- Elevance Health (Wallingford, CT)
- ** Utilization Management Medical Director - NC Medicaid** Location: This role enables associates to work virtually full-time, with the exception of ... Alternate locations may be considered. The ** Medical Director ** will be responsible for utilization review case management for North Carolina Medicaid.… more
- Elevance Health (Wallingford, CT)
- …responsibilities means that the medical director is directly involved in Utilization Management and Case Management . + Daily case reviews for both ... Director ** is responsible for serving as the Operational Medical Director for our care management...director provides clinical expertise in all aspects of utilization review and case management . Provides input… more
- Elevance Health (Wallingford, CT)
- …schedule: Monday - Friday. Half day Saturday rotation, once a month.** The ** Medical Director ** is responsible for the administration of behavioral health ... increase effectiveness and quality. + Provides oversight, direction, and guidance to Medical Director Associates. + Works independently with oversight from… more
- Elevance Health (Wallingford, CT)
- ** Medical Director -PSCCR** Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... for employment, unless an accommodation is granted as required by law. The ** Medical Director -PSCCR** is responsible for the administration of physical and/or… more
- Elevance Health (Wallingford, CT)
- ** Medical Director Associate - CarelonRx** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... dispensing services to drive affordability and improve member outcomes. The ** Medical Director Associate- CarelonRx** supports pharmacy prior authorization… more
- Elevance Health (Wallingford, CT)
- …for an entire clinical program and/or independently performs clinical reviews. The Medical Director typically has program management responsibilities ... ** Medical Director ** _Please note that per...** Medical Director ** _Please note that per our policy this...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be… more
- Elevance Health (Wallingford, CT)
- **Plan Performance Medical Director ** Location: This role enables associates to work virtually full-time, with the exception of required in-person training ... is granted as required by law. The **Plan Performance Medical Director ** serves as a lead clinician...**How you will make an impact:** + Supports the Medical Management staff to ensure timely and… more
- Marrakech, Inc. (Woodbridge, CT)
- …(HRC), and Utilization Review & Resource (URR). Contract & Vendor Management + Oversee contracts related to behavioral and ancillary clinical services. + Monitor ... friends and acquaintances for their individual qualities and contributions. SUMMARY The Director of Clinical Services plays a vital leadership role in ensuring the… more
- Fresenius Medical Center (Fairfield, CT)
- …and acting on adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other organization ... during and post procedure, under the direction of the Facility Manager, Director of Nursing and/or Charge Registered Nurse, utilizing standard nursing techniques to… more
- Fairfield University (Fairfield, CT)
- …clinical competencies. 13. Participates in SHC committee work as assigned by the SHC Director ; Examples include: + The SHC Risk Management Committee which is ... The APRN will provide operational support to the SHC including Risk Management and Quality Assurance Committees. The APRN will provide individual health education… more
- Fairfield University (Fairfield, CT)
- …proper utilization of equipment and materials,** **notifying the SHC Director and/or Campus Operations department immediately of any unsafe working conditions,** ... and Identity.** **8. Participates in SHC committee work as assigned by the SHC Director ; Examples include:** **The SHC Risk Management Committee which is charged… more
- Fairfield University (Fairfield, CT)
- …10 certification required. OSHA 30 certification preferred. **REPORTS TO:** Director Facilities Management **ESSENTIAL FUNCTIONS:** **Responsibilities:** + ... **Job Description:** **DIVISION:** Facilities Management **DEPARTMENT:** Environmental Health and Safety **BASIC FUNCTION:**...to compliance by departments and personnel, + interacting with Director of Purchasing in the selection of health and… more
- Hartford HealthCare (Meriden, CT)
- …required workload, forecasted units of service and programmatic changes. Assures appropriate fiscal management of COI program and the proper utilization of HHC's ... Under the supervision of the Regional Operations Director for the Connecticut Orthopedic Institute (COI), Central...the surgical episode for the COI program at MidState Medical Center (MMC). Effectively leads the programmatic initiatives including… more