Clinical Manager Jobs Near Me

We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to join our team. The Clinical Director will directly supervise and train primary care providers (PCPs) in his/her assigned center. The incumbent in this role is accountable for maximizing overall core model execution, including improving clinical quality, efficiency, outcomes, and clinician/patient satisfaction. In addition to being accountable for the overall clinical outcomes of his/her assigned center, they will have a portion of their time allocated to direct patient care as a PCP and/or other clinical duties (amount dependent on number of direct reports). The remainder of their time is allocated to leadership responsibilities, including PCP performance, engagement, and building a strong clinical-operations synergy and culture. The allocation of time is dependent on several factors, including PCP capacity, market needs, size of centers, patient membership, and Market Clinical Director direction. ESSENTIAL JOB DUTIES/RESPONSIBILITIES: Independently provides care for patients with acute and chronic illnesses encountered in older adult patients. Takes full accountability for patient care and outcomes and appropriately seeks consultation from specialists when needed, though will still stay involved in, and be responsible for, the detailed care of the patient. Engages with the hospitalist whenever one of their patients is in the hospital (regardless of whether the hospitalist works for ChenMed or not). Responsible for assessment, diagnosis, treatment, management, education, health promotion and care coordination and documentation for patients with acute and complex chronic health needs. Leads their care team consisting of care promoter (medical assistant), care facilitator, and care coordinator for patients able to come to the office. For patients that are unable to come to the office-in hospital, SNF, LTC or homebound, engages with the transitional care team and others including case managers, acute and transitional-care physicians, and other resources that may be available depending on the market. Leads Super Huddle (SH) and Transforming Care Meeting (TCM) weekly, as well as supports Center Manager/Center General Manager center clinical leader and/or market clinical leader is not available, based on guidance from Market Chief Medical Officer. Fills in as needed for center clinical leadership needs, including monitoring daily center census as part of joint center accountability for outcomes. Plays an active role in the management of their center and helps cover for other providers who may be out for various reasons. It is also expected that each Clinical Director will take an active role as needed in recruiting patients for the center and recruiting and interviewing additional providers for the company. Managing, mentoring and coaching PCPs in his/her assigned center to deliver outstanding clinical outcomes, including sampling other PCP's daily huddles within their center Leadership rounding with the PCPs (reduced involvement of market clinical leader) Partnering with Center Operations Director/Market General Manager to drive continued improvement of center financial performance, and helping increase center membership Performs other duties as assigned and modified at manager's discretion. KNOWLEDGE, SKILLS AND ABILITIES: Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, plus a variety of other applications used in the company Ability and willingness to travel locally as needed in their market, if applicable, nationally for initial training (2 weeks) and then occasionally regionally and nationally for recruiting or training purposes Fluency in English, verbal and written. There may be jobs in some centers that require fluency in other languages, and this will be made known at the time of application. This job requires use and exercise of independent judgment EDUCATION AND EXPERIENCE CRITERIA: MD or DO in Internal Medicine, Family Medicine, Geriatrics, or similar specialty required Current, active MD licensure in State of employment is required A minimum of 1-year clinical experience in geriatric, adult or family practice setting preferred, with Lead PCP ideally being a ChenMed PCP Partner Completion of Chen Medical training, including Masterful Conversations and meeting facilitation, as part of the individual development plan Board certification in Internal Medicine, Family Medicine, Geriatrics or similar specialty is preferred, Board Eligibility is required Once Board certified, PCP will maintain board certification in their terminal specialty by doing necessary MOC, CME and/or retaking board exams as required Must have a current DEA number for schedule II-V controlled substances Basic Life Support (BLS) certification from the American Heart Association (AMA) or American Red Cross required w/in first 90 days of employment We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care. ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day. Current Employee apply HERE Current Contingent Worker please see job aid HERE to apply

Physical Therapist - Clinic Manager - Full-Time - Sign on Bonus Get your career - and your patients - moving. As a Clinic Manager, you'll have access to indu stry-leading programs and treatments and a team as innovative and passionate as you are. If you're looking for the autonomy to build and grow your own clinic, now's the time to think CORA. Our ideal candidate has pr oven leadership skills and the desire to take their career to the next level. This is a full-time position. Who We Are: CORA Physical Therapy provides a full range of outpatient services for clients with orthopedic problems, work-related injuries, sport injuries, and neuromuscular and neurological conditions. Our community is built on the passion and experience of clinicians who embrace our commitment to Treating Everyone Right . What You'll Love About Us: • Competitive Pay - Sign on bonus up to 10k • 7 paid annual holidays + 3 weeks PTO that grows with time • Medical, dental, vision, disability, and life insurance • Retirement & savings plan • Unlimited internal CEUs + Annual external CEU stipend • MedBridge subscription + APTA membership reimbursement • Leadership development programs: coaching, mentorship, and skill-building activities • Professional development opportunities including advanced certifications and Orthopedic Residency • Student Loan Assistance Program (up to $24K) for Eligible Locations • Potential relocation assistance • Tuition reimbursement What You'll Need: • Diploma from a CAPTE-approved Physical Therapy program • Physical Therapy State License (or in process) • At least one year of experience as a Physical Therapist • Dedication to providing exceptional quality of care to each of your patients What You'll Do: This role is 85% clinical and 15% non-clinical. • Make a powerful impact on your local community through inclusive physical therapy treatment • Develop and deliver a personalized plan of care for your patients -- a diverse patient population with both orthopedic and neurologic diagnoses • Objectively measure patient outcomes using cutting-edge software • Efficiently document evaluations, treatments, re-evaluations, and discharge notes • Actively pursue professional growth through professional affiliations, workshop attendance, conferences, and community events • Manage the daily operations of your clinic • Financial, administrative + personnel management CORA Physical Therapy is an Equal Opportunity/Affirmative Action employer. We are committed to building a team that represents a variety of backgrounds, experiences, and perspectives.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This Medical Director role in the Clinical & Coding Advisory Team (CCAT) is a rare opportunity to work directly within Optum Payer Operations. As a member of CCAT, you will play a vital role in helping stop fraud, waste, abuse, and error and help healthcare work better every day. The purpose of this job is to help people live their lives to the fullest by providing clinical leadership and expertise for the clinical investigation teams, including involvement in clinical reviews, provider education, high level appeals, development of clinical resources, and operations improvements. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide expert clinical and strategic leadership for operational teams Collaborate with clinical operations teams on complex or difficult cases Apply clinical knowledge in the interpretation of medical policy, clinical resources, and benefit document language in the review of professional and facility pre-pay and post-pay clinical reviews Collaborate with and educate network and non-network providers on cases and clinical coding situations in pursuit of accurate billing practices Actively participate in regular meetings and projects focused on clinical decision-making, clinical resources, analytics, savings, and staff training Participate in development of medical policy, clinical resources, and guidelines utilized in the review of professional and facility pre-pay and post-pay clinical reviews Other duties and goals assigned by the Sr. Medical Director Critical Success Factors: Ability to effective lead, manage and deliver in a fast pace, ever changing environment Solid understanding of Fraud, Waste, Abuse, and Error methodology Ability to foster communications, robust collaboration, and solid partnerships among providers, clients, leaders, and clinical teams Solid problem-solving, negotiation and persuasion skills You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current, active, and fully non-restricted licensed Medical Doctor 5+ years of clinical practice experience 2+ years of experience in leading clinical operations within a health plan/or managed care environment to include client facing experience CPT/HCPCS/ICD-9/ICD-10 coding experience with a thorough knowledge of health insurance business, including knowledge of industry terminology and regulatory guidelines Familiarity with current medical issues and practices Preferred Qualifications: Coding Certification thru AHIMA (CCS, CDIS, RHIA, RHIT) or AAPC (CIC) 3+ years in facility (DRG and Clinical Validation Audit) Reviews Experience in claims handling related to Fraud, Waste, Abuse and Error Experience with Encoder and Grouper Software (3M) Knowledge of federal (e.g., CMS) and state laws and regulations *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. California, Colorado, Connecticut, Hawaii, Maryland, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $286,104 to $397,743 annually. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. Work at home! The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to adverse determinations for medical services related to benefit design and coverage and the application of clinical criteria of medical policies Perform Department of Insurance/Department of Managed Healthcare, and CMS regulatory responses Communicate with UnitedHealthcare medical directors regarding appeals decision rationales, and benefit interpretations Communicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues Actively participate in team meetings focused on communication, feedback, problem solving, process improvement, staff training and evaluation, and the sharing of program results Provide clinical and strategic input when participating in organizational committees, projects, and task forces What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You can work with in an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: MD or DO with an active, unrestricted license Board Certified Cardiologist in an ABMS or AOBMS specialty 5+ years clinical practice experience 2+ years Quality Management experience Intermediate or higher level of proficiency with managed care Basic computer skills, typing, word processing, presentation, and spreadsheet applications skills. Internet researching skills Proven excellent telephonic communication skills; excellent interpersonal communication skills Proven excellent project management skills Proven data analysis and interpretation skills Proven excellent presentation skills for both clinical and nonclinical audiences. Familiarity with current medical issues and practices Proven creative problem-solving skills Proven solid team player and team building skills *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy California, Colorado, Connecticut, Hawaii, Maryland, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $286,104 to $397,743 annually. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Clinical Advocacy & Support has an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members with the tools and information needed to improve health outcomes, reduce variation in care, deliver seamless experience, and manage health care costs. The Medical Director provides physician support to Enterprise Clinical Services operations, the organization responsible for the initial clinical review of service requests for Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support, and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members. The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with a multidisciplinary team and is actively involved in the management of medical benefits. The collaboration often involves the member's primary care provider or specialist physician. It is the primary responsibility of the medical director to ensure that the appropriate and most cost-effective quality medical care is provided to members. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations Document clinical review findings, actions, and outcomes in accordance with policies, and regulatory and accreditation requirements Engage with requesting providers as needed in peer-to-peer discussions Be knowledgeable in interpreting existing benefit language and policies in the process of clinical coverage reviews Participate in daily clinical rounds as requested Communicate and collaborate with network and non-network providers in pursuit of accurate and timely benefit determinations for plan participants while educating providers on benefit plans and medical policy Communicate and collaborate with other internal partners Participate in call coverage and holiday rotation You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: M.D or D.O. Board certification in Cardiology or Cardiothoracic Surgery Active unrestricted license to practice medicine 5+ years of clinical practice experience after completing residency training Sound understanding of Evidence Based Medicine (EBM) Solid PC skills, specifically using MS Word, Outlook, and Excel Participate in rotational holiday and call coverage Preferred Qualifications: Proven excellent oral, written, and interpersonal communication skills, facilitation skills Proven data analysis and interpretation aptitude Proven innovative problem-solving skills Proven excellent presentation skills for both clinical and non-clinical audiences *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy The salary range for this role is $285,500 to $325,500 annually. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

City/State Charlottesville, VA Work Shift First (Days) (United States of America) Sentara Martha Jefferson Hospital is hiring a Device Clinic Specialist for a full-time role in Charlottesville, VA. This position is day shift position Monday to Friday and is On Site. This is not a remote position. $15,000 Sign on Bonus available for Qualified Candidates! Cardiac Device Remote Monitoring Specialist (CDRMS) is preferred for this position. Join the Device Clinic at Sentara Martha Jefferson, where you'll work in a highly specialized, small team environment focused on implanted devices like pacemakers and defibrillators. This role involves the remote interrogation of implanted devices to confirm their functionality. Responsibilities include managing and monitoring implanted cardiac devices, understanding device function and terminology, and conducting procedural programming. Total training could take up to two years, covering remote readings and data analysis. Click here to learn more about Sentara Martha Jefferson Hospital! The Device Clinical Specialist facilitates optimal clinical effectiveness of implanted cardiac devices through the application of technical knowledge and skills to evaluate device function and assist with device management in outpatient, procedural and inpatient settings. Requirements: Master's Degree Exercise Physiology, Exercise Science, or Kinesiology Clinical Experience required. Remote Interrogation experience highly preferred. Remote Device Certification highly preferred. IBHRE CCDS certification within 5 years of hire. ACLS required within 6 months of hire. Sentara Benefits: Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For more information about our employee benefits, Benefits: Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401A/403B, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, Free Parking, and more. Enhanced Benefitsto support you and your family include: Paid Parental Leave, Adoption/Infertility/Surrogacy Reimbursement, Family Caregiver Leave, and Emergency Back-up Care. Enhanced benefits to promote your well-being and secure your financial future include; The Sentara Student Debt Program, Emergency Savings Account and a Floating holiday. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! Who We Are: Sentara Martha Jefferson Hospital is a 176-bed facility that focuses on consistently setting the standard for clinical quality and personalized healthcare services. Our hospital offers specialized care in Cancer Care, Heart and Vascular, Neurology, Orthopedics, and Maternity. Where We Are: Our beautiful campus is located in the rolling foothills in the Pantops area of Charlottesville Virginia. Conveniently located, only a short drive from the hustle and bustle of Charlottesville's vibrant downtown, our location provides ample free parking, lovely walking trails and stunning views of the surrounding mountains, lakes, rivers, woodlands, and vineyards. Main Campus Hospital Main Campus Outpatient Surgery Center Free Standing ED (North of the city) Outpatient Care Center (Downtown location) Charlottesville is renowned for its historic sites, beautiful parks and waterways, family-friendly activities, vibrant arts and culture, excellent shopping opportunities, guided tours, and accessible experiences for all visitors. What Makes this Team Special: Since our founding more than 100 years ago, Martha Jefferson has constantly evolved to meet the diverse healthcare needs of patients, and we are committed to delivering a distinctive combination of cutting-edge technology along with our Caring Tradition, the promise of personalized care tailored to the needs of each individual patient. Our Recognitions Magnet designation for Nursing Excellence (4x) American College of Cardiology - Excellence in heart attack care (10x) US News Award - Top Maternity Care Hospitals CMS 5 Star Hospital Practice Green Health - Partner for Change Award #Talroo-Allied Health Keywords: cardiology, #Magnetblueridge, #SMJH, Kinesiology, Physiology, exercise science, Cardiac Device Monitoring Specialist (CDRMS), device specialist, Cardiac Monitoring Job Summary Facilitates optimal clinical effectiveness of implanted cardiac devices through the application of technical knowledge and skills to evaluate device function and assist with device management in outpatient, procedural and inpatient settings. RN-Associates Degree or RN-Bachelors Degree or Masters Degree Exercise Physiology, Exercise Science, or Kinesiology IBHRE CCDS certification within 5 years of hire preferred ACLS required within 6 months of hire. Qualifications: N-2YR - RN-Associate's Degree (Required) - Related experience Skills Active Listening Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application. In support of our mission “to improve health every day,” this is a tobacco-free environment.

Join Our Team as a Clinical Supervisor! We are looking for impeccable leaders to join our team who are committed to creating meaningful patient experiences. As a clinical supervisor, you'll manage the coordination, supervision, and implementation of professional and supportive services for our hospice patients in a safe, cost-effective manner. The clinical supervisor will oversee the care team and provide education and training related to clinical practice, regulation and reimbursement changes as well as help orient new employees. You'll serve as a key member of our care team to ensure every patient receives the highest quality care. And just like all of our team members, our RN clinical supervisors have access to our supportive leadership team and professional development opportunities with plenty of room for advancement. We're Offering Even More Great Benefits When You Join Our Family! Tuition Reimbursement Immediate Access to Paid Time Off Employee Referral Program Bonus Eligibility Matching 401K Annual Merit Increases Years of Service Award Bonuses Pet Insurance Financial and Legal Assistance Program Mental Health and Counseling Programs Dental and Orthodontic Coverage Vision Insurance Health Care with Low Premiums $500 Matching Health Savings Account Short-term and Long-term Disability Virgin Pulse Wellness Program Fertility Assistance Program Our Company Mission Our mission is to serve with love, providing comfort and support through compassionate care and meaningful experiences. For our team members, these aren't empty words. In every interaction, no matter how big or small, we're dedicated to providing a superior experience for patients facing life-limiting illnesses and their families. About Agape Care Group As a regional leader in hospice and palliative care, Agape Care Group proudly serves patients through its family of care providers - Agape Care South Carolina, Georgia Hospice Care, Hospice of the Carolina Foothills in North Carolina, and ACG Hospice in Alabama, Kansas, Louisiana, Missouri, Oklahoma, and Virginia. The company's employees are committed to serving with love those touched by an advanced illness, providing comfort and support through compassionate care and meaningful experiences. At any location within our company, you'll find a career that means something. You'll not only have the opportunity to use your skills to make a real difference, but you'll also be part of an inclusive, respectful work environment filled with peers who have answered the call to care for others. Essential Functions: The Clinical Supervisor is a registered nurse who manages the coordination, supervision, and implementation of professional and supportive services to Hospice clients in a safe, cost-effective manner. The Clinical Supervisor is responsible for the coordination of care during the episode of care. The Clinical Supervisor will provide education and training related to clinical practice issues and regulation and reimbursement changes with new employees during precepting phase of new hire orientation. On Call responsibilities and may act as the Hospice Administrator/back up administrator. Qualifications: A heart to serve patients and families and a passion for providing the best possible care Education: Graduate of an accredited nursing school (BSN preferred). Current state license as a registered nurse Experience: 2-3 years of supervisory experience as a registered nurse in an appropriate clinical care setting, home health, or hospice environment (preferred). Evidence of clinical and supervisory knowledge and experience appropriate to the assigned supervision responsibilities Required: Reliable transportation. Ability to sit, stand, bend, move intermittently and lift at least 80-100 lbs and bear the weight of an average adult effectively. We've worked hard to build a caring culture of integrity, communication, diversity and positive experiences, and we'd love for you to join our team. *Pay is determined by years of experience and location.

What you'll do... Provides comprehensive patient care to customers by processing and accurately dispensing prescription orders; administering immunizations; and administering other programs developed by Walmart, in compliance with Board of Pharmacy statutes/regulations. Drives sales and profit in the Pharmacy and OTC areas by ensuring effective merchandise presentation, including accurate and competitive pricing, proper signing, in-stock and inventory levels, budgeting and forecasting sales, developing and maintaining cross functional relationships, and assessing economic trends and demographics. Models, enforces, and provides direction and guidance to Associates on proper Customer service approaches and techniques to ensure Customer needs, complaints, and issues are successfully resolved within Company guidelines and standards. Oversees the implementation of and participates in community outreach programs and encourages Associates to serve as a good member of the community. Ensures compliance with Company and legal policies, procedures, and regulations for assigned areas by analyzing and interpreting reports, implementing and monitoring loss prevention and safety controls, overseeing safety, operational, and quality assurance reviews, developing and implementing action plans, and providing direction and guidance on executing Company programs and strategic initiatives. Provides supervision and development opportunities for Associates in assigned areas by selecting, training, mentoring, assigning duties, providing performance feedback, providing recognition, and ensuring diversity awareness. Ensures confidentiality of information, documentation, and assigned records as required by Company policies, and local, State, and Federal guidelines. Judgment: Make Informed Judgments: Uses relevant business metrics, analyses, and reports to measure, monitor, and improve performance. Identifies and applies sound, fact-based criteria in setting priorities and making decisions. Looks beyond symptoms to determine the root causes of problems, and identify and implement applicable solutions. Integrates knowledge and expertise in making fact-based recommendations and decisions. Customer/Member Centered: Ensure Customer/Member Centered Performance: Analyzes data and information, and develops plans to exceed customer/member expectations. Sponsors initiatives and practices that provide customers/members with desired products, services, and experiences and that grow the business. Ensures customers/members receive the level of service that builds their trust and confidence. Removes barriers to delivering customer/member value, service, and support. Execution and Results: Ensure Execution and Achieve Results: Conveys a sense of urgency in ways that motivate others to complete responsibilities and achieve goals. Pursues the achievement and alignment of measurable and meaningful goals. Leverages resources and talent to achieve business goals. Ensures others are held accountable for achieving expected results. Prioritizes and balances time, actions, and projects to ensure accomplishment of results. Monitors progress of others and redirects efforts when goals change or results are not met. Planning and Improvement: Ensure Planning and Improvement: Sets clear expectations, performance measures, and goals, and helps others do the same. Plans for and ensures others have the information, resources, implementation time, and talent needed to accomplish business initiatives. Identifies and plans for improvement in performance using key business metrics. Influence and Communicate: Build and Influence Team: Develops and communicates logical, convincing reasons, including lessons learned, to build support for one's viewpoints and actions. Involves others in decisions and plans that affect them, when appropriate. Recognizes and rewards team accomplishments, celebrating team and organizational success. Ensures business priorities, change initiatives, and organizational information are communicated in clear and compelling ways. Promotes the exchange of diverse experiences and ideas within own organization. Ethics and Compliance: Ensure Ethics and Compliance: Actively communicates, trains, and guides associates on compliance with policies and procedures. Maintains an environment that promotes and reinforces the highest standards of integrity and ethics. Anticipates potential issues and takes action to enhance compliance. Adaptability: Adapt and Learn: Demonstrates creativity and strength in the face of change, obstacles, or adversity. Adapts to competing demands and shifting priorities. Updates knowledge and skills to handle new complexities, challenges, and responsibilities. Seeks exposure to new ideas and perspectives. Identifies and takes steps to improve adaptability and continuous learning capabilities in own organization. Build Relationships: Network Internally and Externally: Builds trusting, collaborative relationships and alliances with others, inside and outside of the organization. Relates to others in an accepting and respectful manner, regardless of their organizational level, personality, or background. Promotes a team-based work environment that respects, embraces, and values diversity in others. Manages Pharmacy Operations: Conducts Associate meetings to identify and respond to their needs, concerns, and issues related to pharmacy products or services and to share information related to new initiatives. Ensures pharmacy operations are aligned with Company and regulatory (for example, HIPAA, SOP, QA) policies, standards, and procedures. Ensures adherence to proper policies and procedures for advising on, verifying, and dispensing products and Customer, insurance, and licensure issues. Documents information on changes in pharmaceutical products and procedures, and new ideas, approaches, and processes and shares the information with Associates and Managers. Oversees Inventory Flow: Regularly monitors the inventory flow process to identify merchandise that needs to be ordered. Ensures proper execution of inventory flow processes. Monitors and evaluates the facility to identify and address problems with inventory flow. Talent: Manage and Leverage Talent : Develops talent plans for own organization targeted at increasing effectiveness, building diversity, and enhancing bench strength. Manages roles, assignments, and developmental opportunities to maximize organizational performance. Ensures people processes (for example, selection, development, performance evaluation) lead to effective associate performance and desired results throughout own organization. Monitors associate performance and provides constructive feedback that is specific, honest, accurate, and timely. Provides learning opportunities, guidance, and support in the development of associates. Manages Finances: Demonstrates sound financial management skills, including interpreting, analyzing, and explaining financial data and information. Manages budgets and ensures budgets and financial performance are aligned with business strategic requirements. Ensures assets, liabilities, revenues, and operating expenses are accounted for and reported. Complies with Company financial policies and procedures. Compiles and evaluates financial data to ensure operating procedures meet business needs. Monitors financial data and trends to identify and respond to market changes and other areas of opportunity. Quality Patient Care-Facility: Creates a culture of patient care, safety, and accuracy. Communicates clear expectations regarding quality of care and patient safety. Ensures others are held accountable for following standard operating procedures (SOP) and achieving expected quality and patient safety goals. Ensures counseling (providing information related to the health service provided) occurs on new therapy (new items) and as requested by patients or required by practice or state regulations, including appropriate documentation. Analyzes and identifies areas of improvement needed and implements intervention steps to improve team knowledge and focus on patient safety and risk reduction. Promotes reporting and transparency of errors whether actual or patient perceived. Writes timely and effective plans of action focused on identification and correction of root cause. Compliance Focused Execution-Facility: Creates and fosters an environment centered on health care compliance execution. Actively communicates, trains, and guides the processes for completion and follow-up on compliance initiatives to associates within Health & Wellness and other associates as applicable to the respective health care business. Implements compliance initiatives and priorities and monitors compliance execution by others. Ensures appropriate operational execution of billing procedures, HIPAA compliance adherence, and Standard Operating Procedures (SOP). Utilizes auditing processes to identify compliance issues and implement processes for improvement. At Walmart, we offer competitive pay as well as performance-based bonus awards and other great benefits for a happier mind, body, and wallet. Health benefits include medical, vision and dental coverage. Financial benefits include 401(k), stock purchase and company-paid life insurance. Paid time off benefits include PTO (including sick leave), parental leave, family care leave, bereavement, jury duty, and voting. Other benefits include short-term and long-term disability, company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more. You will also receive PTO and/or PPTO that can be used for vacation, sick leave, holidays, or other purposes. The amount you receive depends on your job classification and length of employment. It will meet or exceed the requirements of paid sick leave laws, where applicable. For information about PTO, see ******************************* . Live Better U is a Walmart-paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high school completion to bachelor's degrees, including English Language Learning and short-form certificates. Tuition, books, and fees are completely paid for by Walmart. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to a specific plan or program terms. For information about benefits and eligibility, see One.Walmart . The annual salary range for this position is $112,000.00-$197,000.00 Additional compensation includes annual or quarterly performance bonuses. Additional compensation for certain positions may also include: - Regional Pay Zone (RPZ) (based on location) - Sales Volume Category (SVC) (based on facility sales volume) - Complex Structure (based on external factors that create challenges) Minimum Qualifications... Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications. Bachelor's degree in Pharmacy or PharmD, degree or equivalent FPGEC (NABP). Pharmacy license (by job entry date). Completion of an ACPE accredited immunization training program (for example, APhA, Pharmacy School Curriculum, State Pharmacy Association sponsored). Preferred Qualifications... Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications. U.S. pharmacy related experience Primary Location... 375 S Main Street, Timberville, VA 22853-0000, United States of America

We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to join our team. The Clinical Director will directly supervise and train primary care providers (PCPs) in his/her assigned center. The incumbent in this role is accountable for maximizing overall core model execution, including improving clinical quality, efficiency, outcomes, and clinician/patient satisfaction. In addition to being accountable for the overall clinical outcomes of his/her assigned center, they will have a portion of their time allocated to direct patient care as a PCP and/or other clinical duties (amount dependent on number of direct reports). The remainder of their time is allocated to leadership responsibilities, including PCP performance, engagement, and building a strong clinical-operations synergy and culture. The allocation of time is dependent on several factors, including PCP capacity, market needs, size of centers, patient membership, and Market Clinical Director direction. ESSENTIAL JOB DUTIES/RESPONSIBILITIES: Independently provides care for patients with acute and chronic illnesses encountered in older adult patients. Takes full accountability for patient care and outcomes and appropriately seeks consultation from specialists when needed, though will still stay involved in, and be responsible for, the detailed care of the patient. Engages with the hospitalist whenever one of their patients is in the hospital (regardless of whether the hospitalist works for ChenMed or not). Responsible for assessment, diagnosis, treatment, management, education, health promotion and care coordination and documentation for patients with acute and complex chronic health needs. Leads their care team consisting of care promoter (medical assistant), care facilitator, and care coordinator for patients able to come to the office. For patients that are unable to come to the office-in hospital, SNF, LTC or homebound, engages with the transitional care team and others including case managers, acute and transitional-care physicians, and other resources that may be available depending on the market. Leads Super Huddle (SH) and Transforming Care Meeting (TCM) weekly, as well as supports Center Manager/Center General Manager center clinical leader and/or market clinical leader is not available, based on guidance from Market Chief Medical Officer. Fills in as needed for center clinical leadership needs, including monitoring daily center census as part of joint center accountability for outcomes. Plays an active role in the management of their center and helps cover for other providers who may be out for various reasons. It is also expected that each Clinical Director will take an active role as needed in recruiting patients for the center and recruiting and interviewing additional providers for the company. Managing, mentoring and coaching PCPs in his/her assigned center to deliver outstanding clinical outcomes, including sampling other PCP's daily huddles within their center Leadership rounding with the PCPs (reduced involvement of market clinical leader) Partnering with Center Operations Director/Market General Manager to drive continued improvement of center financial performance, and helping increase center membership Performs other duties as assigned and modified at manager's discretion. KNOWLEDGE, SKILLS AND ABILITIES: Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, plus a variety of other applications used in the company Ability and willingness to travel locally as needed in their market, if applicable, nationally for initial training (2 weeks) and then occasionally regionally and nationally for recruiting or training purposes Fluency in English, verbal and written. There may be jobs in some centers that require fluency in other languages, and this will be made known at the time of application. This job requires use and exercise of independent judgment EDUCATION AND EXPERIENCE CRITERIA: MD or DO in Internal Medicine, Family Medicine, Geriatrics, or similar specialty required Current, active MD licensure in State of employment is required A minimum of 1-year clinical experience in geriatric, adult or family practice setting preferred, with Lead PCP ideally being a ChenMed PCP Partner Completion of Chen Medical training, including Masterful Conversations and meeting facilitation, as part of the individual development plan Board certification in Internal Medicine, Family Medicine, Geriatrics or similar specialty is preferred, Board Eligibility is required Once Board certified, PCP will maintain board certification in their terminal specialty by doing necessary MOC, CME and/or retaking board exams as required Must have a current DEA number for schedule II-V controlled substances Basic Life Support (BLS) certification from the American Heart Association (AMA) or American Red Cross required w/in first 90 days of employment We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care. ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day. Current Employee apply HERE Current Contingent Worker please see job aid HERE to apply

Physical Therapist - Clinic Manager Get your career - and your patients - moving. As a Clinic Manager, you'll have access to indu stry-leading programs and treatments and a team as innovative and passionate as you are. If you're looking for the autonomy to build and grow your own clinic, now's the time to think CORA. Our ideal candidate has pr oven leadership skills and the desire to take their career to the next level. This is a full-time position. Who We Are: CORA Physical Therapy provides a full range of outpatient services for clients with orthopedic problems, work-related injuries, sport injuries, and neuromuscular and neurological conditions. Our community is built on the passion and experience of clinicians who embrace our commitment to Treating Everyone Right . What You'll Love About Us: • Competitive Pay • 7 paid annual holidays + 3 weeks PTO that grows with time • Medical, dental, vision, disability, and life insurance • Retirement & savings plan • Unlimited internal CEUs + Annual external CEU stipend • MedBridge subscription + APTA membership reimbursement • Leadership development programs: coaching, mentorship, and skill-building activities • Professional development opportunities including advanced certifications and Orthopedic Residency • Student Loan Assistance Program (up to $24K) for Eligible Locations • Potential relocation assistance • Tuition reimbursement What You'll Need: • Diploma from a CAPTE-approved Physical Therapy program • Physical Therapy State License (or in process) • At least one year of experience as a Physical Therapist • Dedication to providing exceptional quality of care to each of your patients What You'll Do: This role is 85% clinical and 15% non-clinical. • Make a powerful impact on your local community through inclusive physical therapy treatment • Develop and deliver a personalized plan of care for your patients -- a diverse patient population with both orthopedic and neurologic diagnoses • Objectively measure patient outcomes using cutting-edge software • Efficiently document evaluations, treatments, re-evaluations, and discharge notes • Actively pursue professional growth through professional affiliations, workshop attendance, conferences, and community events • Manage the daily operations of your clinic • Financial, administrative + personnel management CORA Physical Therapy is an Equal Opportunity/Affirmative Action employer. We are committed to building a team that represents a variety of backgrounds, experiences, and perspectives.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This Medical Director role in the Clinical & Coding Advisory Team (CCAT) is a rare opportunity to work directly within Optum Payer Operations. As a member of CCAT, you will play a vital role in helping stop fraud, waste, abuse, and error and help healthcare work better every day. The purpose of this job is to help people live their lives to the fullest by providing clinical leadership and expertise for the clinical investigation teams, including involvement in clinical reviews, provider education, high level appeals, development of clinical resources, and operations improvements. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Provide expert clinical and strategic leadership for operational teams Collaborate with clinical operations teams on complex or difficult cases Apply clinical knowledge in the interpretation of medical policy, clinical resources, and benefit document language in the review of professional and facility pre-pay and post-pay clinical reviews Collaborate with and educate network and non-network providers on cases and clinical coding situations in pursuit of accurate billing practices Actively participate in regular meetings and projects focused on clinical decision-making, clinical resources, analytics, savings, and staff training Participate in development of medical policy, clinical resources, and guidelines utilized in the review of professional and facility pre-pay and post-pay clinical reviews Other duties and goals assigned by the Sr. Medical Director Critical Success Factors: Ability to effective lead, manage and deliver in a fast pace, ever changing environment Solid understanding of Fraud, Waste, Abuse, and Error methodology Ability to foster communications, robust collaboration, and solid partnerships among providers, clients, leaders, and clinical teams Solid problem-solving, negotiation and persuasion skills You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current, active, and fully non-restricted licensed Medical Doctor 5+ years of clinical practice experience 2+ years of experience in leading clinical operations within a health plan/or managed care environment to include client facing experience CPT/HCPCS/ICD-9/ICD-10 coding experience with a thorough knowledge of health insurance business, including knowledge of industry terminology and regulatory guidelines Familiarity with current medical issues and practices Preferred Qualifications: Coding Certification thru AHIMA (CCS, CDIS, RHIA, RHIT) or AAPC (CIC) 3+ years in facility (DRG and Clinical Validation Audit) Reviews Experience in claims handling related to Fraud, Waste, Abuse and Error Experience with Encoder and Grouper Software (3M) Knowledge of federal (e.g., CMS) and state laws and regulations *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. California, Colorado, Connecticut, Hawaii, Maryland, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $286,104 to $397,743 annually. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. Work at home! The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to adverse determinations for medical services related to benefit design and coverage and the application of clinical criteria of medical policies Perform Department of Insurance/Department of Managed Healthcare, and CMS regulatory responses Communicate with UnitedHealthcare medical directors regarding appeals decision rationales, and benefit interpretations Communicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues Actively participate in team meetings focused on communication, feedback, problem solving, process improvement, staff training and evaluation, and the sharing of program results Provide clinical and strategic input when participating in organizational committees, projects, and task forces What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You can work with in an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: MD or DO with an active, unrestricted license Board Certified Cardiologist in an ABMS or AOBMS specialty 5+ years clinical practice experience 2+ years Quality Management experience Intermediate or higher level of proficiency with managed care Basic computer skills, typing, word processing, presentation, and spreadsheet applications skills. Internet researching skills Proven excellent telephonic communication skills; excellent interpersonal communication skills Proven excellent project management skills Proven data analysis and interpretation skills Proven excellent presentation skills for both clinical and nonclinical audiences. Familiarity with current medical issues and practices Proven creative problem-solving skills Proven solid team player and team building skills *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy California, Colorado, Connecticut, Hawaii, Maryland, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $286,104 to $397,743 annually. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Clinical Advocacy & Support has an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members with the tools and information needed to improve health outcomes, reduce variation in care, deliver seamless experience, and manage health care costs. The Medical Director provides physician support to Enterprise Clinical Services operations, the organization responsible for the initial clinical review of service requests for Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support, and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members. The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with a multidisciplinary team and is actively involved in the management of medical benefits. The collaboration often involves the member's primary care provider or specialist physician. It is the primary responsibility of the medical director to ensure that the appropriate and most cost-effective quality medical care is provided to members. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations Document clinical review findings, actions, and outcomes in accordance with policies, and regulatory and accreditation requirements Engage with requesting providers as needed in peer-to-peer discussions Be knowledgeable in interpreting existing benefit language and policies in the process of clinical coverage reviews Participate in daily clinical rounds as requested Communicate and collaborate with network and non-network providers in pursuit of accurate and timely benefit determinations for plan participants while educating providers on benefit plans and medical policy Communicate and collaborate with other internal partners Participate in call coverage and holiday rotation You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: M.D or D.O. Board certification in Cardiology or Cardiothoracic Surgery Active unrestricted license to practice medicine 5+ years of clinical practice experience after completing residency training Sound understanding of Evidence Based Medicine (EBM) Solid PC skills, specifically using MS Word, Outlook, and Excel Participate in rotational holiday and call coverage Preferred Qualifications: Proven excellent oral, written, and interpersonal communication skills, facilitation skills Proven data analysis and interpretation aptitude Proven innovative problem-solving skills Proven excellent presentation skills for both clinical and non-clinical audiences *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy The salary range for this role is $285,500 to $325,500 annually. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

City/State Dumfries, VA Work Shift First (Days) (United States of America) Sentara Health is looking for a Clinical Supervisor to join the Woodbridge (Dumfries) Home Care team. The Clinical Supervisor is responsible for coordinating patient care resources to meet the clinical needs of patients. The Clinical Supervisor oversees a multidisciplinary team to facilitate appropriate and efficient clinical care. Serves as a resource to clinical staff, physicians, and the public. Makes administrative decisions (in consultation with Area Administrator or Patient Care Manager) regarding potential or actual problematic situations involving the agency or staff. Assists with program and staff development, program implementation and policy/procedure development and compliance. Engages in talent retention strategies for the area(s) of responsibility. Responsible for excellent customer service delivery. Job Requirements: RN-Associate's Degree OR RN-Bachelor's Level Degree OR RN-Diploma (Non-degree) Required: Basic Cardiac Life Support, Registered Nurse Required: 2 years of home health, infusion, and/or Hospice experience required. Preferred: Bachelor's degree Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For more information about our employee benefits, Sentara Home Care Servicesprovides a full spectrum of home care services to meet the individual needs of patients. In the past, many of our patients would have had to remain in the hospital for therapy. But today, the highly skilled team of clinicians with Sentara Home Care Services partners with individual physicians to coordinate the multiple therapies and services each patient may require - from skilled nursing care and infusion therapy to rehabilitative therapies and hospice care. Our patients also benefit at home from much of the same advanced technology available in Sentara hospitals. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! Keywords: home care, homecare, nurse, RN, med surg, acute, registered nurse, Indeed, nursing, Talroo-Nursing, Monster, leader home care, CS, Clinical Supervisor Job Summary Responsible for coordinating patient care resources to meet the clinical needs of patients. The Clinical Supervisor oversees a multidisciplinary team to facilitate appropriate and efficient clinical care. Serves as a resource to clinical staff, physicians, and the public. Makes administrative decisions (in consultation with Area Administrator or Patient Care Manager) regarding potential or actual problematic situations involving the agency or staff. Assists with program and staff development, program implementation and policy/procedure development and compliance. Engages in talent retention strategies for the area(s) of responsibility. Responsible for excellent customer service delivery. 2 Years HH, HO, IV experience 1 year supervisory experience required, preferred 1 yr. clinical supervisory experience. All RNs who do not have their BSN will be required to sign a BSN Agreement committing to successfully obtaining their BSN within 5 years of hire Qualifications: BLD - Bachelor's Level Degree: Nursing (Required) Basic Life Support (BLS) - Certification - American Heart Association (AHA) RQI, Registered Nurse License (RN) - Nursing License - Other/National Home Health or Hospice, Home Infusion, Supervisory Skills Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application. In support of our mission “to improve health every day,” this is a tobacco-free environment.

What you'll do... The prescriptions are stocked. We need you to bring the passion. The Walmart Rx Manager operates the pharmacy from a place of true caring. Come ready to show your heart for the community we serve, as well as the staff you will grow and develop. It takes strong clinical knowledge and business acumen. You will be empowered to work to the top of your license, ensuring a high level of patient care, while also creating a strategy for growth. We are looking for someone that shows autonomy, advocating for new initiatives, impacting your community, and leading by example. You will set the tone for how we care for our patients. You will be empowered to elevate care and inspire your staff to do the same. The pharmacy environment is fast paced and equipped with the resources and technology you need to succeed. Your biggest tool? Your ability to authentically connect with our patients, as they turn to Walmart for trusted care. You'll really wow us if... - You're an advocate of patient-centered care. You easily adapt to a patient base from a myriad of backgrounds and medical concerns and can remove barriers for all patients to be healthier and happier. - You bring with you a strong business mindset. Analyzing metrics and P&Ls is a task you enjoy and use it to guide the standards you set among your team. - You're passionate about community involvement and enjoy doing outreach and events, including regular Wellness Days. You'll make an impact by... - Letting your energy and enthusiasm shine. As a business leader, you influence and motivate your team to change lives for the better. - Displaying an owner's mentality. You are compliance driven, accustomed to hiring and managing top talent, comfortable driving strategy and truly invested in the business. - Using tools, data, and personal conversations to understand your community demographics and common concerns and stay up to date on emergent and urgent health issues therein. The above information has been designed to indicate the general nature and level of work performed in the role. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. The full Job Description can be made available as part of the hiring process. Benefits & Perks: Beyond competitive pay, you can receive incentive awards for your performance. Other great perks include 401(k) match, stock purchase plan, paid maternity and parental leave, PTO, multiple health plans, and much more. Equal Opportunity Employer Walmart, Inc. is an Equal Opportunity Employer - By Choice. We believe we are best equipped to help our associates, customers and the communities we serve live better when we really know them. That means understanding, respecting and valuing diversity- unique styles, experiences, identities, ideas and opinions - while being inclusive of all people. Provides comprehensive patient care to customers by processing and accurately dispensing prescription orders; administering immunizations; and administering other programs developed by Walmart, in compliance with Board of Pharmacy statutes/regulations. Drives sales and profit in the Pharmacy and OTC areas by ensuring effective merchandise presentation, including accurate and competitive pricing, proper signing, in-stock and inventory levels, budgeting and forecasting sales, developing and maintaining cross functional relationships, and assessing economic trends and demographics. Models, enforces, and provides direction and guidance to Associates on proper Customer service approaches and techniques to ensure Customer needs, complaints, and issues are successfully resolved within Company guidelines and standards. Oversees the implementation of and participates in community outreach programs and encourages Associates to serve as a good member of the community. Ensures compliance with Company and legal policies, procedures, and regulations for assigned areas by analyzing and interpreting reports, implementing and monitoring loss prevention and safety controls, overseeing safety, operational, and quality assurance reviews, developing and implementing action plans, and providing direction and guidance on executing Company programs and strategic initiatives. Provides supervision and development opportunities for Associates in assigned areas by selecting, training, mentoring, assigning duties, providing performance feedback, providing recognition, and ensuring diversity awareness. Ensures confidentiality of information, documentation, and assigned records as required by Company policies, and local, State, and Federal guidelines. Judgment: Make Informed Judgments: Uses relevant business metrics, analyses, and reports to measure, monitor, and improve performance. Identifies and applies sound, fact-based criteria in setting priorities and making decisions. Looks beyond symptoms to determine the root causes of problems, and identify and implement applicable solutions. Integrates knowledge and expertise in making fact-based recommendations and decisions. Customer/Member Centered: Ensure Customer/Member Centered Performance: Analyzes data and information, and develops plans to exceed customer/member expectations. Sponsors initiatives and practices that provide customers/members with desired products, services, and experiences and that grow the business. Ensures customers/members receive the level of service that builds their trust and confidence. Removes barriers to delivering customer/member value, service, and support. Execution and Results: Ensure Execution and Achieve Results: Conveys a sense of urgency in ways that motivate others to complete responsibilities and achieve goals. Pursues the achievement and alignment of measurable and meaningful goals. Leverages resources and talent to achieve business goals. Ensures others are held accountable for achieving expected results. Prioritizes and balances time, actions, and projects to ensure accomplishment of results. Monitors progress of others and redirects efforts when goals change or results are not met. Planning and Improvement: Ensure Planning and Improvement: Sets clear expectations, performance measures, and goals, and helps others do the same. Plans for and ensures others have the information, resources, implementation time, and talent needed to accomplish business initiatives. Identifies and plans for improvement in performance using key business metrics. Influence and Communicate: Build and Influence Team: Develops and communicates logical, convincing reasons, including lessons learned, to build support for one's viewpoints and actions. Involves others in decisions and plans that affect them, when appropriate. Recognizes and rewards team accomplishments, celebrating team and organizational success. Ensures business priorities, change initiatives, and organizational information are communicated in clear and compelling ways. Promotes the exchange of diverse experiences and ideas within own organization. Ethics and Compliance: Ensure Ethics and Compliance: Actively communicates, trains, and guides associates on compliance with policies and procedures. Maintains an environment that promotes and reinforces the highest standards of integrity and ethics. Anticipates potential issues and takes action to enhance compliance. Adaptability: Adapt and Learn: Demonstrates creativity and strength in the face of change, obstacles, or adversity. Adapts to competing demands and shifting priorities. Updates knowledge and skills to handle new complexities, challenges, and responsibilities. Seeks exposure to new ideas and perspectives. Identifies and takes steps to improve adaptability and continuous learning capabilities in own organization. Build Relationships: Network Internally and Externally: Builds trusting, collaborative relationships and alliances with others, inside and outside of the organization. Relates to others in an accepting and respectful manner, regardless of their organizational level, personality, or background. Promotes a team-based work environment that respects, embraces, and values diversity in others. Manages Pharmacy Operations: Conducts Associate meetings to identify and respond to their needs, concerns, and issues related to pharmacy products or services and to share information related to new initiatives. Ensures pharmacy operations are aligned with Company and regulatory (for example, HIPAA, SOP, QA) policies, standards, and procedures. Ensures adherence to proper policies and procedures for advising on, verifying, and dispensing products and Customer, insurance, and licensure issues. Documents information on changes in pharmaceutical products and procedures, and new ideas, approaches, and processes and shares the information with Associates and Managers. Oversees Inventory Flow: Regularly monitors the inventory flow process to identify merchandise that needs to be ordered. Ensures proper execution of inventory flow processes. Monitors and evaluates the facility to identify and address problems with inventory flow. Talent: Manage and Leverage Talent : Develops talent plans for own organization targeted at increasing effectiveness, building diversity, and enhancing bench strength. Manages roles, assignments, and developmental opportunities to maximize organizational performance. Ensures people processes (for example, selection, development, performance evaluation) lead to effective associate performance and desired results throughout own organization. Monitors associate performance and provides constructive feedback that is specific, honest, accurate, and timely. Provides learning opportunities, guidance, and support in the development of associates. Manages Finances: Demonstrates sound financial management skills, including interpreting, analyzing, and explaining financial data and information. Manages budgets and ensures budgets and financial performance are aligned with business strategic requirements. Ensures assets, liabilities, revenues, and operating expenses are accounted for and reported. Complies with Company financial policies and procedures. Compiles and evaluates financial data to ensure operating procedures meet business needs. Monitors financial data and trends to identify and respond to market changes and other areas of opportunity. Quality Patient Care-Facility: Creates a culture of patient care, safety, and accuracy. Communicates clear expectations regarding quality of care and patient safety. Ensures others are held accountable for following standard operating procedures (SOP) and achieving expected quality and patient safety goals. Ensures counseling (providing information related to the health service provided) occurs on new therapy (new items) and as requested by patients or required by practice or state regulations, including appropriate documentation. Analyzes and identifies areas of improvement needed and implements intervention steps to improve team knowledge and focus on patient safety and risk reduction. Promotes reporting and transparency of errors whether actual or patient perceived. Writes timely and effective plans of action focused on identification and correction of root cause. Compliance Focused Execution-Facility: Creates and fosters an environment centered on health care compliance execution. Actively communicates, trains, and guides the processes for completion and follow-up on compliance initiatives to associates within Health & Wellness and other associates as applicable to the respective health care business. Implements compliance initiatives and priorities and monitors compliance execution by others. Ensures appropriate operational execution of billing procedures, HIPAA compliance adherence, and Standard Operating Procedures (SOP). Utilizes auditing processes to identify compliance issues and implement processes for improvement. At Walmart, we offer competitive pay as well as performance-based bonus awards and other great benefits for a happier mind, body, and wallet. Health benefits include medical, vision and dental coverage. Financial benefits include 401(k), stock purchase and company-paid life insurance. Paid time off benefits include PTO (including sick leave), parental leave, family care leave, bereavement, jury duty, and voting. Other benefits include short-term and long-term disability, company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more. You will also receive PTO and/or PPTO that can be used for vacation, sick leave, holidays, or other purposes. The amount you receive depends on your job classification and length of employment. It will meet or exceed the requirements of paid sick leave laws, where applicable. For information about PTO, see ******************************* . Live Better U is a Walmart-paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high school completion to bachelor's degrees, including English Language Learning and short-form certificates. Tuition, books, and fees are completely paid for by Walmart. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to a specific plan or program terms. For information about benefits and eligibility, see One.Walmart . The annual salary range for this position is $112,000.00-$197,000.00 Additional compensation includes annual or quarterly performance bonuses. Additional compensation for certain positions may also include: - Regional Pay Zone (RPZ) (based on location) - Sales Volume Category (SVC) (based on facility sales volume) - Complex Structure (based on external factors that create challenges) Minimum Qualifications... Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications. Bachelor's degree in Pharmacy or PharmD, degree or equivalent FPGEC (NABP). Pharmacy license (by job entry date). Completion of an ACPE accredited immunization training program (for example, APhA, Pharmacy School Curriculum, State Pharmacy Association sponsored). Preferred Qualifications... Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications. U.S. pharmacy related experience Primary Location... 7530 Tidewater Dr, Norfolk, VA 23505-3703, United States of America

We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We're different than most primary care providers. We're rapidly expanding and we need great people to join our team. The Clinical Director will directly supervise and train primary care providers (PCPs) in his/her assigned center. The incumbent in this role is accountable for maximizing overall core model execution, including improving clinical quality, efficiency, outcomes, and clinician/patient satisfaction. In addition to being accountable for the overall clinical outcomes of his/her assigned center, they will have a portion of their time allocated to direct patient care as a PCP and/or other clinical duties (amount dependent on number of direct reports). The remainder of their time is allocated to leadership responsibilities, including PCP performance, engagement, and building a strong clinical-operations synergy and culture. The allocation of time is dependent on several factors, including PCP capacity, market needs, size of centers, patient membership, and Market Clinical Director direction. ESSENTIAL JOB DUTIES/RESPONSIBILITIES: Independently provides care for patients with acute and chronic illnesses encountered in older adult patients. Takes full accountability for patient care and outcomes and appropriately seeks consultation from specialists when needed, though will still stay involved in, and be responsible for, the detailed care of the patient. Engages with the hospitalist whenever one of their patients is in the hospital (regardless of whether the hospitalist works for ChenMed or not). Responsible for assessment, diagnosis, treatment, management, education, health promotion and care coordination and documentation for patients with acute and complex chronic health needs. Leads their care team consisting of care promoter (medical assistant), care facilitator, and care coordinator for patients able to come to the office. For patients that are unable to come to the office-in hospital, SNF, LTC or homebound, engages with the transitional care team and others including case managers, acute and transitional-care physicians, and other resources that may be available depending on the market. Leads Super Huddle (SH) and Transforming Care Meeting (TCM) weekly, as well as supports Center Manager/Center General Manager center clinical leader and/or market clinical leader is not available, based on guidance from Market Chief Medical Officer. Fills in as needed for center clinical leadership needs, including monitoring daily center census as part of joint center accountability for outcomes. Plays an active role in the management of their center and helps cover for other providers who may be out for various reasons. It is also expected that each Clinical Director will take an active role as needed in recruiting patients for the center and recruiting and interviewing additional providers for the company. Managing, mentoring and coaching PCPs in his/her assigned center to deliver outstanding clinical outcomes, including sampling other PCP's daily huddles within their center Leadership rounding with the PCPs (reduced involvement of market clinical leader) Partnering with Center Operations Director/Market General Manager to drive continued improvement of center financial performance, and helping increase center membership Performs other duties as assigned and modified at manager's discretion. KNOWLEDGE, SKILLS AND ABILITIES: Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, plus a variety of other applications used in the company Ability and willingness to travel locally as needed in their market, if applicable, nationally for initial training (2 weeks) and then occasionally regionally and nationally for recruiting or training purposes Fluency in English, verbal and written. There may be jobs in some centers that require fluency in other languages, and this will be made known at the time of application. This job requires use and exercise of independent judgment EDUCATION AND EXPERIENCE CRITERIA: MD or DO in Internal Medicine, Family Medicine, Geriatrics, or similar specialty required Current, active MD licensure in State of employment is required A minimum of 1-year clinical experience in geriatric, adult or family practice setting preferred, with Lead PCP ideally being a ChenMed PCP Partner Completion of Chen Medical training, including Masterful Conversations and meeting facilitation, as part of the individual development plan Board certification in Internal Medicine, Family Medicine, Geriatrics or similar specialty is preferred, Board Eligibility is required Once Board certified, PCP will maintain board certification in their terminal specialty by doing necessary MOC, CME and/or retaking board exams as required Must have a current DEA number for schedule II-V controlled substances Basic Life Support (BLS) certification from the American Heart Association (AMA) or American Red Cross required w/in first 90 days of employment We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care. ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day. Current Employee apply HERE Current Contingent Worker please see job aid HERE to apply

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual's physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our navi Health product, we help change the way health care is delivered from hospital to home supporting patients transitioning across care settings. This life-changing work helps give older adults more days at home. We're connecting care to create a seamless health journey for patients across care settings. Join us to start Caring. Connecting. Growing together. Why navi Health? At navi Health, our mission is to work with extraordinarily talented people who are committed to making a positive and powerful impact on society by transforming health care. navi Health is the result of almost two decades of dedicated visionary leaders and innovative organizations challenging the status quo for care transition solutions. We do health care differently and we are changing health care one patient at a time. Moreover, have a genuine passion and energy to grow within an aggressive and fun environment, using the latest technologies in alignment with the company's technical vision and strategy You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. We are currently looking for Medical Directors that can work daytime in any of the continental time zones in the US. Primary Responsibilities: Provide daily utilization oversight and external communication with network physicians and hospitals Daily UM reviews - authorizations and denial reviews Conduct peer to peer conversations for the clinical case reviews, as needed Conduct provider telephonic review and discussion and share tools, information, and guidelines as they relate to cost-effective healthcare delivery and quality of care Communicate effectively with network and non-network providers to ensure the successful administering of Care Transitions' services Respond to clinical inquiries and serve as a non-promotional medical contact point for various healthcare providers Represent Care Transitions on appropriate external levels identifying, engaging and establishing/maintaining relationships with other thought leaders Collaborate with Client Services Team to ensure a coordinated approach to delivery system providers Contribute to the development of action plans and programs to implement strategic initiatives and tactics to address areas of concern and monitor progress toward goals Interact, communicate, and collaborate with network and community physicians, hospital leaders and other vendors regarding care and services for enrollees Provide leadership and guidance to maximize cost management through close coordination with all network and provider contracting Regularly meet with Care Transitions' leadership to review care coordination issues, develop collaborative intervention plans, and share ideas about network management issues Provide input on local needs for Analytics Team and Client Services Team to better enhance Care Transitions' products and services Ensure appropriate management/resolution of local queries regarding patient case management either by responding directly or routing these inquiries to the appropriate SME Participate on the Medical Advisory Board Providing intermittent, scheduled weekend and evening coverage Perform other duties and responsibilities as required, assigned, or requested You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Board certification as an MD, DO, MBBS with a current unrestricted license to practice and maintain necessary credentials to retain the position Current, unrestricted medical license and the ability to obtain licensure in multiple states 3+ years of post-residency patient care, preferably in inpatient or post-acute setting Preferred Qualifications: Licensure in multiple states Willing to obtain additional state licenses, with Optum's support Understanding of population-based medicine, preferably with knowledge of CMS criteria for post-acute care Demonstrated ability to work within a team environment while completing multiple tasks simultaneously Demonstrated ability to complete assignments with reasonable oversight, direction, and supervision Demonstrated ability to positively interact with other clinicians, management, and all levels of medical and non-medical professionals Demonstrated competence in use of electronic health records as well as associated technology and applications Proven excellent organizational, analytical, verbal and written communication skills Proven solid interpersonal skills with ability to communicate and build positive relationships with colleagues Proven highest level of ethics and integrity Proven highly motivated, flexible and adaptable to working in a fast-paced, dynamic environment *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy California, Colorado, Connecticut, Hawaii, Maryland, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $286,104 to $397,743 annually. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together. Work at home! The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to adverse determinations for medical services related to benefit design and coverage and the application of clinical criteria of medical policies Perform Department of Insurance/Department of Managed Healthcare, and CMS regulatory responses Communicate with UnitedHealthcare medical directors regarding appeals decision rationales, and benefit interpretations Communicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues Actively participate in team meetings focused on communication, feedback, problem solving, process improvement, staff training and evaluation, and the sharing of program results Provide clinical and strategic input when participating in organizational committees, projects, and task forces What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You can work with in an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: MD or DO with an active, unrestricted license Board Certified Cardiologist in an ABMS or AOBMS specialty 5+ years clinical practice experience 2+ years Quality Management experience Intermediate or higher level of proficiency with managed care Basic computer skills, typing, word processing, presentation, and spreadsheet applications skills. Internet researching skills Proven excellent telephonic communication skills; excellent interpersonal communication skills Proven excellent project management skills Proven data analysis and interpretation skills Proven excellent presentation skills for both clinical and nonclinical audiences. Familiarity with current medical issues and practices Proven creative problem-solving skills Proven solid team player and team building skills *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy California, Colorado, Connecticut, Hawaii, Maryland, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $286,104 to $397,743 annually. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

City/State Norfolk, VA Work Shift First (Days) (United States of America) Sentara Norfolk General Hospital is hiring a Clinical Nurse Manager for the Neuroscience IMCU (Stepdown). The Neuro Intermediate Care Unit at Sentara Norfolk General Hospital is a 36 bed Stepdown unit that provides neuro care to a variety of stroke, seizure, craniology, neck and back surgery patients and more. It is a team driven, fast paced, intense and engaging environment for learning. Our staff enjoy working with a variety of medical diagnosis. The Clinical Nurse Manager has overall accountability for the daily operations of one or more clinical areas. Supervises patient care services staff, ensures excellent patient safety and quality outcomes as well as extraordinary patient/family experience. Responsible for interviewing, hiring, developing and retaining staff with the goal of developing a highly reliable team. Demonstrates effective communication and interpersonal skills to achieve unit and corporate goals. Assists in the development and monitoring of unit budget, coordinates purchasing and payroll processes and serves as a clinical resource to team members. Requirements: - BSN required - 2 years experience in a support leadership RN position, i.e. Unit Coordinator, Team Lead, or other like position may be accepted in lieu of 1 year formal management experience. - Demonstrates knowledge, skills, and abilities related to department operations for systems management, HR management, patient safety, quality outcomes and customer service. - Must have excellent communication and interpersonal skills; must possess and demonstrate management and leadership skills. BENEFITS Sentara offers an attractive array of full-time benefits to include: Medical, Dental, Vision Plans Paid Time Off, Sick Leave, Paid Parental Leave, and Emergency Caregiver Leave Tuition Reimbursement and Student Loan Paydown programs 401k/403B, 401a plans Career Advancement Opportunities Work Perks PLUS, Sentara just added MORE benefits that support the needs of you and your family. Ask about our Student Debt Program, our additional floating holiday that was added, or our new resources that will help strengthen your financial outlook. We are confident that you will find our new, enhanced benefit package will exceed your expectations! HOSPITAL OVERVIEW Serving as a destination medical center in the mid-Atlantic region, Sentara Norfolk General Hospital is a Level 1 trauma center in Norfolk, Virginia, home to the Nightingale Regional Air Ambulance, region's first Magnet hospital and nationally ranked heart program at Sentara Heart Hospital. Sentara Norfolk General Hospital, on the Eastern Virginia Medical Campus, is a large 525-bed medical center, which serves as the primary teaching institution for the adjacent Eastern Virginia Medical School (EVMS). Our partnership with EVMS combines the latest innovations in technology, research, and clinical care, to offer advanced diagnostic and therapeutic services. Learn more about nursing careers with Sentara Norfolk General Hospital: ******************************* Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! Keywords: Nursing-Indeed, Talroo-Nursing, Monster, stepdown, IMCU, intermediate care, neuro, ICU, intensive care unit, med/surg, medical/surgical, BSN, Leadership, Manager, Management Job Summary The Clinical Nurse Manager has overall accountability for the daily operations of one or more clinical areas. Supervises patient care services staff, ensures excellent patient safety and quality outcomes as well as extraordinary patient/family experience. Responsible for interviewing, hiring, developing and retaining staff with the goal of developing a highly reliable team. Demonstrates effective communication and interpersonal skills to achieve unit and corporate goals. Assists in the development and monitoring of unit budget, coordinates purchasing and payroll processes and serves as a clinical resource to team members. BSN required, graduate degree preferred. 2 years experience in a support leadership RN position, i.e. Unit Coordinator, Team Lead, or other like position may be accepted in lieu of 1 year formal management experience. Meets any requirements defined by specific specialty. For RNs in Behavioral Health - De-escalation training and physical intervention training within 15 days of hire. For RNs in Emergency Care - De-escalation training and physical intervention training within 90 days of hire. Demonstrates knowledge, skills, and abilities related to department operations for systems management, HR management, patient safety, quality outcomes and customer service. Must have excellent communication and interpersonal skills; must possess and demonstrate management and leadership skills. Qualifications: N-4YR - RN-Bachelor's Level Degree (Required) Basic Life Support (BLS) - Certification - American Heart Association (AHA) RQI, Registered Nurse (RN) Single State - Nursing License - North Carolina, Registered Nurse (RN) Single State - Nursing License - Virginia Department of Health Professionals (VADHP) Management, Nursing Skills Active Learning, Active Learning, Active Listening, Communication, Complex Problem Solving, Coordination, Critical Thinking, Judgment and Decision Making, Leadership, Learning Strategies, Mathematics, Mgmt of Financial Resources, Mgmt of Material Resources, Mgmt of Staff Resources, Microsoft Excel, Microsoft Word, Monitoring, Persuasion, Project Management, Quality Control Analysis, Reading Comprehension, Science, Service Orientation, Social Perceptiveness, Speaking {+ 5 more} Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application. In support of our mission “to improve health every day,” this is a tobacco-free environment.