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The Medical Director for Home Health at Humana plays a crucial role in ensuring that healthcare services provided to Medicare patients comply with national guidelines and regulatory standards. This position involves medical interpretation and decision-making regarding the appropriateness of services rendered by healthcare professionals, with a focus on maintaining compliance with CMS Medicare Guidance. The Medical Director will work in a structured environment, utilizing diverse resources to support their decisions and will be responsible for conducting clinical case reviews and identifying operational improvements within the medical management area.