- MVP Health Care (Rochester, NY)
- Medical Director , Clinical Review and Care Integrity 625 State St, Schenectady, NY 12305, USA * Rochester, NY, USA * Tarrytown, NY, USA Req #2635 ... innovative thinking and continuous improvement. To achieve this, we're looking for a ** Medical Director , Clinical Review and Care Integrity** to join… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Functions as a mentor and resource throughout the workday in training medical director colleagues, as needed. + Conduct clinical appeal case reviews and may ... you, we encourage you to apply! Job Description: The Medical Director participates in the broad array...may require peer-to-peer discussions with providers regarding UM case review determinations. + Provides clinical expertise on… more
- Grifols Shared Services North America, Inc (Rochester, NY)
- …in more than 110 countries and regions. **Position Overview:** The Medical Director will be responsible for clinical strategy relating to upcoming ... clinical development plans and regulatory strategy + Provide input/ review of clinical documents, eg protocols, investigator's...disease. **Pay Scale:** The estimated pay scale for the Medical Director (1-2) role based in the… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …and implementation of the Children's Behavioral Health (BH) Carve-In program. The Medical Director for BH Children's Services has overall accountability for ... care across the UM/ CM staff. + Participates in clinical peer review recruitment and supervision. +...Quality Management/Utilization Management (QM/UM) Plan, including having the BH Medical Director for Children's Services and participate… more
- Rochester Regional Health (Rochester, NY)
- …Health (RRH) seeks a visionary leader to serve as the System Executive Medical Director of Cancer Services, overseeing the renowned Lipson Cancer Institute-a ... a world-class multidisciplinary oncology team. Your Leadership Impact As the System Executive Medical Director , you will have the power to expand, elevate, and… more
- Villa of Hope (Rochester, NY)
- Medical Director JOB TITLE: Medical...for overall direction of delivery of mental health (MH) clinical services at Villa of Hope (OMH licensed programs). ... The Medical Director of psychiatry will work with...input and support (including, but not limited to Incident Review Committee). + . Works with the Organizational Development… more
- Molina Healthcare (Rochester, NY)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. ... & ABILITIES:** + 3+ years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical … more
- University of Rochester (Dansville, NY)
- …training experiences that meet ACGME standards, ensuring appropriate patient volume, clinical supervision, and procedural training. Regularly review rotation ... University of Rochester: Office of the Provost: University of Rochester Medical Center: School of Medicine and Dentistry: Family Medicine: Family Medicine: Family… more
- Rochester Institute of Technology (Rochester, NY)
- …as a member of the department's administrative leadership team. The Associate Director of Training provides goal-directed clinical service to RIT students, ... the training of graduate trainees in mental health fields. The Associate Director additionally provides administrative and clinical supervision to CaPS staff.… more
- University of Rochester (Rochester, NY)
- …our residency program where our primary goal is to develop psychiatrists who have medical knowledge, clinical maturity and personal confidence to function at the ... Program Director : . Maintain Program ACGME Accreditation including routine review of and adherence to all program requirements, annual program evaluation,… more
- Molina Healthcare (Rochester, NY)
- …3+ years HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + ... administrative incentives + Supervises and manages Medical Directors + Develops medical policies and procedures + Conducts peer review **JOB QUALIFICATIONS**… more
- STG International (West Seneca, NY)
- …implementation of Quality Performance Improvement Team (QPIT) strategic initiatives. + Participate in review and improvement of clinical success in of areas of ... safety. + Participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health enhancement… more
- University of Rochester (Rochester, NY)
- …of programs. Accountable for carrying out the tri-fold mission of the Medical Center services through successful development of strategic plans, business and ... of the department. This position works collaboratively with division chiefs and Medical Center Leadership to develop strategic, financial and operational plans for… more
- Fresenius Medical Center (Rochester, NY)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We believe our… more
- Independent Health (Buffalo, NY)
- … clinical appeals to include review of records, consultation with Medical Director , response to facilities as well as coordination of all aspects ... and a culture that fosters growth, innovation and collaboration. **Overview** The Clinical & Coding Specialist-Senior will be responsible for reviewing coding and … more
- Molina Healthcare (Rochester, NY)
- …clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen review , patient education, and medical staff interaction), and oversight ... Molina Pharmacy Services is hiring a Pharmacist, Clinical /MTM. This is a remote role, that will...+ Provides medication therapy management including examination of member medical records, performing a comprehensive medication review ,… more
- Episcopal SeniorLife Communities (Gates, NY)
- …for evenings, weekends and additional shifts. LPN Clinical Associate The LPN Clinical Associate will assist the Resident Care Director with the supervision ... daily living, and the observation and evaluation of the medical / clinical needs of the residents. ESSENTIAL JOB...not kept by the residents. + Maintain medication records, review and transcribe medication orders including new prescriptions and… more
- University of Rochester (Rochester, NY)
- …equity considerations._ **Responsibilities:** GENERAL PURPOSE Works closely with the Burn Director to coordinate and facilitate all aspects of the burn program. ... across the continuum, establishes and oversees processes to monitor clinical outcomes and performance improvement activities. Interacts with representatives from… more
- Immigration and Customs Enforcement (Batavia, NY)
- …appointments, emergency, or urgent care visit. Consults with the Psychiatrist and/or Clinical Director for complex psychiatric patients and as required by ... Assistant - Certified (Psych-PA-C). The incumbent will report to the facility clinical director ; will establish a collaborative practice agreement with a… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …external standards set by regulatory and accreditation entities. Refers appropriate cases to the Medical Director for review . Refer to and work closely with ... diagnosis and treatment of members' medical health conditions, applying established clinical review criteria, guidelines and medical policies and… more