Regional Director of Clinical Operations for CommuniCare Health Services overseeing clinical policy compliance and managing nursing teams. Requires extensive experience in Long Term Care and Nursing Consulting.
About the role
- Medical Director overseeing behavioral health services for Elevance Health with a focus on clinical quality and operational support. Opportunity for remote work with flexible arrangements while ensuring essential face-to-face training.
Responsibilities
- Administer behavioral health medical services
- Develop and implement programs to improve quality and outcomes
- Conduct peer-to-peer clinical appeal case reviews
- Provide oversight and guidance to Medical Director Associates
- Identify cost of care opportunities
Requirements
- MD or DO with Board certification from ABMS or AOA
- Active unrestricted medical license to practice medicine
- Minimum of 10 years of clinical experience or equivalent
- Child and Adolescent experience preferred
- Utilization Management experience
- Applied Behavior Analysis (ABA) experience
Benefits
- Health insurance
- 401(k) matching
- Paid time off
- Flexible work arrangements
- Professional development opportunities
- Employee stock purchase plan
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