The Medical Director will be responsible for providing medical leadership and direction to the organization. This position will be responsible for developing and implementing medical strategies, policies, and procedures, as well as providing medical oversight and guidance to the organization. Provid...
BoldAge offers a robust benefits package, including medical, dental, paid time off, 401K, life insurance, tuition reimbursement, flexible spending account, and an employee assistance program. Provide direction to BoldAge PACE related to the medical delivery of care by providers and ensures the deliv...
Medical Centers mission, values and goals and creates an environment that supports the nursing professional practice model. ...
Responsible for the hospice patient’s medical care and acts as the primary medical resource to the IDG, providing medical coverage and support during and after normal business hours, as well as making visits to patients for medical assessment and intervention whether in a facility or the home. Hospi...
This position leads the overall audit function for the Health System and Medical Center as well as the consolidation of the overall Medical Center integrated financial statements. The Associate Director of Audit amp; Consolidations works with Staff, Controllers, Directors, Business Unit leadership. ...
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in...
The Director is responsible for business development activities including new business development and ongoing management, new patient conversions in domestic market, Pamp;L oversight, and quarterly reporting to the Senior Director amp; governance structure regarding financial health and future stra...
One of the largest and most diverse medical centers in the country; only academic medical center in central Ohio and Columbus (Ohios largest and most rapidly growing metropolitan region). General Internal Medicine team as Director of Research. Recognized for providing personalized comprehensive pati...
The Program Director, Cardiovascular Services, oversees the successful implementation of clinical, quality and safety processes, prevention and wellness services provided on behalf of OSUWMC in conjunction with outside hospital and community partners. The Program Director will facilitate the success...
The Medical Director (Medical Affairs) will report into the Medical Affairs Department and is responsible for clinical support and consultative activities across the PBM. The Medical Director (Medical Affairs) will report into the Medical Affairs Department and is responsible for clinical support an...
B programs within The Ohio State University spanning the Wexner Medical Center, The James Cancer Hospital, OSU Physicians, Inc. Experience managing 340B programs in large academic medical centers preferred. ...
The Duals Care Management (CM) Medical Director will participate in designing, developing and deploying our Models of Care across all markets. Consults with plan medical staff regarding adverse determinations, addresses issues related to network providers, performs medical chart reviews, and conduct...
Responsible for developing and executing multifaceted, institution-wide strategies for quality improvement, program monitoring and evaluation, and adherence to regulatory standards.Quality Managers serve as partners to the clinical.Quality Manager will have an expectation to seek out and leverage ev...
Provide medical oversight for the DSCC AED Program. Evaluate and review the Emergency Medical Dispatch (EMD) program. Requirements: Valid Ohio medical license. ...
Ranked as the 28th Best Medical School Research, 40th Best Medical School Primary Care, and 13th Most Diverse Medical School by U. The Department of Molecular Medicine and Therapeutics (MMT) and the Pelotonia Institute for Immuno-Oncology (PIIO) at The Ohio State University (OSU) College of Medici...
The Medical Director will provide qualified medical direction and consultation for care delivery and complex case management for our community-based palliative care program. The medical director will partner with the APP, RN and SW as needed to interact/ communicate with the primary care physician a...
Job Summary: Physician to serve as a member of the Division of Gastroenterology, Hepatology and Nutrition, within the Department of Internal Medicine; directs and provides direct and indirect patient care services in both inpatient and outpatient settings; conducts ambulatory clinics; interviews, ob...
Medical director needed in Cleveland, OH. ...
Work with medical director teams focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review, and provider appeals clinical review. Outward facing position to interact and collaborate with medical / physical professional associates, the local...
Job Description - Director, Case Management (2400477). Director, Case Management-(2400477). Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. Join our dynamic team at Medical Mutual, where we are committed to providing exceptional health i...
If needed, assumes medical directorships for skilled and/or other senior living facilities. Based on state and regional regulatory frameworks, audits up to 10% of practitioner medical orders and/ or documentation for each provider monthly. Clinical medical experience of seven years or more preferred...
Assists in development and interpretation of medical policy, including medical necessity criteria, clinical practice guidelines, and new technology assessments. Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. Provides clinical expertise ...
Works with director team (primarily Director of Medical Operations, DMO and Director of Therapy Operations, DTO) to identify clinical improvement opportunities and ensure appropriate support and workflow compliance that foster an environment optimal for patient care. The Center Medical Director ensu...
Ranked as the 28th Best Medical School – Research, 40th Best Medical School – Primary Care, and 13th Most Diverse Medical School by. The Ohio State University College of Medicine and the Wexner Medical Center seek. We are currently recruiting for a Director of Research to help lead the division in e...
If you are passionate, driven, and ready to join a team where your work will directly transform and shape our industry, then we want to talk to you! What will your job look like? The Program Director works in collaboration with operations, MTM support departments, and Transportation Provid...