Jobs
>
Homestead

    Medical Director - Homestead, United States - Nexus HR Services

    Nexus HR Services
    Nexus HR Services Homestead, United States

    3 weeks ago

    Default job background
    Description

    Job Description

    Job Description

    Medical Director - Homestead, FL 33032

    Compensation: $250,000 - $320,000 per year DOE

    Overview: Nexus HR is looking for a passionate and dedicated Medical Director who actively seeks new ways of exceeding the expectations of patients, families, caregivers, support persons, and co-workers, for a reputable medical center in Homestead, Florida.

    Client-highlighted qualifications - 5 to 8 years of medical experience, with at least 2 years of medical directorship experience, a medical license in Florida, a strong foundation in primary care and geriatric care

    About the Job

    The Medical Director will provide medical and clinical oversight and maintain the medical management to ensure quality healthcare is provided

    Duties and Responsibilities:

    • Monitoring the level of care using both statistical information and chart review and may offer unsolicited medical judgment when appropriate
    • Monitoring the use of medical services, and has the authority to issue denials of service deemed appropriate
    • Oversees Utilization Management Programs and may oversee Quality Improvement Programs
    • Serves as a clinical resource for senior administrative management and case managers.
    • Assists in the development and implementation of "best practice patterns" in the form of both medical protocols and process management protocols
    • Participates in the review and assessment, and provides advice on complex, controversial, and/or unique claims that are outside the realm of medical policy, including solicitation and evaluation of advice from outside medical consults and physicians concerning complex, controversial, experimental and/or innovative techniques
    • Provides medical expertise and support to ensure appropriate care and services through a continuum between hospitals, skilled nursing facilities, and home care to ensure quality and continuity of care for complex case management
    • Facilitate conformance with DHS, DMHC, NCQA, and other regulatory requirements
    • Evaluate referral authorization requests in support of nurse reviewers and manage the denial process
    • Teaching and administration of charts review for Family Nurse Practitioners and Physician Assistants.
    • Supervises, advises and trains clinical professionals and/or students in areas of expertise.

    Qualifications:

    • At least three (3) years of experience as a Medical Doctor
    • At least 10 years of experience as a medical provider
    • Board Certified Family Practice / Internal Medicine Physician
    • ACLS or CPR / AED Certified
    • Current medical license to practice, without restrictions, in Florida
    • Education, training, or experience related to NCQA, QM, multi-specialty group practice, and HMO industry
    • Broad knowledge base regarding managed care systems, quality improvement, medical utilization, and risk management
    • Must be analytical, results-oriented, able to establish priorities, and respond to requests for assistance, guidance, or decision-making on time
    • Preferably free from any insurance exclusivity agreement.
    • Experience in EMR/EHR is highly preferred
    • Able to work in Homestead, FL
    • Bilingual (English/Spanish) is highly preferred.
  • Miami Children's

    Medical Director

    2 weeks ago

    Miami Children's Homestead, United States

    Outstanding Opportunity for Pediatric Emergency Medicine Medical Director In Miami · Nicklaus Children's Pediatric Specialists (NCPS), the physician multispecialty group practice of Nicklaus Children's Health System, have an exceptional opportunity for a fellowship-trained BC/BE ...

  • Nicklaus Children's Health System

    Medical Director

    3 weeks ago

    Nicklaus Children's Health System Homestead, United States

    Description Outstanding Opportunity for Pediatric Emergency Medicine Medical Director In Miami · Nicklaus Children's Pediatric Specialists (NCPS), the physician multispecialty group practice of Nicklaus Children's Health System, have an exceptional opportunity for a fellowship-t ...

  • Nexus HR Services

    Medical Director

    3 weeks ago

    Nexus HR Services Homestead, United States

    Job Description · Job DescriptionMedical Director - Homestead, FL 33032 · Compensation: $165k · Overview: Nexus HR is looking for a passionate and dedicated Medical Director who actively seeks new ways of exceeding the expectations of patients, families, caregivers, support pers ...

  • Nicklaus Children's Hospital

    Medical Director

    2 weeks ago

    Nicklaus Children's Hospital Homestead, FL, United States

    Outstanding Opportunity for Pediatric Emergency Medicine Medical Director In Miami Nicklaus Children's Pediatric Specialists (NCPS), the physician multispecialty group practice of Nicklaus Children's Health System, have an exceptional opportunity for a fellowship-trained BC/BE pe ...

  • Centurion Health

    Site Medical Director

    3 weeks ago

    Centurion Health Homestead, United States

    : · New Leadership Opportunity · Overview: · Centurion is proud to be the provider ofcomprehensive healthcare services to the Florida Department of Corrections. · We are currently seeking an experienced Physician to serve as the full-time Site Medical Director at the Homeste ...

  • HCA Florida Mercy Hospital

    Director of Medical Staff Services

    3 days ago

    HCA Florida Mercy Hospital Miami, United States

    This position is incentive eligible. · **Introduction**: · Managers 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 fo ...

  • Nicklaus Children's Hospital

    Emergency Medicine, Clinical Medical Director

    2 weeks ago

    Nicklaus Children's Hospital Homestead, FL, United States Full time

    Outstanding Opportunity for Pediatric Emergency Medicine Medical Director In Miami · Nicklaus Children's Pediatric Specialists (NCPS), the physician multispecialty group practice of Nicklaus Children's Health System, have an exceptional opportunity for a fellowship-trained BC/BE ...

  • University of Miami

    Medical Director

    1 week ago

    University of Miami Miami, United States

    Current Employees: · If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here $) to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please re ...

  • Hayman Daugherty Associates, Inc

    Medical Director

    1 week ago

    Hayman Daugherty Associates, Inc Miami, United States

    Job Overview · Seeking a Medical Director specializing in Obstetrics and Gynecology to join a practice in Florida. Minimum of 3 years post-residency OB/GYN experience. Medical Spanish is helpful. Leadership experience required. Active/current skills. Active FL licensure. Board ce ...

  • Lutheran Services Florida

    Residential Counselor

    2 weeks ago

    Lutheran Services Florida Homestead, United States

    **Lutheran Services Florida (LSF) envisions a world where children are safe, families are strong, and communities are vibrant.** · LSF is seeking a talented **Residential Counselor II **who wants to make an impact in the lives of others. · **Purpose and Impact**: · Provide assess ...

  • University of Miami

    Medical Director

    3 weeks ago

    University of Miami Doral, United States

    Medical Director (Open Rank) – Surgery, Transplant Lab page is loaded · Medical Director (Open Rank) – Surgery, Transplant Lab · Apply · locations · Miami, FL · time type · Full time · posted on · Posted 15 Days Ago · job requisition id · R · Current Employees: · If y ...

  • Korn Ferry

    Medical Director

    1 week ago

    Korn Ferry Doral, United States

    The Department of Surgery –Transplant Lab has an exciting opportunity for Associate Director of Medical Transplant Lab – Open Rank clinical faculty member. · Job Functions: · The associate director will work under the supervision of the interim medical director with the potential ...

  • Veterinary Emergency Group

    Medical Director

    3 weeks ago

    Veterinary Emergency Group Doral, United States

    WHO WE ARE: · Veterinary Emergency Group (VEG) is a rapidly growing emergency company with hospital locations across the United States. Our mission is helping people and their pets when they need it most. We are revolutionizing emergency medicine with a "customer first" mentalit ...

  • Hayman Daugherty Associates

    Medical Director

    2 weeks ago

    Hayman Daugherty Associates Doral, United States

    Job Overview · Seeking a Medical Director specializing in Obstetrics and Gynecology to join a practice in Florida. Minimum of 3 years post-residency OB/GYN experience. Medical Spanish is helpful. Leadership experience required. Active/current skills. Active FL licensure. Board c ...

  • AIDS Healthcare Foundation

    Medical Director

    1 week ago

    AIDS Healthcare Foundation Miami, United States

    WHO WE ARE · AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare FoundationDoes the idea of doing something that really makes a difference in people's lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages growt ...

  • AIDS Healthcare Foundation

    Medical Director

    3 weeks ago

    AIDS Healthcare Foundation Doral, United States

    WHO WE ARE · AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation Does the idea of doing something that really makes a difference in people's lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages grow ...

  • AIDS Healthcare Foundation

    Medical Director

    2 weeks ago

    AIDS Healthcare Foundation Miami, United States

    Job Description · Job DescriptionOverview · AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation · Does the idea of doing something that really makes a difference in people's lives while being well-compensated intrigue you? Are you looking to work for an ...

  • Jobot

    Director Medical

    2 weeks ago

    Jobot Miami, FL, United States

    Looking to hire an Audit Director/Partner - HYBRID · This Jobot Job is hosted by: Tiffany Cobian · For over thirty years, we have provided high-quality financial and management services to a diverse and successful client base. We are dedicated to helping our clients develop thr ...

  • AIDS Healthcare Foundation

    Medical Director

    3 weeks ago

    AIDS Healthcare Foundation Miami, FL, United States

    WHO WE ARE · AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation Does the idea of doing something that really makes a difference in people's lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages gro ...

  • ChenMed Careers

    Medical Director

    2 weeks ago

    ChenMed Careers Miami, FL, United States Full time

    We're different than most primary care providers. The Care Supervisor is a healthcare and leadership-focused position working directly with patients and their families, doctors and other medical personnel in a dynamic and professional environment to provide the highest level of q ...