- Stony Brook University (Stony Brook, NY)
- …Flow Cytometry & Lyme Laboratory sections). Under the direction of TH Assoc Technical Director , she /he will be responsible for oversight of the operations to ensure ... ensure efficient workflow under the direction of the SL-5 Associate Technical Director , Immunology Laboratory. This includes ensuring test results are timely and all… more
- Ryders Health Management (Stratford, CT)
- Director of Clinical Reimbursement Join our team as a Director of Clinical Reimbursement at Ryders Health Management , the corporate headquarters of our ... serve. What We Offer * Competitive pay * 401(k) with employer match * Medical , Dental and Vision Insurance * Employer-Paid Life Insurance * Short- & Long-Term… more
- Monte Nido (White Plains, NY)
- …opportunity for people to realize their healthy selves. **Mental Health Clinical Director ** **Monte Nido Eating Disorder Center of Westchester** **White Plains, NY** ... in group and individual therapy, benefit from Monte Nido's clinical, medical , psychiatric and nutritional expertise and experience real life challenges. We… more
- 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
- Centene Corporation (New York, NY)
- …the Chief Medical Director to direct and coordinate the medical management , quality improvement and credentialing functions for the business unit. + ... Provides medical leadership of all for utilization management , cost containment, and medical...performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals… more
- Mount Sinai Health System (New York, NY)
- …skills + **Preferred Qualifications (Industry-Specific)** : + Healthcare: Experience with utilization management for medical services, procedures, or ... controlling costs. The Director collaborates closely with medical staff, vendors, case management , and payers...the state of employment required + Certification in Case Management (CCM, ACM) or Utilization Management… more
- Molina Healthcare (Yonkers, NY)
- …, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk ... resource management . + Develops and implements a Utilization Management program and action plan, which...activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. +… more
- Molina Healthcare (Yonkers, NY)
- …of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies ... the most appropriate care at the most effective setting. *Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and… more
- Molina Healthcare (Yonkers, NY)
- …, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk ... and chemical dependency services. Works closely with the Regional Medical Directors to standardized utilization management...**REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3… more
- Molina Healthcare (Yonkers, NY)
- …closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and ... and clinical leadership for health plan and/or market specific utilization management and care management ...health portions of state contracts. * Assists behavioral health medical director lead trainers in the development… 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
- CUNY (New York, NY)
- Director of Facilities Planning and Operations - Facilities Management **POSITION DETAILS** The CUNY School of Medicine (CUNY SoM) located in the heart of ... in operations, business administration, or a related field. + Experience in facilities management , medical laboratory and space planning, preferably in a higher… more
- Mount Sinai Health System (New York, NY)
- **Job Description** ** Director Medical Affairs Operations- Medical Staff Services -Full-Time -Days (Remote)** _Our flexible remote opportunities offer an ... to achieve improved work/life balance as well as decrease annual commuting expenses_ The Director , Medical Affairs Operations, serves as a liaison for Chief … more
- Elevance Health (New York, NY)
- …**Clinical Operations Medical Director ** is responsible for supporting the medical management staff ensuring timely and consistent medical decisions ... Director ** ** Medical Oncology** **Carelon Medical Benefit Management ** **Virtual** : This role...and other staff in understanding the principles behind appropriate utilization of covered treatments and genetic testing. + Participate… more
- MVP Health Care (Tarrytown, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a ** Medical Director , Behavioral Health Children's Services** , to join #TeamMVP. ... be in a clinical setting). Previous experience as a medical director in a managed care/health plan...promote appropriate care quality, service utilization , medication utilization and adherence, care management , and cost… more
- Mount Sinai Health System (New York, NY)
- **Job Description** **Mount Sinai Health System is seeking a Medical Director of Physician Engagement and CDQI!** **Background:** Mount Sinai is one of the ... transition to a business model focused on population health management - our goal is to keep entire communities...improve the status quo **Role Summary:** MSHP seeks a Medical Director (MD), Physician Engagement and CDQI,… more
- Mount Sinai Health System (New York, NY)
- …Daily Management Board process/practice improvement activities to facilitate the utilization of evidence and data related to Nurse Sensitive Indicators and ... **Job Description** The Director of Nursing Professional Practice is a professional...to: Water Electricity Computer or IT services including Pyxis Medical gases Maintains all required Federal Emergency Management… 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
- Hartford HealthCare (Norwich, CT)
- …** Management / Administration* **Organization:** **Backus Hospital* **Title:** *Regional Director of Medical Staff Services, East Region* **Location:** ... become part of Connecticut's most comprehensive healthcare network. Position Summary: The Regional Director of Medical Staff Services leads the Medical Staff… more
