- Highmark Health (Albany, NY)
- …responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using ... Medical Policy criteria sets to evaluate the ... necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic… more
- St. Mary's Healthcare (Amsterdam, NY)
- …Physician to lead our program at St. Mary's Hospital in Amsterdam, NY. The medical director is responsible for managing, directing and coordinating all aspects ... choice! Compensation: + $240.00 per hour (Days) + $250.00 per hour (Nights) + Medical Director Stipend: up to $15,000/month As an Emergency Medicine Medical… more
- Humana (Albany, NY)
- …and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the… more
- Mount Sinai Health System (New York, NY)
- …Director for Primary Care Outpatient Clinic on Columbus Avenue!** The Administrative Medical Director provides clinical and administrative leadership for ... of the practice within the Mount Sinai Health System. The Medical Director serves as a key liaison between clinical staff, administration, and patients,… more
- Wellpath (Oswego, NY)
- …that required documentation of services is provided to the Regional or Corporate Medical Director or designee to monitor services and compliance with ... will be responsible for notifying the Regional or Corporate Medical Director and Health Services ...unavailable for an extended period. **Key Responsibilities** * The Medical Director provides clinical oversight… more
- 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 ... a clinical setting). Previous experience as a medical director in a managed care/health plan...levels of care within NYS addiction and mental health services including knowledge of NYS child serving systems. +… more
- City of New York (New York, NY)
- …engaging, and responsive. We're looking for a motivated and mission-aligned Nurse Practitioner Medical Director to help lead that vision. DUTIES WILL INCLUDE BUT ... is now available within the Division of Administration, Offices of Clinical Quality Management and Improvement/Employees' Health Program. We're building an Employee… more
- Molina Healthcare (Yonkers, NY)
- …Board Certification in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in ... case management programs for mental health and chemical dependency services . Works closely with the Regional Medical ...* Supports BH committees for quality compliance. * Implements clinical practice guidelines and medical necessity review… more
- Fresenius Medical Center (New York, NY)
- …with all legal, compliance and regulatory requirements and programs. Collaborates with the Medical Director and the Clinical Coordinator /Charge Nurse or ... Clinical Coordinator /Charge RN or Nurse Supervisor and Medical Director to implement FMS quality goals...training when applicable for new hires, and works with Medical Director to ensure mandatory in- services… more
- University of Rochester (Rochester, NY)
- …point of contact for all general contractual and financial issues. Works closely with CCHP's Medical Director Clinical and Community Programs and CCHP's Sr. ... (CCHP) and oversees the processes to ensure error free service , quality and operations. This position has programmatic, fiscal...to operationalize the strategic aims set by the Center Director . Ensures program staff, clinical dietitians, MD's… more