Laboratory Director Jobs Near Me

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. We are currently seeking an Inpatient Care Management Medical Director to join our Optum team. This team is responsible for conducting acute level of care and length of stay reviews for medical necessity for our members being managed within the continuum of care. Our clients include local and national commercial employer, Medicare, and state Medicaid plans. The Medical Directors work with groups of nurses and support staff to manage inpatient care utilization at a hospital, market, regional or national level. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Participate in telephonic outreach for collaboration with treating providers. This will include discussion of evidence - based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expenses Responsible to collaborate with operational and business partners on clinical and quality initiatives at the site and customer level to address customer expectations Is grounded in the use and application of evidence-based medicine (EBM) such as InterQual care guidelines and criteria review Occasionally, may participate in periodic market oversight meetings with the outward facing Chief Medical Officers, network contractors, nurse management and other internal managers Maintain proficiency in all required software and platforms Although the United Health Services ICM Medical Director's work is typically concentrated in a region, they are part of a national organization and team, and collaborate with peers, nurse managers, and non-clinical employees from across the country. In response to customer needs and expectations, Optum is continuously modifying its programs and approaches. Although not a primary job function, Medical Directors with the interest in doing so often can be involved with change design and management. 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 medical license Current Board Certification in an ABMS or AOBMS specialty 3+ years of clinical practice experience post residency Private home office and access to high-speed Internet Technical proficiency in computer software and systems Preferred Qualifications: Licensure in either HI, AK, OR, ID, WA, UT a plus 2+ years of managed care, Quality Management experience and/or administrative leadership experience Prior UM experience Clinical experience within the past 2 years *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: The Medical Director works actively to implement and administer medical policies, disease and medical care management programs, integrate physician services, quality assurance, appeals and grievances, and regulatory compliance programs with medical service and delivery systems to ensure the best possible quality health care for Health Net members. Assists by providing input and recommendations to the various departments within the organization as to policies and procedures that impact the delivery of medical care. Participates actively on quality improvement committees and programs to obtain and ensure continued accreditation with regulatory agencies. Supports the Health Plan Chief Medical Officer or Senior Medical Director by effectively implementing the Plan initiatives and programs. Leads the effective operational management of assigned departments or functions with an emphasis on execution, outcomes, continual improvement and performance enhancement. As a representative of the Health Net Plan, assists in maintaining relationships with key employer groups, physician groups, individual physicians, managed care organizations, and state medical associations and societies. Participates in quality improvement programs to assure that members receive timely, appropriate, and accessible health care. Provides ongoing compliance with standardized Health Net, Inc. systems, policies, programs, procedures, and workflows. Participates and supports communication, education, and maintenance of partnerships with contracted providers, provider physician groups and IPA's and may serve as the interface between Plan and providers. Responsible for recommending changes and enhancements to current managed care, prior authorization, concurrent review, case management, disability review guidelines and clinical criteria based on extensive knowledge of health care delivery systems, utilization methods, reimbursement methods and treatment protocols. May participate in business development, program development, and development of care integration models for increased care delivery efficiency and effectiveness. Participates in the administration of medical management programs to assure that network providers deliver and Plan members receive appropriate, high quality, cost effective care. Assures compliance with all regulatory, accreditation, and internal requirements and audits. Articulates Plan policies and procedures to providers and organizations and works to ensure effective implementation of policies and programs. May serve as a member on quality and/or care management programs and committees as directed. Analyzes population-based reports to refine management activities, investigate and define variation, and ensure conformance to expected standards and targets. Investigates selected cases reported as deviating from accepted standards and takes appropriate actions. Actively interfaces with providers (hospitals, PPG's, IPA's) to improve health care outcomes, health care service utilization and costs. Analyzes member and population data to guide and manage program direction such as ensuring that members enroll in clinical programs indicated by their clinical need. Leads and/or supports resolution of member or provider grievances and appeals Optimizes utilization of medical resources to maximize benefits for the member while supporting Health Net Plans and Health Net corporate initiatives. Collaborates with Provider Network Management on the network strategy and may meet with Provider Network Management to ensure effective execution of the strategy. Assists in the analysis of performance data of physicians and hospitals and the development and implementation of a corrective action plan. Works to ensure/support appropriate implementation of policies and procedures to maintain compliance with accreditation and regulatory agencies. Supports state regulatory relationships and may serve as the lead physician for state and federal medical management regulatory audits (i.e., NCQA, HEDIS, URAC). Actively supports Quality and Compliance to ensure that Health Net meets and exceeds medical management, regulatory, agency, and quality standards. Provides effective and active medical management leadership. Serves on quality and care management teams and committees. Performs all other duties as assigned. Education/Experience: Graduate of an accredited medical school; Doctorate degree in medicine. Minimum five years medical practice after completing residency-training requirements for board eligibility. Minimum three years medical management experience in a managed care environment or military healthcare environment. License/Certification: Board certification in an ABMS recognized specialty. Must have and maintain current, active and unrestricted MD license in the State of practicing and credentialed by the health plan of employment.Pay Range: $217,000.00 - $412,300.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Note, this is a fully remote opportunity; Ohio candidates that reside in the areas of Brooklyn/Cleveland, Toledo, Columbus and Cincinnati. Provides clinical expertise to promote the delivery of high quality, cost effective, (member centric) medical care. Contributes to the achievement of clinical excellence; quality ratings improvement, appropriate inpatient and outpatient utilization, affordability, compliance, growth and focused improvement and that initiatives are consistently implemented and successfully executed to achieve goals. Responsibilities Provides clinical expertise to the utilization review process and determinations. Provides pre-determination reviews and reviews of claims determinations, providing clinical, coding and reimbursement expertise. Ensures compliance with clinical goals through monitoring of care management performance. Ensures the appropriate and most cost effective medical care is received. Recommends changes and enhancements to current managed care, review guidelines, and clinical criteria based on clinical knowledge of health care delivery systems, utilization methods, reimbursement methods and treatment protocols. Assists in development and interpretation of medical policy, including medical necessity criteria, clinical practice guidelines, and new technology assessments. Provides guidance to case management team in the coordination of quality care. Performs other duties as assigned. Qualifications Education and Experience MD or DO from an accredited medical school with an active, unrestricted (state) license to practice medicine in United States. Minimum of 5 years of established (clinical) care practice experience required. Physician reviewer experience in the insurance industry preferred. Professional Certifications Board Certification, in nationally recognized specialty (ABMS or AOA) is required. Active unrestricted license to practice medicine in U.S. Technical Skills and Knowledge Foundational windows based computer skills, including typing, word processing, presentation, and internet research skills. Strong understanding of integration of evidence-based medicine and managed care principles. Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes: A Great Place to Work: Top Workplace in Northeast Ohio. Year after year we've received this recognition! On-site wellness center at most locations. Enjoy personal trainers, locker room, weight room, elliptical machines, and a variety of classes! On-site cafeteria serving hot breakfast and lunch, at most locations. Choices ranging from salad bar, made to order, hot and cold sandwiches, or a variety of entrees cooked fresh daily. Convenience store at most locations Employee discount program. Discounts at many places in and around town, just for being a Medical Mutual team member Business Casual attire Excellent Benefits and Compensation: Competitive compensation plans Employee bonus program 401(k) with company match and an additional company contribution Excellent medical, dental, vision, and disability insurance An Investment in You: Career development programs and classes Mentoring and coaching to help you advance Education reimbursement up to $5K per year About Medical Mutual: We strive to create peace of mind. Our customers can trust us to do things right and to help them get value from their health plan. We're the largest health insurer in Ohio and for over 85 years, we've been serving our members and the Ohio communities where they live and work. Medical Mutual is a Top Place to Work in Northeast Ohio with exceptional career opportunities that offer challenge, growth and a great work/life balance. We want talented, innovative, and driven people to help us continue to be the best health insurance choice of Ohioans and help make Ohio the best it can be! Our headquarter building is located in Brooklyn, OH and we have multiple offices throughout the state. Join us at one near you! At Medical Mutual and its family of companies we celebrate differences and are mutually invested in our employees and our community. We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status. We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing.

City/State Williamsburg, VA Work Shift First (Days) (United States of America) Sentara Medical Group Cardiology Specialists Office is now hiring a Full-Time Practice Manager I for Williamsburg, VA! Hours:Monday-Friday, Dayshift. NO NIGHTS, HOLIDAYS or WEEKENDS! As a Practice Manager I with Sentara, you will partner with clinical leadership in dyad model to ensure the efficient and effective operations of one clinics/practice with up to 10 staff members. Provides overall supervision of staff and oversight of all aspects of operations including customer service, budget, risk management, and compliance with organizational and ambulatory care policies, regulations, and standards of care. Accountable for personally monitoring and engaging team members and other resources to improve financial performance, quality, patient experience, and team member performance. Qualifications: 1 year experience in Healthcare required 1 year experience in supervisory role required Clinical experience and leadership experience in ambulatory care environment preferred Bachelor's degree preferred Annual bonus incentive offered. Benefits: Sentara offers an attractive array of full-time benefits to include Medical, Dental, Vision, Paid Time Off, Sick, Tuition Reimbursement, a 401k/403B, 401a, Performance Plus Bonus, Career Advancement Opportunities, Work Perks, and more.Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.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: Talroo-Allied Health, Monster, #Indeed, Practice Manager, Medical Office, Allied Health Job Summary The Practice Manager I partners with clinical leadership in dyad model to ensure the efficient and effective operations of one clinics/practice with up to 10 staff members. Provides overall supervision of staff and oversight of all aspects of operations including customer service, budget, risk management, and compliance with organizational and ambulatory care policies, regulations, and standards of care. Accountable for personally monitoring and engaging team members and other resources to improve financial performance, quality, patient experience, and team member performance. Clinical experience and leadership experience in ambulatory care environment preferred. Bachelor's degree preferred. Qualifications: HS - High School Grad or Equivalent (Required) Healthcare, Supervisory Skills Active Learning, Active Learning, Active Listening, Communication, Complex Problem Solving, Coordination, Critical Thinking, Instructing, Judgment and Decision Making, Leadership, Mathematics, Mgmt of Financial Resources, Mgmt of Material Resources, Mgmt of Staff Resources, Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Monitoring, Negotiation, Project Management, Quality Control Analysis, Reading Comprehension, Service Orientation, Social Perceptiveness, Speaking {+ 3 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.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. LTSS Case Manager- Behavioral Health - LPC, LCSW, or Psych RN HYBRID - Work from home and meet with members near San Angelo, TX Brady, TX, Eden, TX, Carlsbad, TX, Big Lake, TX or Wall, TX Position Purpose: Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs. Evaluates the needs of the most complex and high risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome Acts as liaison and member advocate between the member/family, physician, and facilities/agencies Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc Performs frequent home and/or other site visits (once a month or more), such as to assess member needs and collaborate with resources, as required Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 - 4 years of related experience. License/Certification: Licensed Behavioral Health Professional or RN with psychiatric experience based on state contract requirements e.g., LCSW, LPC and RN with BH experience is required. LTSS Case Manager- Behavioral Health - LPC, LCSW, or Psych RN HYBRID - Work from home and meet with members near San Angelo, TX Brady, TX, Eden, TX, Carlsbad, TX, Big Lake, TX or Wall, TX Pay Range: $26.50 - $47.59 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Are you looking for a nursing leadership opportunity with a growing organization? The Laurels of Bon Air has an exceptional opportunity for a Director of Nursing (DON) to join our team. As the Director of Nursing (DON), you will plan, coordinate and manage the nursing department. You will be responsible for the overall direction and evaluation of nursing care and services provided to the residents. You will supervise nursing care provided by RNs, LPNs and CNAs. Benefits: Comprehensive health insurance - medical, dental and vision. 401K with matching funds. DailyPay, a voluntary benefit that allows associates at our facilities the ability to access their pay when they need it. Paid time off (beginning after six months of employment) and paid holidays. Flexible scheduling. Tuition reimbursement and student loan forgiveness. Zero cost uniforms. Responsibilities: Schedule and perform resident rounds to monitor and evaluate the quality and appropriateness of nursing care. Insure proper charting and documentation of care and of medications and treatments. Recommend to the administrator the number and levels of nursing personnel to be employed. Participate in the budget process of the facility and maintains the nursing supply, equipment and nurse staffing budgets. Maintain current knowledge of applicable managed care, Medicare and state Medicaid regulations, reimbursement systems and methodology. Participate in the Quality Assurance Performance Improvement program, making necessary improvement to processes based on quality assurance data. Qualifications: RN license in the state. Director of Nursing, management or supervisor experience in long-term care, restorative or geriatric nursing. Maintains current CPR certification. Additional certification in nursing specialty desired. Ciena Healthcare: We are a national organization of skilled nursing, subacute, rehabilitative, and assisted living providers dedicated to achieving the highest standards of care in five states including Michigan, Ohio, Virginia, North Carolina, and Indiana. We serve our residents with compassion, concern, and excellence, believing that every one of them is a unique person who deserves our best each day that we care for them. If you have a passion for improving the lives of those around you and working with others who feel the same way. IND123

- BEHAVIORAL HEALTH Horizon Health is seeking a Program Director for our clinic in Petersburg, VA The OTP Program Director provides leadership and oversight of the Opioid Treatment Program and is responsible for ensuring the overall clinical integrity of the program. RESPONSIBILITIES: Oversee the day-to-day operations of the OTP Oversee delivery of treatment services Maintain an active involvement and awareness of all patient admissions, discharges, and transfers Develop, review, and maintain the facility's Quality Assurance Plan and Performance improvement tasks Ensure all patient, family, and referral complaints are promptly and appropriately handled in accordance with policy and regulations Facilitate weekly treatment team meeting Complete monthly controlled substance inventory Attend quarterly OTP meetings and trainings as required by DMHA Horizon's programs have dedicated marketing support and outstanding resources from the nation's largest psychiatric contract management company. Excellent opportunity for growth with this national company whose philosophy and track record is to first try to promote from within. For more information about Horizon, please see: ********************** Benefit Highlights: Competitive Compensation Excellent Medical, Dental, Vision, and Prescription Drug Plan 401(K) with company match and discounted stock plan Long and Short-term Disability Flexible Spending Accounts; Healthcare Savings Account Life Insurance Career development opportunities within the company Tuition Assistance Rewarding work environment - Enjoy going to work everyday! For more information email Courtney Eble, Horizon Health Recruiter at ******************************* Requirements: Bachelor's Degree Required, Master's Degree preferred At least 1 year work experience providing services in the field of addiction; minimum 3 years supervisory experience in the human services field. Must have one of the following licenses in VA: LSATP, CSAC, RN, LPN EOE EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.

Sunrise Senior Living was again certified as a Great Place to Work by Activated Insights. This is the 7th time Sunrise has received this top culture and workplace designation, highlighting the special place Sunrise is to be a part of. COMMUNITY NAME The Colonnades Job ID 2024-221578 JOB OVERVIEW *Relocation Assistance to Charlottesville, VA* The Resident Care Director (RCD) serves as the nursing clinical leader for the community and is responsible to lead and manage the health and wellness along with coordination of care and services to residents within the community. Responsible for oversight and implementation of all Care programs, regulatory compliance, recruiting, and performance management. RESPONSIBILITIES & QUALIFICATIONS Responsibilities: As a part of the Sunrise team, supporting our Mission, Principles of Service and Core Values is a fundamental part of this job. Our foundational belief is the sacred value of human life. The unique responsibilities for this role include but are not limited to the essential functions listed as follows: Managing Health and Wellness: Provides strategic leadership for resident care in the community by managing, directing, and monitoring the nursing team as applicable by State/Provincial law, to promote the health and wellness of the resident population. Provides clinical care through the direct application of the nursing process; performs and documents resident assessments and progress notes, evaluates changes in care needs, completes Individualized Service Plans (ISP)/Individualized Care Plan (ICP), provides or delegates hands-on clinical care as indicated by the plan of care, and evaluates resident outcomes. Collaborates with physicians, pharmacists, and other clinical providers to coordinate care and services for the residents. Serves as the CLIA Director as applicable for the community and according to the federal and state/provincial requirements. Partners with Neighborhood Coordinators to promote an integrated and collaborative approach to wellness operations and resident care. Collaborates with Sales partners to determine community capability and assess potential residents' appropriateness for move-in. Seeks direction from a Registered Nurse as needed in accordance with state/provincial regulations and nurse practice acts. Medication Management: Provides strategic leadership for resident care in the community by managing, directing, and monitoring the medication care managers, as applicable by State/Provincial law, to promote the health and wellness of the resident population. Provides oversight of the community medication management program to promote resident safety in the medication use process including onboarding, training, and performance reviews. Provides clinical training and education, as needed, to nurses, medication care managers, care managers, and others who provide resident care. Performs skill evaluation to assure clinical capability of care team members. Quality Assurance and Regulatory Compliance: Tracks, trends, and reports clinical quality data to identify risk. Participates actively as a member of the community Quality Assurance and Performance Improvement committee. Leads clinical quality and process improvement initiatives within the community to mitigate risk and improve resident care outcomes. Recruits, hires, and trains clinical team members and is responsible for performance management, evaluations, and engagement. Completes direct report team member staffing and scheduling according to operational and budgetary guidelines. Partners with the community leadership team to promote resident safety and compliance with Risk Management and OSHA/British Columbia Workers Compensation Act and Occupational Health and Safety Regulation requirements. Serves as the ICC and CLIA Director as applicable for the community. Responsible for infection control programming, including delegation of infection control preventionist, as per state/provincial requirements. Assures compliance with all Federal, State/Provincial, board of nursing, and other applicable regulations. Financial Management: Manages the department budget to include labor/labour and other expenses and understands it's impact on the community's bottom line. Processes and submits monthly expenses and budget data in a timely manner, per Sunrise policies and internal business controls. Understands the internal costs associated with all Sunrise resident care programs. Training, Leadership and Team Member Development: Partners with the Regional Director of Resident Care and/or Executive Director in the delivery and participation in Sunrise University training and self-study programs. On-boards new RCD leaders and other department coordinators as needed. Develops a working knowledge of state/provincial regulations and ensures compliance through supervising and coaching team members. Completes clinical team member staffing and scheduling according to operational and budgetary guidelines when assigned to a community. Holds clinical team accountable, corrects actions when necessary, and documents. Attends regular meetings; Stand Up, Cross Over, Department Head, Town Hall, QAPI, and others as directed by the Executive Director. Keeps abreast of professional developments in the field by reading and attending conferences and training sessions. Maintains compliance in assigned required training and all training required by state/province or other regulating authorities as applicable to this role to ensure that Sunrise standards are always met. Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed throughout this job description are representative of the knowledge, skills, and abilities required. Graduate of an accredited college or school of nursing with a current state/provincial license as a professional Registered Nurse (RN). Minimum two (2) years RN experience with at least one (1) year experience in home health, assisted living, or long-term care environment preferred. Minimum of one (1) year nursing management experience, including hiring, coaching, performance management, scheduling, and daily operations supervision. Certified in CPR and First Aid. Demonstrated knowledge of applied nursing practices, techniques, and methods in accordance with federal, state/provincial and board of nursing requirements. Knowledge of infection control practices and prevention of disease transmission. Ability to delegate assignments to the appropriate individuals based on their demonstrated skill capability and in compliance with all regulations. Experience in tracking, trending, and analysis of clinical performance data preferred. Experience in quality and clinical process improvement and risk assessment preferred. Experience in staff development, training, and/or clinical education preferred. Proven ability to handle multiple priorities, organize efficiently, and manage time effectively. Demonstrated critical thinking, clinical judgment, and decision-making skills. Computer proficiency with electronic medical records, the Microsoft Office suite, and the ability to learn new applications. Ability to work weekends, evenings and flexible hours as needed for resident care/services, including 24/7 on call responsibility. ABOUT SUNRISE Sunrise Senior Living has championed quality of life in senior care for more than 30 years. We believe team members are our greatest resource and are looking for people who share our commitment to provide quality care for seniors and their families. It's no surprise that many of the world's leading experts in Senior Living entrust their career to Sunrise. At Sunrise, you will... Make a Difference Every Day We are passionate about our mission - to champion quality of life for all seniors. We deliver high-quality care with a personal touch and encourage our residents to enjoy life to the fullest. Be Part of a Uniquely Supportive Community The care-focused environment we create for residents extends to our team members. We offer programs, rewards, and benefits to help you live your best. I gnite Your Potential We believe potential has no limits. We offer best-in-class leadership development programs designed to grow our leaders. We are committed to helping our team members achieve their career goals. We also offer benefits and other compensation that include: Medical, Dental, Vision, Life, and Disability Plans Retirement Savings Plans Employee Assistant Program / Discount Program Paid time off (PTO), sick time, and holiday pay Daily Pay offered to get paid within hours of a shift (offered in the U.S. only) Tuition Reimbursemen t In addition to base compensation, Sunrise may offer discretionary and/or non-discretionary bonuses. The eligibility to receive such a bonus will depend on the employee's position, plan/program offered by Sunrise at the time, and required performance pursuant to the plan/program. Some benefits have eligibility requirements Apply today to learn why Sunrise Senior Living is a certified Great Place to Work PRE-EMPLOYMENT REQUIREMENTS Sunrise considers the health and safety of its residents, family members, and team members to be one of its highest priorities. Employment with Sunrise is conditioned on completing and passing a drug test (which does not include marijuana), participating in testing requirements (e.g. Tuberculosis Test, Physical Evaluation). Covid-19 and Influenza vaccination is only required to the extent mandated by applicable federal, state, and local laws and authorities. COMPENSATION DISCLAIMER Selected candidates will be offered competitive compensation based on geographic location of community/office, skills, experience, qualifications, and certifications/licenses (where applicable).

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Candidates MUST live in Nevada. This is a hybrid role involving Work from Home, In Office Engagement, and Community Based Travel within Nevada. Position Purpose: Oversee behavioral health related projects and programs for the Foster Care program for the assigned business unit. Develop and implement behavioral health programs and initiatives for the foster care populations. Oversee foster care operations and initiatives including the development of key performance metrics, policies, procedures, and pilot programs Ensure effective management of care to all foster children under contract Collaborate with stakeholders such as Child Welfare Agencies, Court Appointed Special Advocates , Child Placing Agencies , State Medicaid Departments, Foster Parents, Judges and others to represent behavioral health needs and issues and identify ways to collaborate for better member outcomes Ensure initiatives and processes are consistent and compliant with accreditation guidelines, contractual requirements and best practices Create new service delivery models for children in foster care through partnerships with the health plans and state stakeholders to improve health outcomes or permanency for foster children Compile and review reports to identify utilization trends, solutions to demonstrate positive outcomes and value to the system Present at National Conferences on the Managed Care model/approach for special needs populations Ability to travel Performs other duties as assigned Complies with all policies and standards Education/Experience: Bachelor's degree in Behavioral Health, Psychology, Public Health/Administration or related field. Master's degree preferred. 5+ years of experience working in or with organizations affiliated with child welfare systems or systems that address the needs of the Foster Care population. Licenses/Certifications: Current State Driver's License. Behavioral Health License preferred. Pay Range: $103,500.00 - $191,600.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Come practice in a family-friendly city that has everything from a vibrant night life to great shopping, excellent sporting events, terrific dining, a highly regarded education system, and a world-class international airport. CompHealth has relationships with hospitals across the country and often know about jobs before they're advertised. Contact Lisa Goldstein lisa. goldstein@comphealth. com (954) 837-2674. Seeking an experienced medical director ideally with 1 - 3 years of experience Clinical experience should be hospital medicine This will be a hybrid position with about 4 - 6 days per month in Minneapolis Clinical work will be done as telemedicine Clinical supervision for a team of 10 providers Operation supervision to align with organization goals Candidates should be living in the Midwest region to be considered Family-friendly city with excellent stores, sports, and restaurants Our services are free for you We help negotiate your salary and contract We coordinate interviews and help with licenses Specialized recruiters match your career preferences Experienced support teams take care of every detail

About Us One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn’t your average doctor’s office. We’re on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers and health networks. Our seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years. In February 2023 we marked a milestone when One Medical joined Amazon. Together, we look to deliver exceptional health care to more consumers, employers, care team members, and health networks to achieve better health outcomes. As we continue to grow and seek to impact more lives, we’re building a diverse, driven and empathetic team, while working hard to cultivate an environment where everyone can thrive. About Senior Health One Medical Seniors is a network of primary care practices where we take the time to know our patients as true individuals, and proactively provide the care, support, and inspiration they need to live their best life. We created a high-impact relationship based care model that particularly benefits adults on Medicare and those who might need more attention. Our care model changes everything - the team, outcome-focused payment, customer service, and the technology that supports our care. Our practices offer smaller panel sizes, no billing or coding, and the opportunity to lead systemic change in health care delivery while working with a true team. One Medical Seniors wants to restore humanity to healthcare, for both patients and team members. Medical Director, Geriatrics & Value-Based Care Performance The Medicare Population Health Programs (MPHP) Team is seeking a full time Medical Director to join our team in a National role supporting Geriatrics and value-based care performance. The Medical Director, Geriatrics and Value-Based Care Performance will serve as a key member of the MPHP team, playing a critical role in guiding the clinical management of our patients across markets. The medical director will also be accountable for senior care performance focused on Part B programs and Population Health initiatives. This role reports to the VP and National Medical Director, MPHP. Key Activities: Accountable for Part B performance including PMPM targets, referrals/1000, specialty program utilization, and other drivers Accountable for performance around clinical programs to drive value-based care outcomes around referral patterns, integrated programs, and e-consults Accountable for clinical strategy and execution around dementia care and other key geriatrics initiatives, including clinical pathway development and education Collaboration with stakeholders for design and implementation of network and specialty care programs Collaborate with Population Health/ Screening leader on Geriatrics screening performance and program implementation Collaborate with high risk team leaders around panel management and clinical care Review utilization data to inform specialty specific strategy, direct intervention at the patient level and develop peer to peer outreach strategies. Collaborate with MPHP education program leaders to refine and deploy educational material addressing PCP drivers of high value downstream care Virtual consultation on complex patients Direct care for patients (avg 1 day/ wk, virtual) Travel to markets to meet with stakeholders and external partners (10-20%) Qualifications: Must be within commuting distance of a OM Seniors clinic with ability to visit practices and markets as needed Must be a licensed physician with an active license in AZ, CO or WA. Willing and able to complete licensing in additional markets within three to six months of being in role as requested by the program Must be Board-Certified in Geriatrics, and either Internal Medicine or Family Medicine Minimum of 2 years experience with designing and implementing integrated specialty care or dementia care programs Minimum of 7 years experience with direct clinical value-based care or complex primary care practice Experience with team based care, excellent collaboration skills Able to teach and model Geriatrics-focused care Deep understanding of value-based payment models and clinical program design Comfortable with analytics, creating a business case, and presenting Availability during market time zones with the main working time zone in Mountain Time. Flexibility around work schedule Benefits designed to aid your health and wellness: Taking care of you today Paid sabbatical for every five years of service Employee Assistance Program - Free confidential advice for team members who need help with stress, anxiety, financial planning, and legal issues Competitive Medical, Dental and Vision plans Free One Medical memberships for yourself, your friends and family PTO cash outs - Option to cash out up to 40 accrued hours per year CME & Licensure Reimbursement Protecting your future for you and your family 401K match Credit towards emergency childcare Extra contributions toward maternity and paternity leave Paid Life Insurance - One Medical pays 100% of the cost of Basic Life Insurance Disability insurance - One Medical pays 100% of the cost of Short Term and Long Term Disability Insurance This role is a fully remote role and must be within commuting distance of a One Medical Seniors clinic with ability to visit practices and markets as needed. One Medical is an equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities. One Medical participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Please refer to the E-Verification Poster (English/Spanish) and Right to Work Poster (English/Spanish) for additional information.

Our client is seeking a Clinical Science Director to collaborate with clinical and project teams to design, plan, and develop oncology clinical studies. This role involves authoring clinical development documents, summarizing study results, supporting project teams with scientific insights, and providing progress updates on clinical studies. Essential Duties and Responsibilities: Design, prepare, and initiate study protocols and related documentation in compliance with project plans, federal regulations, GCP, and good medical practices. Interact with investigators and thought leaders to facilitate clinical protocol design. Conduct literature research and assist in investigator selection for clinical studies. Collaborate on the development of informed consent forms, case report forms (CRFs), and CRF instructions. Serve as a contact for medical monitor inquiries with oversight from the program's Medical Monitor. Develop agendas, training materials, and presentations for investigator meetings and site visits. Participate in safety meetings, analyze safety events, and support regulatory filings and study close-out reports. Contribute to writing and reviewing abstracts, publications, and presentations for scientific meetings. Maintain clinical and technical expertise in oncology and provide clinical education support internally. Qualifications: Education: Pharm.D., Ph.D., or M.D. with 8+ years of related experience, or an equivalent combination of education and experience. Experience: 5-8 years in clinical development within the biotech or pharmaceutical industry, including oncology studies with molecular targeted or immunological therapies. Knowledge/Skills: Strong understanding of clinical trial implementation and oncology drug development. Proficiency in designing, executing, and reporting clinical trials. Excellent analytical, organizational, and business communication skills. Ability to manage multiple priorities under tight timelines. Strong public speaking and presentation abilities. Travel: 10-25% travel required. This role involves solving complex problems with innovative approaches and requires collaboration across internal and external stakeholders.

Work With Purpose Salary $110,000 and up At Five Star Senior Living, our people are the critical link to those we serve, and it is their vitality, energy, and caring nature that allows us to fulfill our mission of enriching and inspiring the journey of life. In addition to nurturing and advancing the lives of our residents, our team members enjoy meaningful opportunities for personal and professional growth, within a supportive culture centered around advancing their lives, as well. The Opportunity The Director of Health & Wellness is part of the Care Services Team and will be responsible in overseeing the comprehensive care services provided to our residents. This pivotal role ensures high standards of care and ensures compliance with all regulatory requirements. This leadership will directly impact the quality of life of our residents through meticulous oversight and proactive health management. What You'll Do Overall management of the Care Services Department to provide quality care and services to all residents. Serve as the liaison between resident, family, physician, and other health care providers regarding health care issues. Perform hands-on care procedures within the scope of practice as allowed by state law and in compliance with Five Star Senior Living policies and procedures. Supports and practices the philosophy, objectives, and standards of the Resident Services department to ensure quality care to all residents. Ensure resident care meets the personal, physical, and cognitive needs of each resident as well as maximizing the resident care capacities, identity, independence, choice, and opportunity for social interaction. Maintain a current knowledge of OSHA and state regulations and routinely monitor community compliance with regulations related to resident care. Effective and efficient organization and staffing of the Resident Services Department. Monitor the outcomes of Resident Services activities by evaluating staff performance, ensuring compliance with community and State Regulations, and monitoring the effective and efficient use of budgeted resources. Ensure sound infection control practices are in place that promote a healthy environment and ensure all required infection control training is met. Direct staff to provide quality and appropriate resident care that meets or exceeds company and regulatory standards. Assure the completion of team members schedules with ongoing monitoring of schedules to assure staffing requirements are met. Ensure adequate staffing levels, lead interviewing and all hiring activities for direct reports including orientation, onboarding, and performance reviews. Educate team members on completing and following up on incident reports, particularly regarding falls and ensuring incident reports are completed thoroughly and timely. Responsibilities include leadership, customer service, safety, resident care and communication. What You'll Bring POSITION REQUIREMENTS / QUALIFICATIONS: Graduate of an accredited School of Nursing and possess a current, unencumbered license to practice as a RN/LPN in the State. Must possess current CPR Certificate. Must possess a valid State drivers' license based on property requirements & State law. Ability to pass State and Company criminal background/drug screens. Two years' experience in an assisted living environment desired. Working knowledge of pertinent State Regulations. Proficiency in or ability to use clinical software systems, such as PointClickCare (PCC) and OnShift. Must demonstrate competency in the following areas: Must be able to express self adequately in written and oral English communication, ability to solve problems, analyze data, reports and other business documentation. Shift/Hours Daytime We Got You We see and support the whole you. Because investing in you, and all our team members, is the first step in making a difference in the lives of others. Comprehensive Medical/Dental/Vision 401k + Match Competitive PTO Life, Disability & other supplemental benefits Professional Development Funds Wellness Coaching & Personal Support Benefits Recognition & Reward Programs Is This You? Beyond checking off the boxes, we're looking for someone who shares our deep sense of purpose and passion for advancing the lives of others. Puts People First - You have an authentic connection to our vision of a world in which the quality of life is ageless, and a desire to advance our culture by always respecting and empowering our team members, residents, and families. Customer Focused - You strive to build and strengthen customer loyalty by delivering exceptional hospitality, thoughtful solutions, and innovative customer attraction and retention strategies. Results Oriented - You're forward thinking, seeing the big picture as you lead with empathy and drive to exceed results. You firmly believe that the way in which we achieve results is just as important as what we accomplish together. Drives Operational Excellence - You encourage a mindset of continuous improvement. You respect ideas, collaborate, and empower others to elevate how and what we deliver for our customers and each other. Embraces Change - You're a change driver! A positive communicator who engages all key stakeholders to help them anticipate and embrace what's next, you're always adjusting the target for continuous improvement. EEOC Five Star prohibits discrimination against any applicant or employee with regard to or on the basis of race, color, religion, national or ethnic origin, age, ancestry, sex, pregnancy (including pregnancy, childbirth, lactation and related medical conditions), gender, gender identity and expression (including transgender), sexual orientation, mental or physical disability, military status, certain criminal records, genetic information (including characteristics and testing), HIV testing, a personal admission to a facility for the care and treatment of a mentally ill person and taking of parental leave or membership in any other category protected by applicable law. In addition to federal requirements, Five Star complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has communities and/or facilities. This policy applies to all terms and conditions of employment, including, but not limited to, recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. In addition, Five Star expressly prohibits any form of workplace harassment based on race, color, religion, national or ethnic origin, age, ancestry, sex, pregnancy (including pregnancy, childbirth, lactation and related medical conditions), gender, gender identity and expression (including transgender), sexual orientation, mental or physical disability, military status, certain criminal records, genetic information (including characteristics and testing), HIV testing, a personal admission to a facility for the care and treatment of a mentally ill person and taking of parental leave or membership in any other category protected by applicable law. We will not tolerate harassment of employees in the workplace, or in other settings in which employees may find themselves in connection with their employment. Improper interference with the ability of Five Star's employees to perform their job duties may result in discipline up to and including discharge. Additionally, retaliation, including intimidation, threats, or coercion, because an employee or applicant has objected to discrimination harassment or retaliation, engaged or may engage in filing a complaint, assisted in a review, investigation, or hearing or have otherwise sought to obtain their legal rights under any federal, state, or local law is prohibited and will not be tolerated.

The Medical Director guides and directs the CorVel clinical operations including Case Management, Utilization Management, and Provider Networks. The Medical Director ensures services delivered are the highest quality and meet the standards of CorVel, URAC and State regulations. The Medical Director contributes to CorVel's operational excellence by supporting the organization's mission to provide efficient, effective and compassionate care. This is a contracted, part-time position. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Clinical Leadership: Provide clinical oversight and leadership to the medical management teams, including physicians, nurses and other healthcare professionals. Care Coordination: Develop and implement care management protocols and policies to ensure timely and appropriate medical care for patients. Utilization Review: Oversee the utilization review process to ensure medical necessity, appropriateness and cost-effectiveness of healthcare services. Quality Assurance: Establish and maintain quality assurance programs to monitor and improve the quality of care provided to patients. Acts as the chairperson of the National Credentialing and Quality Assurance Committee. Regulatory Compliance: Ensure compliance with all federal, state, and local regulations related to workers' compensation and managed care. Stakeholder Collaboration: Work collaboratively with internal and external stakeholders, including employers, insurers, healthcare providers, and regulatory agencies, to facilitate coordinated care. Training and Education: Develop and deliver training programs for clinical staff on best practices in workers' compensation care and regulatory requirements. Clinical Documentation: Oversee the development and maintenance of accurate and comprehensive clinical documentation and records. Performance Metrics: Monitor and analyze key performance metrics to assess the effectiveness of medical management programs and identify areas for improvement. Legal Expert: Provide testimony or depositions when requested KNOWLEDGE & SKILLS: Demonstrated experience in a leadership or management role within a healthcare organization Strong understanding of workers' compensation laws, regulations, and best practices Must have a thorough knowledge of both CPT and ICD coding. Ability to interface with claims staff, attorneys, physicians and their representatives, and advisors/clients and coworkers. Excellent written and verbal communication skills, with the ability to interact effectively with diverse stakeholders Strong analytical and problem-solving skills, with the ability to make data-driven decisions Ability to meet designated deadlines Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets Ability to build and maintain effective working relationships with colleagues, providers, and external partners Dedication to delivering high-quality, patient-centered care Strong interpersonal, time management and organizational skills Ability to work both independently and within a team environment Thorough knowledge of ICD and CPT coding EDUCATION/EXPERIENCE: Active, unrestricted doctor of medicine or doctor of osteopathic license or certification to practice medicine in a state or territory of the United StatesA valid medical degree from an accredited institution Board certification in a relevant specialty such as occupational medicine Minimum of 20 years of clinical practice experience, preferably in occupational medicine, workers' compensation, or managed care settings. Demonstrated experience in a leadership or management role within a healthcare organization PAY RANGE:CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc. ) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $230. 00 - $270. 00 per hourA list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk ManagementIn general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. About CorVelCorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Monte Nido Clementine Fairfax Fairfax Station, VA Clementine Fairfax, is a residential treatment program exclusively for adolescents seeking treatment for Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder, or Exercise Addiction. At Clementine, we support adolescents and their families on the path to full recovery by preparing each adolescent to navigate the challenges of life free of the eating disorder. We provide the empathy, education, and support to families as partners in the recovery process. We help each adolescent to replace the eating disorder with healthy skills and a deep understanding of how to live a life that reflects their own unique individuality. We are seeking a Clinical Director to join the Clementine team. The Clinical Director is responsible for the overall clinical quality of our treatment program. This includes, but is not limited to, ensuring quality care, continuous quality improvement, appropriate staffing, and budget responsibility. This position is responsible for overseeing all matters related to the clinical programming of the facility to further enhance our clients' experiences. Great opportunity to lead a team of amazing, passionate mental health employees! Responsibilities: Ensure overall clinical quality of programming with continuous improvement, staffing, and fiscal responsibility. Directly lead clinical therapists through mentoring and coaching; assist therapists interacting with insurance payers. Model normalized eating habits by eating meals to completion with clients and staff while working at mealtimes. At times, the Clinical Director might conduct individual therapy, group therapy, or family therapy. Participate in discharge and aftercare planning with the entire treatment team. Providing safe, affirming and empathetic support across multiple populations Qualifications: At least 5 years of leadership experience in a behavioral health setting is preferred; may substitute leadership experience elsewhere. Working knowledge of admissions and intake, Utilization Review, and 3rd party or insurance payers. Previous experience with Joint Commission and regulatory standards compliance is desired. Ability to manage budgets and utilize KPIs (Key Performance Indicators) is preferred. Experience in an Eating Disorder program or other residential behavioral health setting is very helpful. Knowledge of Diversity, Equity and Inclusion practices Employee selection and performance management experience are a plus. Must hold a Master's degree in a clinical discipline, at minimum. Active State license (or be license eligible). Total Rewards: Discover a rewarding career with us and enjoy an array of comprehensive benefits! We prioritize your success and well-being, providing: Competitive compensation Medical, dental, and vision insurance coverage (Benefits At a Glance) Retirement Company-paid life insurance, AD&D, and short-term disability Employee Assistance Program (EAP) Flexible Spending Account (FSA) Health Savings Account (HSA) Paid time off Professional development And many more! We are committed to creating a diverse environment and are proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

At Powerback, we're on a mission to improve lives. As the leader in physical, occupational, speech, and respiratory therapies, we help older adults stay active and thrive while providing essential therapy for children at home and in school. With over 38 years of trusted service, our reach spans skilled nursing centers, assisted and independent living facilities, outpatient clinics, and home-based care. We're proud to deliver personalized care exactly where and when it's needed most. Join an industry-leading team that restores hope and makes a lasting impact. If you're passionate about making a meaningful difference and want to be part of the future of rehabilitation and wellness, Powerback is the place for you. Why Powerback? Benefits: We offer Medical, Dental, and Vision plans to Full-Time and Part-Time team members. Support for New Grads & Clinical Fellows: Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn from the best in the field. Continuing Education: Keep growing with free CEUs through Medbridge. H-1B Visa & Relocation Assistance: We support Visa or Green Card sponsorships, plus our Journey Travel Program lets you work across the U.S. with the security of a full-time role. Perks at Powerback: Enjoy exclusive discounts on Wireless/TV, Home/Auto/Renters and Pet Insurance, Childcare, Eldercare, and more. Earn rewards through our PowerZone Employee Recognition Program, and expand your expertise with our Clinicians in Action professional development program. Responsibilities: The Director of Rehab PT is responsible for the efficient management of rehabilitation services in their assigned account(s). This position also assists in integration of rehabilitation services in all settings. The Director of Rehab PT ensures that the highest standard of rehabilitation services is delivered and maintained. 1. Assumes responsibility for the efficient and profitable management of rehabilitation services in assigned site(s) of service. 2. Provides direct patient care. 3. Monitors the standard of clinical services being delivered and maintained in all sites and ensures an ethical and compliant product is being delivered. 4. Operationally manages Powerback Rehabilitation personnel and consultants within facility or home care contracts. 5. Ensures accountability to the provision of evidence based care and adherence to care delivery standards. 6. Reviews monthly department and individual therapist outcomes and supports staff in identifying strategies to improve outcomes as needed. 7. Assists therapy staff in identifying and removing barriers to treatment and providing clinical education to meet the needs of the patient. 8. Takes responsibility for the development and support of all staff in their site to include rounding, coaching and mentoring. 9. Assumes responsibility for annual merit evaluation of therapy staff. 10. Assumes responsibility for hiring therapy staff (in conjunction with the Clinical Operations Area Director). 11. Assumes responsibility for daily staffing and utilization with input from treating therapists, consideration of clinical requirements, and recommendations from the Clinical Director. 12. Administers financial controls of revenue and expenses. 13. Assumes responsibility for facility reports on a weekly and monthly basis. 14. Assists Clinical Operations Area Director in annual budget preparation. 15. Assumes responsibility for meeting annual budget goals as set by the Clinical Operations Area Director. 16. Assists with clinical orientation and ensures that there is a quality orientation process for new rehab staff. 17. Supports the delivery of the highest standard of rehab services through appropriate utilization of resources, the promotion of clinical programs, and staff development in collaboration with licensed therapists, the Clinical Operations Area Director and the Clinical Director. 18. Promotes all Powerback Rehabilitation products and services whenever possible. 19. Assists Clinical Operations Area Director in identifying and securing new contracts. 20. Develops and maintains relationship with facility management team and staff as a representative of Powerback Rehabilitation. 21. Ensures that the clinical management of the rehab department, including oversight related to case management, quality improvement, care planning, clinical utilization, and patient identification is overseen. 22. Completes monthly reports and formally reviews them with the facility administration. 23. Performs other related duties as required. Qualifications: 1. They must have a valid Physical Therapy license in the state(s) of practice, or proof of license eligibility. 2. They must have a Master's degree in Physical Therapy; or 3. They must have a Master's degree in a Physical Therapy related field in addition to a Bachelor's degree in Physical Therapy; or 4. They must have a Bachelor's degree in Physical Therapy plus 5 years of progressively responsible PT experience. 5. The qualifying Physical Therapy degree earned outside of the U.S. must be evaluated to be the U.S. equivalent to a degree in Physical Therapy. 6. Additionally, the Director of Rehab PT must have three years direct patient care experience and one year of management experience. 7. A thorough knowledge of Medicare and third party billing is also required. Posted Salary Range: USD $84,240.00 - USD $90,480.00 /Yr.

" For over 40 years, the Potomac Center, Inc. (PCI) has been assisting Northern Virginia residents with counseling, psychological testing, and group, family, marital, and individual therapy services for all ages. We are an outpatient private practice with 13 Licensed Clinical Therapists, and one of the few practices that can offer a full array of mental health services under one roof, from therapy to testing. Role Description This is a full-time on-site role for a Clinical Services Manager at PCI located in Alexandria, VA. The Clinical Services Manager will oversee the day-to-day operations of clinical services, manage a team of healthcare professionals (including hiring, onboarding and evaluating staff members), ensure quality patient care, and collaborate with administration to streamline processes and improve patient outcomes. 20 to 25 hours of clinical services per week, preferably assessments and testing. Experienced with military and minority populations a plus. Benefits include Health, Dental, Vision, Life insurance, vacation and sick time. Qualifications Proven experience in a healthcare management role Strong leadership skills and ability to manage a diverse team Excellent communication and interpersonal abilities Knowledge of healthcare regulations and compliance standards Problem-solving skills and decision-making capabilities Ph.D. from an APA approved program preferred Valid Virginia licensure Experience with electronic health records (EHR) systems Ability to prioritize tasks and work in a fast-paced environment