Top 4725 Medical director Jobs in Pa

Regional Operations Director
QRM (Quality Rehab Management) —Philadelphia, PA
- $110,000 - $125,000 a year
- Full-time
- Management
- Up to 50% travel
- Customer service
- Travel reimbursement
- Health insurance
Quick Apply
13d
Regional Medical Director- (Philadelphia/Baltimore)
CareAllies —Philadelphia, PA
- $191,500 - $355,600 a year
- Full-time
- Remote
- Medicine
- 3 years
- Analysis skills
- Paid parental leave
- Paid holidays
Regional Director of Clinical Operations - Regional Nurse Consultant
Redford Hearth - Executive Search - Healthcare —Philadelphia, PA
- $200,000 - $250,000 a year
- Full-time
- Skilled nursing facility
- RN License
- Senior level
- Relocation assistance
- Health insurance
Quick Apply
Medical Director (MD) - remote (PA/NJ/DE)
Independence Blue Cross —Philadelphia, PA
- Monday to Friday
- Remote
- Medicine
- Pediatrics
- Senior level
Utilization Management & Clinical Validation RN
Optum —Newtown Square, PA
- $60,200 - $107,400 a year
- Full-time
- Remote
- Nursing
- RN License
- Word processing
Director Quality Management
Amerihealth Caritas —Harrisburg, PA
- Full-time
- Hybrid work
- Nursing
- Doctoral degree
- RN License
- Paid holidays
- Health insurance
Director, Clinical Quality Assurance
Jazz Pharmaceuticals —Philadelphia, PA
- $184,000 - $276,000 a year
- Remote
- Writing skills
- 11+ years
- Master's degree
- Health insurance
- Dental insurance
Director Quality Management
St. Luke's University Health Network —Allentown, PA
- Full-time
- Nursing
- Management
- Hospital
9d
Director of First Year Experience & Leadership Development
Messiah University —Mechanicsburg, PA
- Weekends as needed
- Residential
- 3 years
- University
9d
Utilization Management Nurse RN
Optum —Newtown Square, PA
- $60,200 - $107,400 a year
- Weekends as needed
- Remote
- Nursing
- RN License
- Pass drug screening
6d
Medical Director - Medicaid Appeals
CVS Health —Pennsylvania
- $174,070 - $374,920 a year
- Full-time
- Remote
- Medicine
- 5 years
- Pediatrics
- Health insurance
- Dental insurance
10d
Director, Care Management - LTSS
Pennsylvania Health & Wellness —Pennsylvania
- $127,300 - $236,100 a year
- Full-time
- 7 years
- Bachelor's degree
- Travel
- Paid holidays
- Health insurance
5d
Medical Director, Utilization Management
UPMC —Pittsburgh, PA
- Full-time
- Medicine
- Management
- 5 years
- Health insurance
- Opportunities for advancement
Director, Clinical Documentation Integrity - Remote
Optum —Exton, PA
- $112,700 - $193,200 a year
- Full-time
- Remote
- Medicine
- RN License
- Pass drug screening
Client Services Director - Medical Communications
Avalere Health —Philadelphia, PA
- $180,000 - $200,000 a year
- Full-time
- Hybrid work
- Continuous improvement
- Senior level
- Leadership
- Disability insurance
- Health insurance
Quick Apply
Medical Director
ICON Plc —Blue Bell, PA
- Full-time
- Remote
- Medicine
- Psychiatry
- 5 years
- Disability insurance
- Health insurance
Utilization Management Registered Nurse
Humana —Pennsylvania
- $71,100 - $97,800 a year
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Paid parental leave
- Paid holidays
Regional Practice Director
Ensemble RCM LLC —Reading, PA
- $140,000 - $180,000 a year
- Full-time
- Master's degree
- Bachelor's degree
- Travel
- Tuition reimbursement
Mobile Food and Nutrition Services Director
Saber Community Support and Development Office —Pittsburgh, PA
- $95,000 a year
- Full-time
- Skilled nursing facility
- Mid-level
- High school diploma or GED
- Health savings account
- Health insurance
Quick Apply
13d
Interim Executive Director
The School District Of Philadelphia —Philadelphia, PA
- $101,889 - $132,713 a year
- Full-time
- Office
- Education
- Continuous improvement

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Regional Operations Director

QRM (Quality Rehab Management)
Philadelphia, PA

Quick Apply

Job Details

Full-time
$110,000 - $125,000 a year
13 days ago

Benefits

Travel reimbursement
Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
Life insurance

Qualifications

Computer operation
Skilled nursing facility experience
Program management
Rehabilitation services management
Long-term care regulations
Management
Medicare
Computer literacy
Care documentation
Long-term care facility experience
Clinical staff training
Supervising experience
Physical therapy documentation
Medicare regulations
Clinical training
Clinical staff mentoring
Team training
Centers for Medicare & Medicaid Services (CMS) billing regulations
Computer skills
Clinical documentation standards

Full Job Description

Description:

QRM is seeking an experienced Therapy/Rehab Program Manager well versed in Clinical Reimbursement and Patient Driven Payment Model (PDPM) in the arena of rehab relating to PT-PTA-OT-OTA-SLP. Must be a licensed clinician with multi-site management experience, background in operations and with clinical expertise; must be Physical Therapist/Assistant, Occupational Therapist (Assistant), or Speech-Language Pathologist/CCC, and reside in Philadelphia, PA or NJ. Must have the ability to travel regularly throughout the entire region (including regular overnight travel). Please review all qualifications below carefully.

Regional Therapy Director Job Summary:

This position provides extensive training, analysis, advice and consultation to the facilities and teams within his/her area of responsibility in the Massachusetts Region. Monitors, consults, and makes effective recommendations for changes and modifications to existing facility processes, systems, policies, and practices which will assure efficient, effective and compliant rehab oversight and payment performance.

Regional Therapy Director Job Functions include, but are not limited to:

In-depth knowledge of reimbursement methodologies for therapy, specifically PDPM
Provides consultation, training and support for assigned area
Analyzes systems and processes to ensure compliance that federal and state regulations as well as company policies and procedures are followed
Works in conjunction with teams to resolve issues, endorse changes and conduct follow-ups to establish that recommendations are effectively implemented and monitored for appropriateness.
Promotes compliance by performing periodic audits of assessments, supporting documentation, and other relevant data.
Recognizes, advises and promotes facility best practices and systems
Prior experience working with Medicare rules, regulations, billing codes
Understanding of HIPAA privacy rules and regulations
Strong ability to communicate with others; excellent interpersonal and customer service skills

Requirements:

Therapist with completion of degree in from accredited program and licensed in the state of employment
Three to five years of clinical experience in a long-term care setting, which includes supervisory, administrative or consultative capacities
MUST HAVE prior multi-site SNF management with a background in clinical processes. training and mentoring
Current knowledge of computer technology and systems
Ability to work independently with minimal supervision and guidance, yet successfully collaborate with teams internally and externally
Extensive knowledge of PDPM, Medicare reimbursement, compliance and eligibility
Experience with Rehab Optima or Net Health documentation systems
BASED in Philadelphia, PA or NJ; must be willing and able to travel (consistent overnight travel required).

Enjoy all the advantages of a comprehensive package including full benefits and competitive salary. Candidates should have ability to travel for coverage of territory.

Job Type: Full-time

Benefits:

401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Travel reimbursement
Vision insurance

Experience:

multi-site SNF Rehab management: 3 years (Preferred)

License/Certification:

Therapy license (OT/OTA/PT/PTA/SLP)

Willingness to travel:

50% (Preferred)

Work Location: On the road

Quick Apply

Refine Your Search

medical director jobs in pa

Regional Operations Director

Regional Medical Director- (Philadelphia/Baltimore)

Regional Director of Clinical Operations - Regional Nurse Consultant

Medical Director (MD) - remote (PA/NJ/DE)

Utilization Management & Clinical Validation RN

Director Quality Management

Director, Clinical Quality Assurance

Director Quality Management

Director of First Year Experience & Leadership Development

Utilization Management Nurse RN

Medical Director - Medicaid Appeals

Director, Care Management - LTSS

Medical Director, Utilization Management

Director, Clinical Documentation Integrity - Remote

Client Services Director - Medical Communications

Medical Director

Utilization Management Registered Nurse

Regional Practice Director

Mobile Food and Nutrition Services Director

Interim Executive Director

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