13 jobs found in Bluffton, IN

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Cardiology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).Must...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Neurology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).Must...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Surgery - Orthopedics, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Gastroenterology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Oncology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).Must have...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Oncology Radiation, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Maternal - Fetal Medicine, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18...

Overview This is a unique opportunity to combine clinical practice with medical leadership while enjoying a balanced schedule and organizational support. As Medical Director, youll provide patient-centered care alongside guiding a clinical team, improving outcomes, and contributing to practice growth. Work weekdays only " Monday"Friday, 8a"5p " with no nights, weekends, or call requirements . A supportive structure offers opportunities to advance in leadership, education, and occupational medicine. Compensation & Benefits Competitive base salary with annual merit increases Monthly Medical Director stipend + productivity & quality incentives Sign-on bonus up to $20,000 (eligibility required) Generous PTO: 24 days + 5 CME days + 6 holidays annually Comprehensive benefits, including: Medical, dental, vision, prescription coverage Life & disability insurance Malpractice insurance (provided) 401(k) with employer match Tuition reimbursement...

Psychiatrist Facility Medical Director opportunity in Fort Wayne, INWe are seeking an Indiana licensed psychiatrist to join our team and provide exceptional psychiatric services and serve as the facility medical director.About the RoleProvide in-person psychiatric patient care to older adults and serve as on-site program director; hospital services include a 120-bed inpatient psychiatric service, may include occasional coverage of IOPMonday through FridayHours: 8-5 (with some flexibility)Typical case load: 12-16 patients/dayAs FMD you will work with hospital administration to help maintain quality of care and align hospital goals with clinical workOpportunity DetailsPaid professional liability insurance with tail coverageAccess to our clinician wellness program and referral programIndustry leading clinical supportCompensation: very generous base salary, plus additional comp for facility medical director roleProductivity bonusAfter hour call coverage (voluntary/rotation)Weekend...

NOVA MEDICAL CENTERS successfully operates outpatient acute injury care clinics in an Occupational Medicine setting. Services include minor work injury care, NO chronic pain management!Fully integrated EMR system with complete automation provides the Medical Director opportunity to focus on delivering a high quality of patient care with minimal administrative duties required of the provider. Nova currently has locations in Texas, Georgia, Tennessee and Indianawith additional nation-wide openings. Significant career growth opportunities are available for qualified candidates. Successful candidates come from various medical backgrounds including UC, ED, FP, ER, IM or Ortho. Responsibilities:-Perform medical assessment of Center patients-Establish and monitors a medically appropriate level of care for Center patients-Maintain clinical core competency-Work with Chief Medical Officer and Regional Medical Directors to ensure operations are consistent with medical policy and professional...

PSYCHIATRY-MEDICAL DIRECTOR INDIANAPOLIS INDIANA We are looking for a BC/BE Psychiatrist with experience to be at a new 100 Plus Bed For Profit Behavioral Health Hospital, state of the art hospital which is located in a suburb of Indianapolis Indiana Salary of 300,000 plus with full benefits No Visa candidates considered Preferably Psychiatrist have experienceContact

Centurion Health is proud to be the provider of healthcare services to the Indiana Department of Correction. We are currently seeking a full -time Site Medical Director to join our team at Plainfield Correctional Facility located in Plainfield, Indiana. We offer comprehensive benefits for our full-time team members including: Health, dental, vision, disability and life insurance 401(k) with company match Generous paid time off Paid holidays Flexible Spending Account Continuing Education benefits Much more Advantages of working in correctional healthcare: Freedom from complex, restrictive managed care policies and reimbursement hassles Time to initiate change, track progress and conduct better follow-up Ability to work with a clinically rich and diverse patient population Centurion Health contracts with state and local governments nationwide to provide comprehensive healthcare services to correctional facilities, state hospitals, and other...

Centurion is proud to be the provider of comprehensive healthcare services to the Indiana Department of Corrections . We are currently seeking a Primary Care Physician to serve as the full-time Site Medical Director at Miami Correctional Facility located in Bunker Hill, Indiana. Benefits Health, dental, vision, disability and life insurance 401(k) with company match Generous paid time off Paid holidays Flexible Spending Account Company paid malpractice insurance Continuing Education benefits Much more Centurion Health contracts with state and local governments nationwide to provide comprehensive healthcare services to correctional facilities, state hospitals, and other community settings. Our dedication to making a difference and our passionate team of the best and the brightest healthcare employees has made us one of the leaders of the correctional health industry. Whether you are driven by purpose and impact or on a journey of professional...