33 jobs found

Licensure & Healthcare Regulatory Director - Hybrid GENERAL SUMMARY OF DUTIES : Works with and supports both interdepartmental and facility teams companywide to include reviewing and evaluating complex application/forms/requests of all healthcare regulatory licensure and Medicare enrollment documentation for accuracy and M&A and divesture transaction processes. Works with and supports the Licensure & Healthcare Regulatory team and partners in all aspects of licensing and Medicare enrollment of ASCs, hospitals and practices with various Government Agencies and State Agencies. Processes and monitors applications for ASCs, hospitals, and practices. Communicates with ASC, hospital and practice teams and external Federal, State and Local authorities regarding licensure and healthcare regulatory matters as needed. Also maintains accurate and current files and databases. ESSENTIAL FUNCTIONS : Support maintenance of ASC, hospital, and practice healthcare...

Thank you for considering a career at Ensemble! Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession:  Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas:  Continuously innovate by embracing emerging technology and fostering a culture of creativity and...

We’re unique.  You should be, too. We’re changing lives every day.  For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts?  Do you inspire others with your kindness and joy? We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team. The Associate Market Clinical Director will directly supervise, performance manage and train Clinical Directors within in his/her assigned market. The incumbent in this role is accountable for center performance objectives, P&L, growth, and culture. In addition to being accountable for the overall clinical outcomes of his/her assigned market, they will have a portion of their time allocated to direct patient care as a PCP and/or other clinical duties. The remainder of their time allocated to leadership responsibilities including Clinical Director performance, engagement, building a strong...

We’re unique.  You should be, too. We’re changing lives every day.  For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts?  Do you inspire others with your kindness and joy? We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team. The Associate Market Clinical Director will directly supervise, performance manage and train Clinical Directors within in his/her assigned market. The incumbent in this role is accountable for center performance objectives, P&L, growth, and culture. In addition to being accountable for the overall clinical outcomes of his/her assigned market, they will have a portion of their time allocated to direct patient care as a PCP and/or other clinical duties. The remainder of their time allocated to leadership responsibilities including Clinical Director performance, engagement, building a strong...

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.

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 Management The 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)....

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 Management The 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)....

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 Management The 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...

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 Management The 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 Management The 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)....

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 Management The 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 Management The 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...

We are looking for a full-time PM&R Physician - Associate Medical Director interested in building a practice and growing with the community. This opportunity has a great financial package available including a generous income guarantee

Enterprise Medical Recruiting seeks a PM&R Physician to serve as Medical Director for a new inpatient rehabilitation hospital opening in Cookeville, TN. This modern 40-bed facility will offer advanced technology, multidisciplinary care, and exceptional

This position is incentive eligible. Introduction Are you ready to lead in a new era as a Critical Care Nurse Director where building a healthier tomorrow is more than a job? Our TriStar Hendersonville Medical Center team is committed to partnership, innovation, legacy and improving more lives in more ways. Share your resume today! Benefits TriStar Hendersonville Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home...

This position is incentive eligible. Introduction Leaders thrive with us! HCA Healthcare is one of the nation's leading providers of healthcare services, comprising of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We are looking for a Quality Director for our TriStar Skyline Medical Center team where excellence creates excellence. Benefits TriStar Skyline Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital...

This position is incentive eligible. Introduction Leaders thrive with us! HCA Healthcare is one of the nation's leading providers of healthcare services, comprising of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We are looking for a Quality Director for our TriStar Skyline Medical Center team where excellence creates excellence. Benefits TriStar Skyline Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital...

This position is incentive eligible. Introduction Leaders thrive with us! HCA Healthcare is one of the nation's leading providers of healthcare services, comprising of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We are looking for a Quality Director for our TriStar Skyline Medical Center team where excellence creates excellence. Benefits TriStar Skyline Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital...

This position is incentive eligible. Introduction Leaders thrive with us! HCA Healthcare is one of the nation's leading providers of healthcare services, comprising of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We are looking for a Quality Director for our TriStar Skyline Medical Center team where excellence creates excellence. Benefits TriStar Skyline Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital...

A well established and growing law firm is seeking a Healthcare Law Associate with 3+ years of experience to join its established healthcare practice in the Greater Nashville area. This opportunity offers exposure to sophisticated healthcare regulatory and compliance matters supporting a broad range of healthcare provider clients within a collaborative and growth-oriented practice environment. The ideal candidate will have strong healthcare regulatory experience, excellent drafting skills, and the ability to communicate effectively with clients and internal legal teams. Responsibilities Advise healthcare clients on regulatory and compliance matters Assist with analysis of healthcare laws and provider regulations Draft legal memoranda, agreements, and compliance-related documents Conduct legal research and regulatory analysis Interface directly with clients on day-to-day healthcare matters Collaborate with attorneys across a sophisticated healthcare practice...