- CVS Health (Indianapolis, IN)
- …all with heart, each and every day. Company: Oak Street Health Title: Senior Medical Director Location: Indianapolis Role Description: The Senior Medical ... Oak Street Health leading the transition from fee-for-service to value-based care. The Senior Medical Director will be responsible for leading our provider teams in… more
- OptiMindHealth (Quincy, MA)
- …Part-Time FLSA Status: Non-Exempt Location: Quincy , MA Join a leading clinician -led behavioral health company today! OptiMindHealth (OMH) is expanding and seeking ... medical providers and healthcare institutions as directed by the OptiMindHealth senior leadership team. Primary responsibilities: 1. Identify, initiate, and maintain… more
- PeaceHealth (Vancouver, WA)
- …departments or services lines. Details of the position: Partners with physicians and senior clinic leadership to lead clinic operations to ensure overall success of ... management; staffing; talent/performance management. Engages appropriate stakeholders in the review and dissemination of area financial and productivity performance.… more
- Elevance Health (CA)
- **Medical Management Clinician Senior ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... 7:00 AM - 3:30 PM PST The **Medical Management Clinician Senior ** is responsible for ensuring appropriate,...a minimum of 6 years of clinical experience and/or utilization review experience. + Current active, valid… more
- City and County of San Francisco (San Francisco, CA)
- …permanent positions can review your application Under direction, the 2932 Senior Behavioral Health Clinician performs essential duties that include, but are ... audit and compliance review . + The 2932 Senior Behavioral Health Clinician performs related duties...techniques. + Knowledge of clinical methods refers to the utilization of the history, culture, socioeconomic background, and environment… more
- Molina Healthcare (Fort Worth, TX)
- …emergency room. + Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / ... zone residents preferred** **Job Description** **Job Summary** Supports the clinical review process of provider requests to ensure that behavioral health services… more
- Commonwealth Care Alliance (Boston, MA)
- …**Position Summary:** Reporting to the Senior Medical Director of Medical Policy and Utilization Review , the Utilization Review Medical Director will ... our rapidly growing membership. The incumbent will have significant experience with utilization review , ideally experience with public programming, and excellent… more
- Atlantic Health System (Hackettstown, NJ)
- …chart documentation. 8. Incorporates use of criteria sets in context of utilization management. 9. Performs other related duties as assigned. Required: 1. Master's ... 100 Accountable Care Organizations to Know - Becker's Hospital Review + Best Employers for Workers over 50 -...from both the New Jersey Department of Health & Senior Services and The Joint Commission's advanced certification program;… more
- Tufts Medicine (Burlington, MA)
- …in the Clinical Documentation Integrity (CDI), Coding, HIM Operations, and Utilization Review (UR) departments while implementing enterprise-wide vision. The ... and establish cross-departmental collaborations to transform care delivery and the patient/ clinician experience. 23. Models leadership behaviors and lead as a… more
- CenterWell (Jacksonville, FL)
- …clinical performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify ... and operational budgeting, and monitor clinical & financial performance and metrics. + Review clinician schedules and incentive plans to align with patient care… more
- CenterWell (Daytona Beach, FL)
- …performance in patient experience, quality of care, clinical outcomes, and avoidable utilization *Periodically review clinician charts to identify ... and operational budgeting, and monitor clinical & financial performance and metrics. * Review clinician schedules and incentive plans to align with patient… more
- CenterWell (Richmond, VA)
- …clinical performance in patient experience, quality of care, clinical outcomes, and avoidable utilization + Periodically review clinician charts to identify ... form a narrow network of quality service focused on senior population health. + Responsible for medical interpretation, reviews,...and monitor clinical & financial performance and metrics. + Review clinician schedules and incentive plans to… more
- Humana (Frankfort, KY)
- …role, you will be a key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse, with a focus ... The Director, Physician leadership will lead Medical Directors performing utilization management for inpatient authorizations training medical director team to… more
- Alameda Health System (Oakland, CA)
- …of professional staff assigned to AHS + Oversees clinical patient care, including utilization review + Reviews and participates in results of all medical ... hiring! The Chief Medical Officer (CMO) position is the senior medical officer and physician executive, and serves as...required. + Develops and maintains quality assurance and peer review system to comply with applicable laws governing the… more
- Catholic Health Initiatives (Lexington, KY)
- …Chief Medical Officer (MCMO) for the Kentucky market is a senior -level leadership position with essential market responsibilities that align with market, ... organization through work that involves maximizing clinical operations; improving clinician alignment and satisfaction, and leading evidence-based programs, practices,… more
- Veterans Affairs, Veterans Health Administration (Huntington, WV)
- …a Allied Health Professional Description of Assigned Duties This position serves as the senior clinician on the team and helps to manage consults, admissions and ... determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply.… more
- University of Colorado (Aurora, CO)
- …care in an ambulatory clinical setting. + Participates as needed in chart review and clinical coding compliance activities. + Assists in the supervision of Advanced ... with their clinic administration partners, assesses space and staff utilization ; develops, implements, and evaluates solutions as needed. + Collaborates… more
- PeaceHealth (Vancouver, WA)
- …or services lines. **Details of the position:** + Partners with physicians and senior clinic leadership to lead clinic operations to ensure overall success of ... management; staffing; talent/performance management. Engages appropriate stakeholders in the review and dissemination of area financial and productivity performance.… more
