Top 971 Um Director Jobs

Chief Medical Officer - Family or Int Medicine
Mission City Community Network —North Hills, CA
- $295,500 - $380,000 a year
- Email
- Medicine
- Doctoral degree
- Psychiatry
- Paid holidays
- Health insurance
Quick Apply
Nurse Practitioner/ Physician Assistant
Family Choice of New York —Depew, NY
- $120,000 - $135,000 a year
- Full-time
- CPR Certification
- Nursing
- Skilled nursing facility
- Health insurance
- Dental insurance
Quick Apply
Clinical Director, AGL
FSL Programs —Phoenix, AZ
- $66,400 - $99,600 a year
- Full-time
- Hybrid work
- Background check
- Microsoft Outlook
- Computer literacy
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Utilization Review Nurse
HAMASPIK CHOICE INC —Spring Valley, NY
- $45 - $47 an hour
- Full-time
- Nursing
- RN License
- Mid-level
Quick Apply
Medical Director
TotalMed Medfi —Georgia
- $125 an hour
- Full-time
- Remote
- Senior level
Quick Apply
UM Referral Nurse
PromiseCare Management —Hemet, CA
- From $31 an hour
- Full-time
- Background check
- LVN
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
9d
Manager of Clinical Care Coordination, DME Respiratory
Integrated Home Care Acquisition —Miramar, FL
- Hybrid work
- Nursing
- Master's degree
- Home Health
- Wellness program
- Paid holidays
Quick Apply
Clinical Program Director - Behavioral Health
OCD Anxiety Centers —Pleasant Hill, CA
- $120,000 - $160,000 a year
- Full-time
- 5 years
- Senior level
- Leadership
- Paid training
- Health insurance
Quick Apply
Senior Director, Health Plan Utilization Management - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement))
Denver Health —Denver, CO
- $143,800 - $237,300 a year
- Full-time
- Hybrid work
- Nursing
- Pass drug screening
- Office
- Paid parental leave
- Paid holidays
Care Review Clinician (RN) - Remote in FL
Molina Healthcare, Inc. —Miami, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
Care Review Clinician (RN) - Remote in FL
Molina Healthcare, Inc. —Florida
- $26.41 - $51.49 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare, Inc. —Tampa, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
Care Review Clinician (RN) - Remote in FL
Molina Healthcare, Inc. —Jacksonville, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare, Inc. —Florida
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
Care Review Clinician (BH Licensed) - Remote in FL
Molina Healthcare, Inc. —Jacksonville, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- LMFT
- Licensed Clinical Social Worker
- Mid-level
- Health insurance
Care Review Clinician (RN) - Remote in FL
Molina Healthcare, Inc. —Orlando, FL
- $26.41 - $51.49 an hour
- Full-time
- Remote
- RN License
- Mid-level
- Critical & Intensive Care
- Health insurance
Case Management Supervisor (RN) - FT/Days
Community Hospital of Huntington Park —Huntington Park, CA
- $112,278.40 - $165,068.80 a year
- Full-time
- Nursing
- RN License
- Hospital
Quick Apply
Utilization Review Nurse (Medicare)
HAMASPIK CHOICE INC —Spring Valley, NY
- $41 - $47 an hour
- Full-time
- Nursing
- RN License
- Mid-level
Quick Apply
Physician Advisor
Christus Health —Beaumont, TX
- Full-time
- Medicine
- Hospital
- 5 years
- Relocation assistance
13d
RN Team Lead Utilization Review
MedStar Health —Clinton, MD
- $89,065 - $162,801 a year
- Full-time
- Hybrid work
- Nursing
- RN License
- Inpatient
Quick Apply
14d

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Um Director jobs near

Chief Medical Officer - Family or Int Medicine

Mission City Community Network -
North Hills, CA

Quick Apply

Job Details

Full-time
$295,500 - $380,000 a year

Benefits

Paid holidays
Health insurance
Dental insurance
Employee assistance program
Vision insurance
Loan assistance
Life insurance
Retirement plan

Qualifications

Doctor of Medicine
Medicine
Doctoral degree
Team leadership
BLS Certification
Experience at health clinics
DEA License
Medical License
Medical leadership
Medical management
Clinical team leadership
Working with low-income populations
General practice
HEDIS
Senior leadership

Full Job Description

Mission City Community Network, Inc. is a non-profit organization of multiple clinics operating as a Federally Qualified Health Center. We are dedicated to serving low income families in the San Fernando Valley, San Gabriel Valley, South Bay and San Bernardino areas. We are committed to providing quality care in the following areas: Adult, Pediatrics, Women’s Health, Dentistry, Health Education, and Behavioral Health.

Position: Chief Medical Officer (Family or Internal Medicine Physician)

Position Status: Full Time/ Exempt

Job Location: San Fernando Valley Region (North Hills)

On-Site: Monday - Friday 8a-5p (minimum 1 Saturday per month)

We are currently seeking an experienced, dynamic and talented Chief Medical Officer to join our team.

The CMO will be responsible for providing oversight and medical expertise in implementing the Medical Management Program. The CMO promotes the organizational goals and objectives and assures that quality health care services are delivered by the physician groups. Includes clinical care, administrative and supervisory responsibilities.

Summary of Essential Job Functions:

Recruits, hires, trains, counsels and evaluates both technical and professional staff involved in the delivery of clinical services who perform Quality Management (!M) and Utilization Management, Credentialing/ Re-credentialing/ Process.\
Participate in the overall development and directions of the Clinical Program.
Implement the Utilization Management Plan and Quality Management Plan through the Chairmanship of both UM and QM Committees.
On call after hour’s service as well as coordinate with other specialties such as Psychiatry.
Establish and maintain standards and protocols of medical care practiced by the Physician groups.
Monitor the practice of medicine and the implementation of managed care processes.
Promote continuing medical education opportunities for both internal and external clients.
Review quality of care issues and provides corrective action plans, education, and counseling through the Utilization Management and Quality Management Committees.
Assure the standards of care provided by contracted and ancillary providers meet organizational and nationally recognized standards of care.
Develop or evaluate all policies regarding medical practice and clinical issues.
Participate in the development of innovative case management, high risk assessment, and other activities that improve quality of care and control costs.
Communicate with regulatory agencies and their representatives and maintain an understanding of NCQA and HEDIS STANDARDS.
Analyze data sets, utilization reports and physician practice profiling. Provide evaluation and appropriate action to improve provider performance and quality of care.
Provides evaluation and appropriate action to improve provider performance and quality of care Credentialing/Re-credentialing principles and methods in clinical updates.
Monitors the Credentialing and Re-Credentialing of all practitioners and reports results to the board of directors for final approval.
Chair the UM and QM Committee Meetings with a clear commitment to continuity of the working UM and QM process and an orderly communication of clinical information from the UM/QM Committees to both the Board of Directors and the provider network.
Participates in the evolution and refinement of the Quality improvement process as well as other committees such as Senior Management, Emergency Preparedness.
Completes special projects as deemed necessary by the CEO.

Required Qualifications:

M.D. or D.O. degree with a Current California medical license.
Minimum 5 years experience as a Primary Care Physician.
Minimum of 5 years experience in a leadership role in a primary care health setting.
Board certified in Family Practice or Internal Medicine required.
Excellent and effective written and verbal communication skills
Excellent leadership skills, demonstrated ability to effectively lead in changing environments.
Willing and able to work a varied and flexible schedule to accommodate the needs of MCCN and its patients.
Accept travel assignments to various sites as needed

Full-time benefits (30+hrs/wk) include: Health, Dental, Vision and Life Insurance. Vacation, Sick, Holiday pay, and all other benefits mandated by law.

Physician License, DEA, up to $400 CME reimbursement for eligible full-time 30+hrs/wk (after completing designated probationary period).

To Apply:

Please email your resume/CV and cover letter to HR Dept.

MCCN is an Equal Opportunity Employer

Note: Accepting a job at MCCN will also qualify you to apply for Loan repayment assistance through the Medical Board of California. For more information you may visit: http://www.hrsa.gov/loanscholarships/index.html

*NO AGENCIES *

Job Type: Full-time

Pay: $295,500.00 - $380,000.00 per year

Benefits:

Dental insurance
Employee assistance program
Health insurance
Life insurance
Retirement plan
Vision insurance

Education:

Doctorate (Required)

Experience:

leadership role in a primary care health setting: 5 years (Required)
Primary Care Physician: 5 years (Required)

License/Certification:

DEA License (Required)
BLS Certification (Required)

Ability to Commute:

North Hills, CA 91343 (Preferred)

Willingness to travel:

25% (Preferred)

Work Location: In person

Quick Apply

Refine Your Search

Um Director jobs

Chief Medical Officer - Family or Int Medicine

Nurse Practitioner/ Physician Assistant

Clinical Director, AGL

Utilization Review Nurse

Medical Director

UM Referral Nurse

Manager of Clinical Care Coordination, DME Respiratory

Clinical Program Director - Behavioral Health

Senior Director, Health Plan Utilization Management - Denver Health Medical Plan (Must Live in Colorado. Weekly On-Site Requirement))

Care Review Clinician (RN) - Remote in FL

Care Review Clinician (RN) - Remote in FL

Care Review Clinician (BH Licensed) - Remote in FL

Care Review Clinician (RN) - Remote in FL

Care Review Clinician (BH Licensed) - Remote in FL

Care Review Clinician (BH Licensed) - Remote in FL

Care Review Clinician (RN) - Remote in FL

Case Management Supervisor (RN) - FT/Days

Utilization Review Nurse (Medicare)

Physician Advisor

RN Team Lead Utilization Review

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