71 clinical services director jobs found

Job Description: The Medical Director participates in the broad array of activities of the Medical Services area including, but not limited to, Medical and Pharmacy Utilization Management, quality management, member care management, and medical policy processes, and support for our various lines of business. The incumbent also provides input into the development of policies, programs and strategic objectives that cover Medical Management Services through their required participation in various committees and when assigned to other committees or workgroups as requested by leadership. They also act as a liaison with local physicians and hospitals and keep abreast of practice patterns, issues, and concerns of their regional medical community, as well as support our Provider Relations team as requested. This position is occasionally required to work evenings during high volume periods and staff shortages, e.g. cross-coverage vacations. Essential Accountabilities: Level I...

Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity About the Director of Nursing Position As Director of Nursing at Brookdale, you will utilize your leadership qualities to inspire, lead and manage the overall operation of the clinical team to provide the highest quality of care and services for our residents. You will proactively build relationships with residents, families, physicians and other healthcare providers for the coordination of exceptional personalized care. You will consistently collaborate with community leadership, mentor and engage your associates and build resident and family satisfaction. Brookdale supports our Nurse Leaders through: Structured six-week orientation, a wealth of online resources, local nurse mentors and ongoing collaborative support. Tuition reimbursement to support your clinical expertise and leadership skills development. Network of almost 700 communities in 40 states to support you...

Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity About the Director of Nursing Position As Director of Nursing at Brookdale, you will utilize your leadership qualities to inspire, lead and manage the overall operation of the clinical team to provide the highest quality of care and services for our residents. You will proactively build relationships with residents, families, physicians and other healthcare providers for the coordination of exceptional personalized care. You will consistently collaborate with community leadership, mentor and engage your associates and build resident and family satisfaction. Brookdale supports our Nurse Leaders through: Structured six-week orientation, a wealth of online resources, local nurse mentors and ongoing collaborative support. Tuition reimbursement to support your clinical expertise and leadership skills development. Network of almost 700 communities in 40 states to support you...

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Administrative Functions Direct the day to day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long term care facility. Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility. Periodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations for revisions. Meet with your assigned nursing staff, as well as support personnel, in planning the shifts' services, programs, and activities. Ensure that the Nursing Service Procedures Manual is current and reflects the...

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Administrative Functions Direct the day to day functions of the nursing assistants in accordance with current rules, regulations, and guidelines that govern the long term care facility. Ensure that all nursing personnel assigned to you comply with the written policies and procedures established by this facility. Periodically review the department's policies, procedure manuals, job descriptions, etc. Make recommendations for revisions. Meet with your assigned nursing staff, as well as support personnel, in planning the shifts' services, programs, and activities. Ensure that the Nursing Service Procedures Manual is current and reflects the...

Skagit Mobile Crisis Outreach Team (MCOT) is looking to hire! The Program Manager directs the ongoing operation of behavioral health care services in assigned area, which includes but is not limited to providing clinical and administrative supervision to staff, ensuring smooth and efficient functioning of administrative operations, facilitating and enhancing collaborative relations of all levels of care operating in the assigned geographic region, and scheduling staff coverage to ensure 24 hour service availability. The Program Manager also participates in 24/7 on-call pager rotation and must be able to respond to emergent situations after hours. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following, other duties may be assigned Provides clinical and administrative supervision to staff, including hiring, training, and evaluating. Collaborates with the Associate Director to ensure coordination of all crisis response services within appropriate geographic areas....

The RN Charge Nurse is responsible for overseeing nursing services each shift and functions as a nursing supervisor. This position provides daily supervision of staff on duty during operational hours. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. Assist with clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. Demonstrate effective use of supplies and staff labor hours. Complete and document monthly review of patient medication profiles. Administer medications as ordered by the physician. Assist physician during patient rounds and transcribe and implement physician orders timely. Assist with the implementation of anemia management and medication protocols as requested. Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements. Perform duties at all times...

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position. Administrative Functions Assist the Director of Nursing Services in directing the day to day functions of the nursing activities in accordance with current rules, regulations, and guidelines that govern the long term care facility. Participate in developing, maintaining, and updating written policies and procedures that govern the day to day functions of the nursing service department. Ensure that reference material (i.e., PDR'S, regulations, professional standards of practice, etc.) maintained at the nurses' stations is current. Recommend written material that will assist the nursing service department in meeting the day to day needs of...

Recognized by Newsweek in 2024 and 2025 as one of America's Greatest Workplaces for Diversity About the Director of Nursing Position As Director of Nursing at Brookdale, you will utilize your leadership qualities to inspire, lead and manage the overall operation of the clinical team to provide the highest quality of care and services for our residents. You will proactively build relationships with residents, families, physicians and other healthcare providers for the coordination of exceptional personalized care. You will consistently collaborate with community leadership, mentor and engage your associates and build resident and family satisfaction. Brookdale supports our Nurse Leaders through: Structured six-week orientation, a wealth of online resources, local nurse mentors and ongoing collaborative support. Tuition reimbursement to support your clinical expertise and leadership skills development. Network of almost 700 communities in 40 states to support you...

How you will change lives As a Social Worker at US Renal Care, you will be an integral part of a cross-functional team, working to help patients living with kidney disease achieve maximum social functioning and psychological adjustment to dialysis treatment and rehabilitation. What you will be doing Advocate & Support. You will be part of an interdisciplinary team working to ensure patients receive the best care, including conducting all required patient assessment and care planning activities such as assessing new patient psychosocial needs and completing the KDQOL in accordance with company policy and all state/CMS regulations. You will identify and counsel psychosocial issues and provide patient and family education. As an advocate for your patients' needs, you will coordinate communities of support for patients and their families, identify social agencies and other resources (e.g., financial/funding), provide information and referrals, coordinate transient...

Job Description: This position serves as the expert and leader for case management activities and overall coordination within the Case Management Program and the Health Plan. This position oversees the clinical and administrative operations and implementation of Case Management activities, including systematic approaches to improve member health status, and expectations set forth by regulatory and accrediting entities including NYS DOH (OMH, OASAS, OCFS), CMS, NCQA and BlueCross BlueShield Association (BCBSA) for the Federal Employee Program (FEP). The Manager serves as a resource to management, internal staff, regulatory and accrediting agencies, members and providers by conducting research, responding to inquiries and resolving issues. Essential Accountabilities: Responsible for direction and supervision of daily activities of the Case Management staff, establishing a foundation for strong teamwork and customer service; provides ongoing staff development and assures...

Job Description: Conducts case management program activities in accordance with departmental, corporate, NYS Department of Health (DOH), Centers for Medicaid & Medicare Services (CMS), Federal Employee Program (FEP) and National Committee for Quality Assurance (NCQA) accreditation standards, as appropriate to the member's case assignment. Uses a systematic approach to identify members meeting program criteria; assessing for opportunities to educate, support, coach, coordinate care and review treatment options, through collaboration with providers and community-based resources. Participates in a cross functional, multi-disciplinary team to identify and implement member-centric interventions to ensure optimal and cost-effective health outcomes. Collaborates with interdisciplinary care team to develop a comprehensive care plan to identify key strategic interventions to address member's needs, health goals and mitigate health care cost drivers. Essential Accountabilities...

Job Description: Summary: Under the guidance of the SIU Management, this position is responsible for the accurate and thorough clinical investigation of potential fraud, waste and abuse (FWA) for all lines of business. The scope of accountability includes investigating and remediating allegations of FWA while adhering to compliance and regulatory requirements. Primary activities include substantiating referrals, case planning and research, conducting onsite or desk audits, clinical reviews of medical records to ensure correct billing of services and appropriateness of care, interviewing potential witnesses, developing corrective action plans, developing correspondence to impacted parties, managing disputes, and collaborating with law enforcement and regulatory agencies. Essential Accountabilities: Level I Functions as a clinical reviewer of medical records, researching and investigating complex medical cases. Interprets a variety of documents including, but not limited to...

Receive and follow schedule/instructions from your supervisor and as outlined in our established policies and procedures. Adheres to established policies and procedures of the facility to which the respiratory care practitioner is assigned. Performs focused interview to identify specific patients' needs. Assess signs and symptoms indicating physiologic and psychosocial changes in the patient's condition. Collects, analyzes, and interprets data and information from health care members and documents actual and/or potential diagnoses. Plans for outcomes of care for those patients assigned. Performs interventions according to identified priorities, plan of care, and the hospital policies and patient care outcome standard. Adheres to emergency, safety and infection control procedures of the facility to which the respiratory care practitioner is assigned. Promotes and participates in activities to facilitate good interpersonal communications. Reports changes in the patient's respiratory...

Director, Advisory and Professional Services Sovereign AI Leader This role has been designated as 'Remote/Teleworker', which means you will primarily work from home. Who We Are: Hewlett Packard Enterprise is the global edge-to-cloud company advancing the way people live and work. We help companies connect, protect, analyze, and act on their data and applications wherever they live, from edge to cloud, so they can turn insights into outcomes at the speed required to thrive in today's complex world. Our culture thrives on finding new and better ways to accelerate what's next. We know varied backgrounds are valued and succeed here. We have the flexibility to manage our work and personal needs. We make bold moves, together, and are a force for good. If you are looking to stretch and grow your career our culture will embrace you. Open up opportunities with HPE. Job Description: We are seeking a dynamic, strategic, and technically fluent Sales Leader for Sovereign AI solutions to...

Partner Program Operations Manager - Channel Networking This role has been designed as 'Hybrid' with an expectation that you will work on average 2 days per week from an HPE office. Who We Are: Hewlett Packard Enterprise is the global edge-to-cloud company advancing the way people live and work. We help companies connect, protect, analyze, and act on their data and applications wherever they live, from edge to cloud, so they can turn insights into outcomes at the speed required to thrive in today's complex world. Our culture thrives on finding new and better ways to accelerate what's next. We know varied backgrounds are valued and succeed here. We have the flexibility to manage our work and personal needs. We make bold moves, together, and are a force for good. If you are looking to stretch and grow your career our culture will embrace you. Open up opportunities with HPE. Job Description: Help build the best Networking company on the planet! This role focuses on enabling...

Account Support Manager (Grad) This role has been designed as ''Onsite' with an expectation that you will primarily work from an HPE office. Who We Are: Hewlett Packard Enterprise is the global edge-to-cloud company advancing the way people live and work. We help companies connect, protect, analyze, and act on their data and applications wherever they live, from edge to cloud, so they can turn insights into outcomes at the speed required to thrive in today's complex world. Our culture thrives on finding new and better ways to accelerate what's next. We know varied backgrounds are valued and succeed here. We have the flexibility to manage our work and personal needs. We make bold moves, together, and are a force for good. If you are looking to stretch and grow your career our culture will embrace you. Open up opportunities with HPE. Job Description: Job Family Definition: Within the family there is a range of technical and managerial customer on-site functions. The...

At Elanco (NYSE: ELAN) – it all starts with animals! As a global leader in animal health, we are dedicated to innovation and delivering products and services to prevent and treat disease in farm animals and pets. At Elanco, we are driven by our vision of Food and Companionship Enriching Life and our purpose – all to Go Beyond for Animals, Customers, Society and Our People. At Elanco, we pride ourselves on fostering a diverse and inclusive work environment. We believe that diversity is the driving force behind innovation, creativity, and overall business success. Here, you’ll be part of a company that values and champions new ways of thinking, work with dynamic individuals, and acquire new skills and experiences that will propel your career to new heights. Making animals’ lives better makes life better – join our team today! Your role: The Maintenance Supervisor will provide front-line engineering support to their team of Craft Technicians, developing an...

SUMMARY The Licensed Vocational/Practical Nurse, under the direction and supervision of the Registered Nurse, assists with providing care and delegated activities of treatment to patients with renal failure. This position performs duties as assigned by the Charge Nurse and Registered Nurse. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned. GROWTH • Demonstrate effective use of supplies and staff labor hours. • May assist with billing log preparation and updates. • Perform duties as assigned to meet the patient care or operational needs of the clinic. OUTCOMES • Obtain blood samples for laboratory analysis as required to complete physician orders. • Complete and document monthly review of patient medication profiles. • Administer medications as ordered by the physician, within scope of practice as regulated by each state. • May assist with patient education as needed under the direction of the...

AI & Data Jr Consultant This role has been designed as ''Onsite' with an expectation that you will primarily work from an HPE office. Who We Are: Hewlett Packard Enterprise is the global edge-to-cloud company advancing the way people live and work. We help companies connect, protect, analyze, and act on their data and applications wherever they live, from edge to cloud, so they can turn insights into outcomes at the speed required to thrive in today's complex world. Our culture thrives on finding new and better ways to accelerate what's next. We know varied backgrounds are valued and succeed here. We have the flexibility to manage our work and personal needs. We make bold moves, together, and are a force for good. If you are looking to stretch and grow your career our culture will embrace you. Open up opportunities with HPE. Job Description: Responsibilities: Responsible for delivery of assigned tasks within the delivery cycle of a project. Understands a number of...