Top 79931 Clinical director Jobs in Us

Medical Director
eTeam Inc —Remote
- $170 - $220 an hour
- 8 hour shift
- Remote
- Medicine
- Customer service
- Computer literacy
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Director of Clinical Operations
Leoforce —Charlotte, NC
- $150,000 - $200,000 a year
- Private practice
- Nursing
- 5 years
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Clinical Director - General Dentist -FFS/PPO Office- Equity Opportunity - $40,000 Sign on Bonus
42 North Dental —Keene, NH
- $300,000 - $500,000 a year
- Full-time
- Dental office
- Senior level
- Continuing education credits
- Dental insurance
Clinical Director - DMD/DDS
Gentle Dental —Seekonk, MA
- From $700 a day
- Full-time
- Dental office
- Doctoral degree
- Surgery
- Travel reimbursement
- Continuing education credits
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Clinical Director - General Dentist -FFS/PPO Office- Equity Opportunity
Gentle Dental Keene —Keene, NH
- $300,000 - $500,000 a year
- Full-time
- Dental office
- Senior level
- Continuing education credits
- Dental insurance
Clinical Director, Psychologist
Clinton County Medical Center, Psychological Services —Howell, MI
- $100,000 - $160,000 a year
- Choose your own hours
- Private practice
- Doctoral degree
- Outpatient experience
- Health savings account
- Disability insurance
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Clinical Director - General Dentist -FFS/PPO - Equity Opportunity
Gentle Dental Seekonk —Seekonk, MA
- $300,000 - $500,000 a year
- Full-time
- Dental office
- In-person
- Senior level
- Continuing education credits
- Dental insurance
Clinical Director - General Dentist - FFS/PPO Office - Equity Opportunity
42 North Dental —Norwood, MA
- $300,000 - $500,000 a year
- Full-time
- Dental office
- In-person
- Senior level
- Continuing education credits
- Dental insurance
Clinical Director - General Dentist - FFS/PPO Office - Equity Opportunity
42 North Dental —Norwood, MA
- $300,000 - $500,000 a year
- Full-time
- Dental office
- In-person
- Senior level
- Continuing education credits
- Dental insurance
Clinical Director - General Dentist -FFS/PPO - Equity Opportunity
42 North Dental —Seekonk, MA
- $300,000 - $500,000 a year
- Full-time
- Dental office
- In-person
- Senior level
- Continuing education credits
- Dental insurance
Clinical Director - FFS/PPO Office - Equity Opportunity
42 North Dental —Manchester, NH
- $300,000 - $500,000 a year
- Full-time
- CPR Certification
- Dental office
- BLS Certification
- Continuing education credits
- Dental insurance
Clinical Director - DMD/DDS
GREAT HILL DENTAL PARTNERS —Braintree, MA
- From $500 a day
- Temporary
- Private practice
- Dental office
- Doctoral degree
- Travel reimbursement
- Continuing education credits
Quick Apply
Hospice Director of Clinical Services
Compassus —Osceola, MO
- Full-time
- Nursing
- RN License
- Master's degree
- Mileage reimbursement
- Paid parental leave
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Medical Director
Bethel Family Clinic Inc. —Bethel, AK
- $175,000 - $250,000 a year
- Full-time
- Background check
- Nursing
- Medicine
- Loan repayment program
- Relocation assistance
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Clinical Director (RN)
Nye Home Health Care —Fremont, NE
- Nursing
- RN License
- Office
- Health savings account
- Disability insurance
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Clinical Director
Embark Behavioral Health —Bend, OR
- $105,000 - $115,000 a year
- Full-time
- Background check
- LMFT
- Current TB test
- Paid parental leave
- Health savings account
Director of Clinical Services
TheraCare Home Health —Livingston, TX
- Full-time
- Nursing
- RN License
- Office
- Continuing education credits
- Paid holidays
Quick Apply
Clinical Director/BCBA
Axis for Autism —Glendale, AZ
- Full-time
- Psychology
- Senior level
- 4 years
- Paid holidays
- Paid time off
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Quality Coordinator
Martin County Hospital District —Stanton, TX
- Full-time
- Nursing
- Microsoft Outlook
- LVN
Clinic Director (Licensed Physical Therapist - PT)
Ivy Rehab Physical Therapy —Charlottesville, VA
- $90,000 - $115,000 a year
- Full-time
- Hybrid work
- Physical & Rehabilitation Medicine
- Clinic experience
- Outpatient experience
- Continuing education credits
- Loan repayment program
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Medical Director

eTeam Inc
Remote

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Job Details

Contract
$170 - $220 an hour

Qualifications

Computer operation
Direct patient care
Teamwork
Phone communication
Customer service
BC/BE
Public Health
Medical License
Computer skills
Business Administration
Healthcare software applications
Hospital experience

Full Job Description

ET_RV01
Title: Medical Director (Active medical state licensure required for PA, NY, or WV)
Duration: 6 Months Contract to Hire
Location: (Remote Role) Medical Director Job Description

This job, as part of a physician team, ensures that utilization management 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 medical necessity and appropriateness of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases, particularly high-risk cases, through the team structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members.

Responsibilities:

Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and concise rationales for members and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care.
Participate as a member of the CMDM multidisciplinary team. Attend huddles and grand rounds. Advise multidisciplinary team on cases that require physician expertise.
Participate in protocol and guidelines development to ensure consistency in the review process.
Actively manage projects and/or participate on project teams that require a physician subject matter expert.
Other duties as assigned .

Required Qualifications:

Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO)
5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice)
Medical Doctor or Doctor of Osteopathic Medicine (DO)
Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards
Active medical state licensure required for PA, NY, or WV.
Critical Thinking
Case Management
Customer Service
Oral & Written Communication Skills
Collaboration
Listening
Telephone Skills
General Computer Skills
Clinical Software
Managed Care

Preferred Qualifications:

Master's Degree in Business Administration/Management or Public Health
1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry
Experience with ClientG or InterQual
The expectation is resources will be able to complete 55+ cases in an 8 hour day.
They use two systems for reviews: Predictal and Beacon.
Please categorize your candidates as either Behavioral Health or Non Behavioral Health (Physical Health) in the submit form. This team needs 10-11 to support Non Behavioral Health and 1-2 for Behavioral Health
Manager’s feedback: the candidates they’ve interviewed thus far have not had as much experience (if any) in the UM area from the payer side. Most have just had UM experience on the hospital side which unfortunately is not the same as doing it from the health insurance side.Individuals who have started as a Medical Director or those who accepted/accept offers may choose to obtain malpractice insurance. While this is not a requirement, some physicians prefer to secure coverage before practicing. If they have not yet started, we recommend obtaining this coverage prior to Day 1 if they prefer to have it in place. Should you elect to do so, the cost of the insurance will be your personal responsibility and will not be reimbursed. There is no min required for malpractice insurance as it is not a requirement.

Pay: $170.00 - $220.00 per hour

Work Location: Remote

Quick Apply

Refine Your Search

clinical director jobs in us

Medical Director

Director of Clinical Operations

Clinical Director - General Dentist -FFS/PPO Office- Equity Opportunity - $40,000 Sign on Bonus

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Clinical Director - General Dentist -FFS/PPO Office- Equity Opportunity

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Clinical Director - General Dentist -FFS/PPO - Equity Opportunity

Clinical Director - General Dentist - FFS/PPO Office - Equity Opportunity

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Clinical Director - General Dentist -FFS/PPO - Equity Opportunity

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Clinical Director - DMD/DDS

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Medical Director

Clinical Director (RN)

Clinical Director

Director of Clinical Services

Clinical Director/BCBA

Quality Coordinator

Clinic Director (Licensed Physical Therapist - PT)

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