Medical Director

2 weeks ago


Grand Prairie, Texas, United States Humana Full time

Job Summary:

Humana, Inc. is seeking a highly skilled Physician to join our team in Grand Prairie, TX.

Key Responsibilities:

  • Evaluate and treat patients in accordance with standards of care.
  • Follow established medical care and quality standards for patients and monitor care using available data and chart reviews.
  • Assist in the coordination of patient services, including specialty referrals, hospital and SNF coordination, durable medical equipment, and home health care.
  • Complete all medical record documentation, working with a quality-based coder to optimize coding specificity.
  • Meet with AMD to discuss quality of care, review outcome data, policy, procedure, and records issues.
  • Perform direct patient care, including patient-facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care.

Requirements:

  • Doctor of Medicine (MD) or Doctor of Osteopathy (DO) degree in Medicine, Family Medicine, Internal Medicine, or related field.
  • 3 years of experience in Medicare guidelines and coverage, Healthcare Effectiveness Data and Information Set (HEDIS) quality indicators, and treating geriatric patients and managing chronic diseases.
  • Current unrestricted medical license in the state of Texas.
  • Board Certification or eligibility in Board Certification in Family Medicine, Internal Medicine, or Geriatric Medicine from a relevant authority.

Working Conditions:

40 hours per week. Must have authorization to work permanently in the United States.



  • Grand Prairie, Texas, United States Medical City Dallas Full time

    Job SummaryThe Director of Emergency Services is responsible for ensuring high-quality patient care in the Emergency Department. This role involves service, growth, development, personnel management, and resource allocation and management controls.Key ResponsibilitiesIdentify and implement solutions to problems affecting the service.Participate in service,...


  • Grand Prairie, Texas, United States Medical City Dallas Full time

    Job Summary:The Director of Emergency Services is responsible for ensuring high-quality patient care in the Emergency Department. This role involves identifying problems, implementing solutions, and communicating with staff and stakeholders.Key Responsibilities:Accurately identify real/potential problems affecting the service and implement solutions with...


  • Grand Prairie, Texas, United States Pollo Regio Full time

    The ideal candidate will be responsible for overseeing the overall direction, high-performance, and engagement of the Warehouse team in safety and standard operating procedures of the department. This includes meeting or exceeding results in product quality, production deadlines, and safety.The Warehouse Operations Director will hire, train, and coach team...


  • Grand Prairie, Texas, United States Nova Medical Centers Full time

    Job Summary:We are seeking a highly skilled and experienced Supervising Physical Therapist to join our team at Nova Medical Centers in Grand Prairie, TX. As a Supervising Physical Therapist, you will be responsible for overseeing the physical therapy department, ensuring high-quality patient care, and promoting a positive work...


  • Grand Prairie, Texas, United States Elevance Health, Inc. Full time

    Job SummaryThe LTSS Service Coordinator plays a vital role in our team at Elevance Health, Inc. by conducting service coordination functions for a defined caseload of individuals in specialized programs. This position requires collaboration with various stakeholders, including the Service Coordinator, Support, Medical Director, Behavioral Health, Retail,...


  • Grand Prairie, Texas, United States Elevance Health, Inc. Full time

    Job Summary:This position serves the TN areas of Perry and surrounding counties, working from a home-based office with field visits to member homes and/or nursing facilities.The LTSS Service Coordinator is responsible for conducting service coordination, support, and medical director activities, collaborating with Behavioral Health, Retail, and Healthcare...


  • Grand Prairie, Texas, United States gpac Full time

    Job Title: Plumbing Sales ManagerGPAC is seeking a highly skilled and experienced Plumbing Sales Manager to join our team. As a key member of our sales team, you will be responsible for driving sales growth and revenue for our plumbing services.Key Responsibilities:Develop and execute sales strategies to achieve sales targets and revenue growthBuild and...


  • Grand Prairie, Texas, United States Compass Group, North America Full time

    Job SummaryWe are seeking a skilled Traveling Patient Food Service Manager to lead our Patient Services Team in Acute Cares settings across multiple regions in Texas. As a key member of our team, you will be responsible for establishing goals and overseeing the implementation of patient food services needs based on medical direction and patient...

  • Nurse Care Manager I

    3 weeks ago


    Grand Prairie, Texas, United States Elevance Health Full time

    The Nurse Care Manager I is a critical role at Elevance Health, responsible for delivering high-quality care management services to members with complex and chronic care needs.Key responsibilities include:Assessing member needs and developing personalized care plans to optimize health outcomes.Coordinating internal and external resources to meet identified...


  • Grand Prairie, Texas, United States i4 Search Group Healthcare Full time

    Job SummaryWe are seeking a highly skilled Dialysis Facility Administrator to oversee the daily operations of our Grand Prairie dialysis center. The ideal candidate will have a strong background in nursing, leadership, and clinical operations management.The successful candidate will be responsible for ensuring the center's compliance with regulatory...


  • Grand Prairie, Texas, United States BrightSpring Health Services Full time

    Job SummaryWe are seeking a highly skilled IV Pharmacy Technician to join our team at PharMerica. As a key member of our pharmacy team, you will be responsible for preparing and compounding sterile medications in a high-risk pharmacy environment. Your expertise in long-term care and Alere high-risk pregnancy medications will be invaluable in providing...


  • Grand Prairie, Texas, United States Elevance Health Full time

    About the RoleWe are seeking a highly skilled and experienced professional to join our team as the National General Manager for Specialty Infusion Operations. As a key member of our leadership team, you will be responsible for overseeing the operations of our specialty infusion pharmacies across the country, ensuring that we deliver high-quality services to...


  • Grand Prairie, Texas, United States Elevance Health Full time

    Job DescriptionTransplant Case Manager IIElevance Health is seeking a highly skilled Transplant Case Manager II to join our team. As a key member of our healthcare team, you will be responsible for providing case management and medical management services to members receiving transplant services.Key Responsibilities:Conduct assessments to identify individual...

  • Nurse Case Manager II

    3 weeks ago


    Grand Prairie, Texas, United States Elevance Health Full time

    Job SummaryWe are seeking a skilled Nurse Case Manager II to join our team at Elevance Health. This role will involve collaborating with healthcare providers and consumers to drive personalized health management and improve health outcomes.Key ResponsibilitiesCollaborate with healthcare providers and consumers to develop and implement personalized care...


  • Grand Prairie, Texas, United States The Albers Group LLC Full time

    Job SummaryAs the Director of Finance for Albers Industrials, you will be responsible for overseeing all financial affairs of the business unit, ensuring strict adherence to company ICFR's, and developing external and internal financial statements. You will also monitor business performance metrics, provide variance analysis, and recommend cost control...


  • Grand Prairie, Texas, United States BrightSpring Health Services Full time

    Job SummaryWe are seeking a highly skilled IV Pharmacy Technician to join our team at BrightSpring Health Services. As a key member of our pharmacy team, you will be responsible for providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers...

  • Nurse Case Manager II

    4 weeks ago


    Grand Prairie, Texas, United States Elevance Health Full time

    Job SummaryWe are seeking a skilled Nurse Case Manager II to join our team at Elevance Health. As a key member of our care management team, you will play a critical role in collaborating with healthcare providers and consumers to drive personalized health management and improve health outcomes.Key ResponsibilitiesCollaborate with healthcare providers and...


  • Grand Prairie, Texas, United States Elevance Health Full time

    Job Title: RN Transplant Case Manager IIJob Summary:Elevance Health is seeking a highly skilled RN Transplant Case Manager II to join our team. As a RN Transplant Case Manager II, you will be responsible for providing case management and medical management services to members receiving transplant services. You will assess, develop, implement, coordinate,...

  • Mechanical Drafter

    3 weeks ago


    Grand Prairie, Texas, United States Win Holt Equip Corp Full time

    Job OverviewWinholt Equipment Corp is seeking a skilled Mechanical Drafter/CAD Operator to join our team in Grand Prairie, TX. This is a full-time in-office position reporting to the Director of Engineering.Key Responsibilities:Design and develop food service and kitchen equipment using Autodesk Inventor.Estimate and quote various food service and kitchen...

  • Nurse Case Manager I

    4 weeks ago


    Grand Prairie, Texas, United States Elevance Health Full time

    Job SummaryElevance Health is seeking a skilled Nurse Case Manager I to join our team. As a key member of our healthcare team, you will be responsible for providing high-quality care management services to our members with complex and chronic care needs.Key ResponsibilitiesAssess and develop individualized care plans to optimize member health care across the...