- Integra Partners (Troy, MI)
- …development. + Ensure adherence to CMS, Medicaid, state DOH, and health plan clinical documentation standards. + Monitor clinical trends, quality signals, ... The Senior Medical Director (Senior MD) serves as the clinical...Maintain and enforce medical review quality standards, including accuracy, documentation integrity, and compliance with NCQA UM requirements. Medical… more
- Humana (Indianapolis, IN)
- …but may not be limited to, an overview of coding practices and clinical documentation , grievance and appeals processes (including pharmacy), and reviews for ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director … more
- Outreach Development Corporation (Richmond Hill, NY)
- …Director CCBHC The Assistant Program Director assists the Program Director and oversees clinical and administrative aspects of treatment. Administrative ... caseload lists and census statistics for all programs. + Coordinate with Program Director and other Outreach administrative staff on clinical , administrative and… more
- Morehouse School Of Medicine (Atlanta, GA)
- …include (but are not limited to) the following: 1. Support program director with accreditation documentation and problem-solving activities related to the ... on-going analysis of outcome assessment for core didactic and clinical courses to program director in concert with MSM Office of Educational Outcomes and… more
- Kennedy Krieger Institute (Baltimore, MD)
- …treatment and parent training. 5. In conjunction with the SLP managers and the Director of Clinical Operations, prepare and monitor the annual SLP budget; and ... services across all locations (eg, the scope of service, documentation , billing, coding, standards of care, ethical practice, etc.)....for SLP and Achievements services with the department's Executive Director and Director of Clinical … more
- Humana (Baton Rouge, LA)
- …resolution skills. Some roles include an overview of coding practices and clinical documentation , grievance and appeals processes, and outpatient services and ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- Wellpath (Woodland, CA)
- …conducting exams and coordinating outside referrals. The role includes oversight of clinical care activities provided by ARNPs, documentation , and after-hours ... or clinical settings. **Key Responsibilities** + The Multi-Site Medical Director / Physician provides clinical oversight to the multiple facility's… more
- WMCHealth (Valhalla, NY)
- Director , Nursing - Forensics Company: WMC Advanced Physician Services PC City/State: Valhalla, NY Category: Executive/Management Department: Nursing Union: No ... link (https://pm.healthcaresource.com/cs/wmc1/#/preApply/30885) Internal Applicant link Job Details: Summary: The Director position provides daily operational administration for nursing and… more
- Gentiva (Marion, OH)
- …federal, and accreditation standards (CMS, Medicare, Joint Commission, etc.) + Provide clinical oversight and ensure timely and accurate documentation of hospice ... , Hospice Branch Director , Director of Operations, DON, Director of Nursing, Director of Clinical Operations, Home health administrator, Home Health … more
- Presbyterian Homes and Services (Roseville, MN)
- …STRUCTUREThe Lead RAI Director reports directly to the Direct of Care Center Clinical Services or designee. The Lead RAI Director supervises MDS nurses and ... mental and psychosocial status of each resident; ensures appropriate documentation to report and support services provided and assessment...Director of Care Center and the VP of Clinical Services to improve the overall Quality Other specific… more