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physician / oncology / texas / permanent / associate medical director - oncology - 100% remote job job

regional medical director

OptumCare

Looking for a chance to drive measurable and meaningful improvement in the use of evidence-based medicine, patient safety, practice variation and affordability? You can make a difference at UnitedHealth Group and our family of businesses in serving our Medicare, Medicaid and commercial members and plan sponsors. Be part of changing the way health care is delivered while working with a Fortune 6 industry leader. We are looking for a Market Medical Director to join our WellMed medical team in the Ft. Worth office. The market medical director is a key member of the market leadership team who shares responsibility for the contracted clinic outcomes with other members of the team. You will work to drive measurable and meaningful improvement in the use of evidence-based medicine to improve affordability. You can make a difference at UnitedHealth Group and our family of businesses in serving our Medicare Advantage, Medicare, Medicaid and commercial members and plan sponsors. We are looking for a market medical director who understands the value based approach to medical care and is comfortable working in a Medicare Advantage setting as well as a Fee for Service setting. You will be responsible for conducting Patient Care Coordination meetings weekly with your care management team and you should be able to understand risk adjustment initiatives. In addition, you should have the ability to understand the metrics that drive clinical quality initiatives in the primary care medical home and joint commission arenas. You will be expected to work collaboratively with operations and matrix partners. You will also be required to become competent in Tableau and other informatics/reports required to achieve market metrics/objectives. The market medical director is responsible for improving the quality and efficiency of medical care in his/her clinics of responsibility. Primary Responsibilities: <ul><li> Work to improve quality and promote evidence-based medicine </li><li> Provide information on quality and efficiency to doctors, patients and customers to inform care choices and drive improvement </li><li> Support initiatives that enhance quality throughout our national network </li><li> Ensure the right service is provided at the right time for each member </li><li> Work with medical director teams focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review and provider appeals clinical review </li><li> Success in this technology-heavy role requires exceptional leadership skills, the knowledge and confidence to make autonomous decisions and an ability to thrive in a production-driven setting. </li></ul> Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 240,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work. SM WellMed was founded in 1990 with a vision of being a physician-led company that could change the face of healthcare delivery for seniors. Through the WellMed Care Model, we specialize in helping our patients stay healthy by providing the care they need from doctors who care about them. We partner with multiple Medicare Advantage health plans in Texas and Florida and look forward to continuing growth.

Physician / Chief Medical Officer / Texas / Locum or Permanent / Market Medical Director - WellMed - Fort Worth, TX Job

Do you have compassion and a passion to help others? Transforming healthcare and millions of lives as a result starts with the values you embrace and the passion you bring to achieve your lifes best work.(sm) The Associate Medical Director is a key member of the market leadership team who shares responsibility for employed clinic outcomes with other members of the team. The Associate Medical Director is responsible for improving the quality and efficiency of medical care in his/her clinics of responsibility. Primary Responsibilities: <ul> <li> Develops and maintains collegial relationships with contracted/employed physicians in order to support the business efforts of the organization </li> <li> Conducts and directs functional Patient Care Coordination (PCC)/PTG meetings </li> <li> Implements market initiatives and holds teams accountable for metrics/performance. Ensures processes and procedures are aligned with the business objectives </li> <li> Quality: Identifies, directs, and executes continuous quality improvement activities to achieve federal quality metrics as well as other quality initiatives/targets, to include but not limited to, primary care medical home and joint commission </li> <li> Risk adjustment: Understands and executes on risk adjustment initiatives </li> <li> Attends and actively engages in leadership meetings </li> <li> Market Operations is the dyad partner. Expected to work collaboratively with operations and matrix partners </li> <li> Mentors and coaches medical group providers as well as contracted providers as appropriate based on specific initiatives </li> <li> Works in matrix relationship with cost and care team as well as QRA/Care 360 and other market and matrix partners </li> <li> Performs all other related duties as assigned </li> <li> Expected to become competent in Tableau and other informatics/reports required to achieve market metrics/objectives </li> <li> Required to manage direct reports, complete all necessary HR evaluations, and other items related to managing direct reports </li></ul>

Physician / Chief Medical Officer / Texas / Locum or Permanent / Associate Medical Director - Corpus Christi, TX Job

eviCore healthcare

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions. Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications. Participates in strategic planning for and evaluation of the Care Management The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Maternal - Fetal Medicine, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months). Must have a minimum of 5 years clinical experience, beyond residency/fellowship Knowledge of applicable state and federal laws, URAC and NCQA standards a plus, and familiarity with automated processes and computer applications and systems is required No nights, no weekends, not call. Predictable work schedule Full and part time opportunities Salaried position with benefits Supportive organization with collaborative culture eviCore healthcare is committed to making a positive impact on healthcare, and also making a positive impact on our employees. eviCore offers a variety of perks and benefits including, but not limited to: Flexible scheduling and work/life balance with remote and work from home opportunities 4 weeks of PTO(starting) per year plus paid holidays One week of CME Education assistance, tuition reimbursement and professional certifications Health, dental, vision, and life benefits with employer funded HSA Paid Volunteer Community Service Days Ample opportunities for growth, advancement, and promotion 401k retirement plan with company match of 50% employee contributions up to 6% eviCore is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation

Physician / Other / Texas / Permanent / Associate Medical Director - Maternal Fetal - 100% Remote Job Job

Dallas County

Provides infectious and communicable disease medical support, assistance and advisory responsibilities in conjunction with other health staff to actively maintain disease surveillance. Collaborates with governmental entities to develop educational programs relating to infectious disease control. Functions as a consultant for data analysis and data collection teams involved with Bioterrorism Planning/Preparedness. Participates in meetings with other health departments, law enforcement, first responders, etc. designed to aid in the bioterrorism planning and preparedness arena to ensure Dallas Countys level of preparedness is efficient and optimum. Prepares status reports regarding on bioterrorism preparedness/planning and communicable disease surveillance. Performs other duties as assigned.

Physician / Director / Texas / Permanent / Medical Director - Bioterrorism Job

Christus Health

Description Summary:The Director Trauma is a registered nurse who in partnership with the Trauma Medical Director and hospital administration is responsible for oversight and authority of the trauma program as defined by the level of designation, including the trauma performance improvement and patient safety processes, trauma registry, data management, injury prevention, outreach education, outcome reviews, and research as appropriate to the level of designation.Responsibilities: <ul><li>Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.</li><li>Customer Focus - Is dedicated to meeting the expectations and requirements of internal and external customers; gets first-hand customer information and uses it for improvements in products and services; acts with customers in mind; establishes and maintains effective relationships with customers and gains their trust and respect.</li><li>Drive for Results - Can be counted on to exceed goals successfully; is constantly and consistently one of the top performers; very bottom-line oriented; steadfastly pushes self and others for results.</li><li>Business Acumen - Knows how businesses work; knowledgeable in current and possible future policies, practices, trends, and information affecting his/her business and organization; knows the competition; is aware of how strategies and tactics work in the marketplace. Ability to impart knowledge to a variety of operating constituencies.</li><li>Managing Vision and Purpose - Communicates a compelling and inspired vision or sense of core purpose; talks beyond today; talks about possibilities; is optimistic; creates mileposts and symbols to rally support behind the vision; makes the vision shareable by everyone; can inspire and motivate entire units or organizations.</li><li>Strategic Agility - Sees ahead clearly; can anticipate future consequences and trends accurately; has broad knowledge and perspective; is future oriented; can articulately paint credible pictures and visions of possibilities and likelihoods; can create competitive and breakthrough strategies and plans.</li><li>Developing Direct Reports - Is excellent at establishing clear directions; sets stretching objectives; distributes the workload appropriately; lays out work in a well-planned and organized manner; maintains two-way dialogue with others on work and results; brings out the best in people; is a clear communicator.</li></ul>The Director of Trauma is to assume at minimum, the following leadership responsibilities in conjunction with the Trauma Medical Director and hospital administration:<ul><li>Assist with the budgetary process for the trauma program</li><li>Develop and implement clinical protocols and practice management guidelines</li><li>Provide educational opportunities for staff development</li><li>Monitor performance improvement activities in conjunction with a PI Coordinator (where applicable)</li><li>Serves as the liaison to administration and represent the trauma program on hospital and regional committees to enhance trauma care</li><li>Adheres to current standards as defined by the designated/verifying organization for the specific level trauma center</li><li>Responsible for the organization of services and systems necessary for a multidisciplinary approach to providing care to injured patients</li><li>Manages care by maintaining effective lines of communication with all concerned parties</li><li>Demonstrate ability to problem solve and be supportive/innovative in the process of change</li><li>Demonstrate strong human relations skills with an ability to handle difficult/sensitive issues with regard to patient confidentiality</li><li>Demonstrate excellent written/oral communication skills</li><li>Integrate and interpret data from diverse sources addressing issues of moderate to high complexity</li><li>Develop strong relationships with customers (i.e. patients, physicians, and support departments)</li><li>Adheres to current standards as defined by the designated/verifying organization for the specific level trauma center</li><li>Promote optimal trauma care through clinical activities such as rounding</li><li>Facilitate professional and public education to EMS, physician, nursing staff, and ancillary staff</li><li>Facilitate Outreach programs</li><li>Quality Improvement activities such as risk adjusting benchmarking using registry data to guide quality improvement activities</li><li>Facilitates and prioritizes injury prevention work based on trends identified in the trauma registry</li><li>Participate in Regional Advisory Council</li><li>Participate in MCI drills as defined by designated/verifying organization</li></ul>Job Requirements: Education/Skills<ul><li>Master's degree of Science in Nursing or another related field preferred</li><li>The following courses are required upon hire <ul><li>Trauma Outcomes Performance Improvement Course (TOPIC)</li><li>Trauma Program Manager Course by the American Trauma Society (ATS) or the Texas Trauma Designation Education Course by the Texas Trauma Coordinators Forum (TTCF)</li><li>Abbreviated Injury Scale course by the Association for the Advancement of Automotive Medicine (AAAM)</li><li>ICD-10 course in trauma; needs to be renewed every 5 years</li></ul></li></ul>Experience<ul><li>2 years of experience in trauma patient care required</li><li>2 years of healthcare leadership required</li><li>2 years of trauma registry or data management required</li><li>Working knowledge of CQI tools and techniques required</li></ul>Licenses, Registrations, or Certifications<ul><li>RN License in the state of employment or compact required</li><li>BLS required</li><li>ACLS required</li><li>ENPC or PALS required</li><li>Trauma Nurse Core Course (TNCC) or Advanced Trauma Care for Nurses (ATCN) required</li><li>Certified Emergency Nurse (CEN), Trauma Certified Registered Nurse (TCRN) and/or Critical Care Registered Nurse (CCRN) certifications preferred</li><li>TNCC and/or ENPC Instructor preferred</li></ul>Work Schedule: 8AM - 5PM Monday-FridayWork Type: Full Time

Director Trauma - ECC Trauma

Explore 270+ Regional medical director in Texas this November. Find roles across top companies and apply now to boost your career.

270 regional medical director jobs IN Texas

Physician / Chief Medical Officer / Texas / Locum or Permanent / Market Medical Director - WellMed - Fort Worth, TX Job

Physician / Chief Medical Officer / Texas / Locum or Permanent / Associate Medical Director - Corpus Christi, TX Job

Physician / Other / Texas / Permanent / Associate Medical Director - Maternal Fetal - 100% Remote Job Job

Physician / Other / Texas / Permanent / Associate Medical Director - Maternal Fetal - 100% Remote Job Job

Physician / Other / Texas / Permanent / Associate Medical Director - Maternal Fetal - 100% Remote Job Job

Physician / Director / Texas / Permanent / Medical Director - Bioterrorism Job

Director Trauma - ECC Trauma