- InterDent (Portland, OR)
- …health outcomes. Position Overview We are seeking a dynamic Regional Clinical Director (RCD) to provide clinical leadership and operational support to approximately ... 30 Gentle Dental offices within the designated region and serve as a Dental Director (DD) for Capitol Dental. This is a high-impact leadership role central to our… more
- Aveanna Healthcare (Worcester, MA)
- …incentive plan and $15k Sign-On Bonus ** Position Overview The Clinical Director Home Health is a qualified professional responsible for the planning, coordination, ... services to the client. This individual reports to and assists the Executive Director in the locations adherence to federal, state, and local laws, accreditation,… more
- Argon Agency (North Palm Beach, FL)
- …for advancement Paid time off Wellness resources Job Purpose: As our Clinical Director , you'll be the cornerstone of our clinical operations, ensuring the highest ... continuous improvement. Supervision of therapists, counselors, case managers, and medical staff. Handling emergencies, patient crises, and staff conflicts. Innovate… more
- HealthCare Support (Houston, TX)
- …approved medical guidelines. Refers cases that do not meet criteria to Medical Director for review. 2. Assists in discharge planning especially Home Health ... services and if not meeting criteria, refer to the Medical Director . 3. Participates in Community Nursing...years of UR/UM Highlight lines of business worked- Texas Medicaid , CHIP, marketplace Highlight experience - was it inpatient… more
- Aveanna Healthcare (Birmingham, AL)
- …by the plan of care, the interdisciplinary team, attending physician and Hospice Medical Director . Territory is primarily Jefferson County, AL. Schedule Monday - ... Coordinates total patient/family hospice care under the supervision of the Director and with the interdisciplinary team, the attending physician, and other… more
- Aveanna Healthcare (Decatur, AL)
- …the plan of care, the interdisciplinary team, attending physician and Hospice Medical Director . Territory: Morgan, Lawrence and Winston Counties Schedule: ... Coordinates total patient/family hospice care under the supervision of the Director and with the interdisciplinary team, the attending physician, and other… more
- Executive Care (Leesburg, VA)
- …non-clinical staff. The Office Manager collaborates closely with the Administrator, Director of Nursing (DN), caregivers, and other staff. Qualifications: Bachelor's ... HCO (Home Care Organization) and CMS (Centers for Medicare & Medicaid Services) documentation standards a plus Excellent organizational, communication, and… more
- Home Care Evolution (Vienna, VA)
- …progress and promptly report clinical changes to the RN Case Manager or Director of Nursing. Support and participate in Quality Assurance (QA) activities, including ... to resolve them in a timely manner. Ensure adherence to Medicare, Medicaid , and agency-specific policies and procedures. Maintain accurate, timely records using… more
- Coastal Bend Wellness Foundation (Corpus Christi, TX)
- …Description Job Title: Behavioral Health Case Manager/QMHP Non-Exempt Reports to : Director of Behavioral Health Salary: $55,000 SUMMARY: Case managers provide a ... individuals in developing their skills to gain access to needed medical , behavioral health, housing, employment, social, educational, and other services essential… more
- Humana (Indianapolis, IN)
- …to adapt and the courage to innovate **Additional Information** Reports to the Lead Medical Director - North Central Medicaid Markets. The Medical ... caring community and help us put health first** The Medical Director relies on medical ...Medical Directors will learn North Central region state Medicaid requirements (currently VA, KY, OH, IN, WI) and… more
- Elevance Health (Indianapolis, IN)
- **Behavioral Health Medical Director - Psychiatrist - Indiana Medicaid ** **Location:** This role enables associates to work virtually full-time, with the ... Ideal candidates will reside in Indiana. The **Behavioral Health Medical Director ** is responsible for reviewing cases...Director ** is responsible for reviewing cases for IN Medicaid members including child and substance use disorders, and… more
- Elevance Health (Woodbridge, NJ)
- **Behavioral Health Medical Director - Psychiatrist- NJ Medicaid ** Location: The successful candidate will be a board-certified psychiatrist licensed and ... a part- time position, 20 hours a week. The **Behavioral Health Medical Director - Psychiatrist- New Jersey** is responsible for the administration of behavioral… more
- Humana (Topeka, KS)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical … more
- CVS Health (Trenton, NJ)
- …supporting the Aetna Northeast Medicaid plan and the UM team. The UM Medical Director will ensure timely and consistent responses to members and providers ... and every day. **Position Summary:** Ready to take your Medical Director skills to the next level...opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, Florida,… more
- CVS Health (Springfield, IL)
- …do it all with heart, each and every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout ... opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, California,...Better Health Plan of Illinois. This UM (Utilization Management) Medical Director will be a "Work from… more
- CVS Health (Frankfort, KY)
- …do it all with heart, each and every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout ... Better Health of Kentucky primarily, and the Southeast Region (FL, LA and WV). This Medical Director will be a "Work from Home" position primarily supporting the… more
- ChenMed (Richmond, VA)
- …preferred. + Strongly prefer one (1) years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population + Board ... preferred. + Preferred to be an existing high performing PCP partner and/or Medical Director within the ChenMed core model, with a proven ability to manage a… more
- CVS Health (Richmond, VA)
- …effective utilization of health care resources. Reporting to the Executive Behavioral Health Medical Director , Aetna Medicaid , this role is responsible for ... and guidance to the ABA prior authorization clinical team and health plan medical directors. * Attend and actively participate in clinical meetings with care… more
- Humana (Washington, DC)
- …caring community and help us put health first** The Associate Director , Procurement generates and implements efficient sourcing and category management strategies. ... the company's supply portfolio ensuring transparency of spending. The Associate Director , Procurement requires a solid understanding of how organization capabilities… more
- Humana (Lansing, MI)
- …first** The Clinical Pharmacist Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes ... diverse scope and complexity ranging from moderate to substantial. The Pharmacy Director , internally known as a Clinical Pharmacy Lead, plans, directs, and monitors… more
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