- UHS (Binghamton, NY)
- …not-for-profit healthcare system in New York's Southern Tier comprising four hospitals, long-term care and home care services, and physician practices in ... Nursing Education for the Physician Practices Division and collaborates with the Director of Clinical Services Physician Practices Division to ensure… more
- Excellus BlueCross BlueShield (Buffalo, NY)
- …Nurse (RN) reviewers and manages the denial process. + Leads interdisciplinary complex care management rounds. + Provision of clinical oversight and leadership ... Health Carve-In program members meets the standards for acceptable medical care + Fosters Clinical Practice Guideline implementation and evidence-based… more
- Evolent (Albany, NY)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the… more
- House of the Good Shepherd (Utica, NY)
- …Provide clinical direction and supervision to ensure high-quality, evidence-informed care . . Ensure compliance with all federal, state, and local regulations, ... Director of Critical Time Transition Program (CTTP) Job...House of the Good Shepherd provides strategic leadership and clinical oversight to a multidisciplinary team supporting children and… more
- Humana (Albany, NY)
- …**Required Qualifications** + MD or DO degree + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes ... in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- Wellpath (Oswego, NY)
- …month over month and a very large percent of those individuals receive direct clinical care , which includes lives saved by Narcan. We offer ongoing training ... clinical resources for training, education, and point of care support. **How you make a difference** As a...for an extended period. **Key Responsibilities** * The Medical Director provides clinical oversight to the facility… more
- UHS (Norwich, NY)
- …candidate will have a thorough knowledge of ACGME's requirements, provide family medicine clinical care , and be able to fulfill the following duties and ... Chenango Memorial Hospital (CMH) to join our Sidney Primary Care department at UHS Chenango Memorial Hospital in Norwich,...as our partnership with SUNY Upstate as an affiliated clinical site. The Program Director must have… more
- CVS Health (New York, NY)
- … system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. **This is a ... (Spine) that can be remote based, work from home . The Medical Director (Spine) will be...* 2 or more years of experience in Health Care Delivery System eg, Clinical Practice and… more
- Humana (Albany, NY)
- …+ Excellent written and communication skills + 5 years of established, post-residency clinical experience + Knowledge of the managed care industry including ... our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals.… more
- City of New York (New York, NY)
- …The New York City Administration for Children's Services' OCFH is seeking a Medical Director to provide clinical and administrative oversight for the PBHU. The ... technical assistance for psychiatric inpatient admissions and case audits - Provide clinical and administrative supervision to the Assistant Director of… more