Lincoln, NEHiring Rate:$40.865Job Posting:JR2025-00014789 Business Services Division Director (Open)Applications No Longer Accepted On (If no date is displayed, job is posted as open until closed):04-16-2025Job Description:The Secretary of State's Office is seeking a Director for...
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Medical Records Director
1 day ago
Lincoln, Nebraska, United States Wexford Health Full timeJob Description Job Description To Apply for this Job Click Here Wexford Health has an exceptional opportunity for a Medical Records Director whom is RHIT or RHIA certified to join our team of healthcare professionals at Lincoln Correctional Center in Lincoln, IL.Pay starts at $26.37 per hourWe're proud to offer a competitive benefits package...
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Lincoln, Nebraska, United States Adaptive Medical Partners Full timeCompany OverviewWe are Adaptive Medical Partners, a dynamic and forward-thinking health clinic committed to delivering exceptional medical, dental, and behavioral health services. Our mission is to be a trusted resource for our community, providing high-quality care that improves the lives of our patients.Salary and BenefitsWe offer a highly competitive...
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Admissions Director
4 days ago
Lincoln, Nebraska, United States Skilled Nursing Care of Lincoln Full timeSkilled Nursing Care of Lincoln - Job Title: In-House Admissions DirectorLocation: Lincoln, NebraskaJob Type: Full-TimeJob SummaryThe In-House Admissions Director will work closely with our facility and local medical providers to identify and place individuals in need of skilled nursing services. This position requires strong relationship-building...
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Medical Director Lead
5 days ago
Lincoln, Nebraska, United States Humana Full timeHumana Medical Director - National Medicare TeamBecome a part of our caring community and help us put health first by working as a clinical decision specialist. This role requires medical background expertise to review preauthorization requests for services, handling moderately complex to complex issues where analysis of situations or data necessitates...