- Elevance Health (Mason, OH)
- **National Accounts Medical Director ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... as required by law. Alternate locations may be considered. The **National Accounts Medical Director ** is responsible for serving as the Operational Medical … more
- Elevance Health (Mason, OH)
- ** Medical Director -Dermatology Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... unless an accommodation is granted as required by law. The ** Medical Director -Dermatology Appeals** is responsible for the review of appeals for physical… more
- Elevance Health (Mason, OH)
- **Plan Performance Medical Director ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... unless an accommodation is granted as required by law. The **Plan Performance Medical Director ** serves as a lead clinician and oversees the administration of … more
- Elevance Health (Mason, OH)
- **Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management** **Radiology Benefit** **Management/Utilization** **Review** ... is granted as required by law._ The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical management staff… more
- Molina Healthcare (Dayton, OH)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. + Experience… more
- Molina Healthcare (Dayton, OH)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. + Experience… more
- Molina Healthcare (Dayton, OH)
- …3+ years HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and… more
- Molina Healthcare (Dayton, OH)
- …reviews behavioral health portions of state contracts. * Assists behavioral health medical director lead trainers in the development of enterprise-wide education ... JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health...and chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies… more
- Molina Healthcare (Dayton, OH)
- …Certification in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in ... health and chemical dependency services. Works closely with the Regional Medical Directors to standardized utilization management policies and procedures to improve… more
- Elevance Health (Mason, OH)
- ** Medical Cost AI Intelligence Director (IT Strategy & Planning Director )** Location: This role requires associates to be in-office **3 days per week** , ... resides within a commutable distance from an office._ The ** Medical Cost AI Intelligence Director ** is responsible...an office._ The ** Medical Cost AI Intelligence Director ** is responsible for strategy, planning and execution of… more
- Elevance Health (Mason, OH)
- ** Director II Medical Cost Intelligence AI & Engineering (Dir II Engineering)** Location: This role requires associates to be in-office **3** **days per week** , ... candidate resides within a commutable distance from an office._ The ** Director II Medical Cost Intelligence AI & Engineering** is responsible for strategic… more
- Elevance Health (Mason, OH)
- …nursing judgment to determine whether treatment is medically necessary and provides consultation to Medical Director on cases that are unclear or do not satisfy ... if services are not in line with diagnosis. + Provide consultation to Medical Director on particularly peculiar or complex cases as the nurse deems appropriate.… more
- Elevance Health (Mason, OH)
- …+ May process a medical necessity denial determination made by a Medical Director . + Refers complex or non-routine reviews to more senior nurses ... Medical Management Clinician Associate - 40 hours, 4-5...be 12 hrs, 10 hours, or 8 hours. The ** Medical Management Clinician Associate** responsible for ensuring appropriate, consistent… more
- Elevance Health (Mason, OH)
- …records of denied services for medical necessity. + Extrapolates and summarizes medical information for medical director , consultants and other external ... uphold (deny) or overturn (approve) requested appealed service and forwards to Medical Director for final review and decision. + Ensures that appeals and… more
- Dayton Children's Hospital (Dayton, OH)
- …Details:Under the direction of the Director of Respiratory Care and the Medical Director of Respiratory Care, the Manager of Respiratory Care develops and ... implements plans for comprehensive respiratory care management of the patients in the General Pediatric Units, Critical Care Units, Emergency Department and on Transport. Duties include: Personnel management of team leaders and pediatric staff, staff… more
- Gentiva (Dayton, OH)
- …diagnosis, treatment, consultation, and follow-up under the direction of the Palliative Medical Director or Primary Care physician. **As a Nurse Practitioner, ... tests within the scope of professional practice. Order treatments and durable medical equipment as indicated. + Communicate clinical findings to the PSC Physician… more
- Select Medical (Huber Heights, OH)
- **Overview** **Position:** Director of In-Home Physical Therapy **Location:** Dayton, OH and Surrounding areas **Schedule:** Full-Time (Monday - Friday) ... Rehabilitation** is actively seeking a **physical therapist (PT)** to serve as a ** Director of our In-Home Therapy** department. We strive to create an exceptional… more
- Dayton Children's Hospital (Dayton, OH)
- …QA feedback. He/she works closely with the Team Leader, Supervisor, Manager and Medical Director to assure excellent quality in diagnostic and therapeutic ... services in the Sleep Lab. Provides excellent patient experience by following all protocols, policy and procedures and hospital values. Professional duties include patient assessment to determine patient specific needs, comprehensive evaluation and treatment… more
- American Heart Association (Kettering, OH)
- …does the impact you can make with us. We are currently hiring a Development Director in Dayton! The Director will generate revenue for our Heart Challenge ... collaboration with internal and external partners. + Work with a Communications Director to support and promote campaign communication plans. **Qualifications** + 3… more
- Sedgwick (Dayton, OH)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Director - Customer Integration and Compliance **PRIMARY PURPOSE** **:** We are seeking ... a strategic and results-oriented Director to lead a high-performing team responsible for a...a diverse and comprehensive benefits package including: + Three Medical , and two dental plans to choose from. +… more