• MVP Health Care (Rochester, NY)
    …innovative thinking and continuous improvement. To achieve this, we're looking for a Medical Director , Behavioral Health Children's Services , to join #TeamMVP. ... years must be in a clinical setting). Previous experience as a medical director in a managed care/health plan is desirable. Individuals must understand various… more
    Appcast IO CPA (09/25/25)
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  • MVP Health Care (Rochester, NY)
    …care. The Case Manager will also monitor and review cases with the Medical Director to ensure appropriate outcomes. Service Authorization & Review: Conduct ... Medicaid members. Through collaborative efforts the Case Manager will identify the medical and psycho-social needs of designated members, act as a proactive partner,… more
    Appcast IO CPA (10/15/25)
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  • Highland Hospital (Rochester, NY)
    …Assistant/Nurse Practitioner works in a collaborative/medically supervised relationship with the Medical Director of Perioperative Services with the goal of ... insuring that each patient who presents to the operating room of Highland Hospital is medically optimized to undergo the procedure/surgery for which the patient is scheduled. In addition, that the nursing staff in PreAN, PACU and Phase II recovery have… more
    DirectEmployers Association (10/28/25)
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  • Highland Hospital (Rochester, NY)
    …covered by the critical care team. The ICU PA/NP (provider) reports to the ICU Medical Director for clinical and administrative issues pertaining to the ICU. For ... month Some duties include but are not limited to: Medical coverage in the ICU, evaluation & management of...a patient's clinical status. The primary task will be medical coverage in the ICU. Primary duties are evaluation… more
    DirectEmployers Association (08/13/25)
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  • Highland Hospital (Rochester, NY)
    …**D/E/N -Weekend/Holiday Rotation** **Full and Part-time positions** **Reports to Director /Associate Director of Nursing for Inpatient Services** **_Key ... + Preferred; Obtain within 12 months after starting position + Medical Surgical, Critical Care, Leadership, Other Relevant **_Technical Certification_** + ACLS… more
    DirectEmployers Association (09/11/25)
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  • Highland Hospital (Rochester, NY)
    …may assume an expanded department role as available and assigned by the Director of Nursing. Intensive Care Unit Specialized adult unit that provides intensive ... medical and surgical care to patients with severe or life-threatening conditions. Our highly trained team uses advanced technology to monitor and manage patients with… more
    DirectEmployers Association (08/27/25)
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  • Highland Hospital (Rochester, NY)
    …Manager may assume an expanded department role as available and assigned by the Director of Nursing. West 4: Acute Care for the Elderly (ACE)/ Alternate Level Care ... (ALC) 36 bed unit specializing in geriatric medical patients with acute and non-acute needs. **PAY RANGE: $105,712.77-$137,265.82** _*The referenced pay range… more
    DirectEmployers Association (08/15/25)
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  • Medical Director of Transplant…

    University of Rochester (Rochester, NY)
    …Center, Department of Medicine (https://www.urmc.rochester.edu/medicine/about-medicine.aspx) is seeking a Medical Director of the Transplant Institute. ... (https://www.urmc.rochester.edu/transplant.aspx) **Nature and Scope:** The Medical Director of the Transplant Institute will function at the Division Chief level… more
    University of Rochester (08/07/25)
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  • Medical Director (Per Diem/Part…

    Villa of Hope (Rochester, NY)
    Medical Director JOB TITLE: Medical Director of Psychiatry POSITION GRADE: 97 [ Salary range: $180hr-$200hr commensurate with education and experience] ... JOB SUMMARY: Under the direction of the Chief Program Officer, the Medical Director of psychiatry is responsible for overall direction of delivery of mental… more
    Villa of Hope (10/31/25)
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  • Medical Director , Commercial Line…

    Excellus BlueCross BlueShield (Rochester, NY)
    …you see is right for you, we encourage you to apply! Job Description: The Medical Director participates in the broad array of activities of the Medical ... policies, guidelines and medical criteria. + Assists with training medical director colleagues and nursing staff , including leadership of teaching grand… more
    Excellus BlueCross BlueShield (09/30/25)
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  • Medical Director , Behavioral Health…

    MVP Health Care (Rochester, NY)
    …thinking and continuous improvement. To achieve this, we're looking for a ** Medical Director , Behavioral Health Children's Services** , to join #TeamMVP. ... two years must be in a clinical setting). Previous experience as a medical director in a managed care/health plan is desirable. + Individuals must understand… more
    MVP Health Care (09/24/25)
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  • Medical Director

    Molina Healthcare (Rochester, NY)
    …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 (10/22/25)
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  • Medical Director (AZ)

    Molina Healthcare (Rochester, NY)
    …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 (10/17/25)
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  • Medical Director , Medical

    Rochester Regional Health (Rochester, NY)
    Medical Director , Medical Short Stay Unit: Redefine Precision. Elevate Care. Drive Outcomes. At Rochester Regional Health, our Medical Short Stay Unit ... that transform patient experiences and drive superior health outcomes. As Medical Director , you'll lead our MSSU team in delivering efficient, targeted care,… more
    Rochester Regional Health (10/24/25)
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  • Senior Medical Director (Medicare)

    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 + ... 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 (09/12/25)
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  • Medical Director , Behavioral Health…

    Molina Healthcare (Rochester, NY)
    …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 (10/03/25)
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  • Medical Director , Behavioral Health…

    Molina Healthcare (Rochester, NY)
    …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
    Molina Healthcare (10/17/25)
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  • System Executive Medical Director

    Rochester Regional Health (Rochester, NY)
    …a bold, emotionally intelligent physician leader to serve as our next System Executive Medical Director of Neurosciences. You won't walk into chaos. You'll walk ... into momentum. And you'll be expected to do what few can: unify, accelerate, and redefine neurosciences across a system already built for scale. Why Now? This opportunity wasn't born of crisis, it was built by vision. Following the loss of our inaugural EMD,… more
    Rochester Regional Health (09/19/25)
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  • Medical Director (NV)

    Molina Healthcare (Rochester, NY)
    JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting ... and cost-effective member care. Essential Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports… more
    Molina Healthcare (10/31/25)
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  • Medical Policy Coordinator

    Excellus BlueCross BlueShield (Rochester, NY)
    …process in conjunction with Medical Policy leadership and applicable Medical Director (s). Essential Accountabilities: + Develops and maintains corporate ... + Revises drafted medical policies based on CMP Lead recommendations, Medical Director feedback, external physician feedback and research findings. Prepares … more
    Excellus BlueCross BlueShield (10/29/25)
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