Physician Medical Director - LTSS
Humana(3 days ago)
About this role
The Long-term services and supports (LTSS) Medical Director is responsible for reviewing medical authorizations to determine the necessity of services, care levels, or supplies, involving clinical evaluation and collaboration with healthcare entities. The role emphasizes supporting Humana's mission and involves clinical review, working within regulatory standards, and supporting population health efforts.
Required Skills
- MD
- Board Certification
- Medicare
- Medicaid
- Utilization Management
- Discharge Planning
- Home Health
- Clinical Standards
- Social Determinants of Health
- Performance Evaluation
About Humana
humana.comExplore Medicare plans and health insurance coverage to fit your lifestyle. Turning 65 or recently qualified? Sign up for Medicare coverage! Start with healthy, start with Humana.
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