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Medical director jobs in Columbus, GA - 27 jobs

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  • Medical Director (NV)

    Molina Healthcare Inc. 4.4company rating

    Medical director job in Columbus, GA

    Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for both members and providers and ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality member care - ensuring members receive the most appropriate care at the most effective setting. •Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and under-utilization. * Educates and interacts with network, group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management. * Assumes leadership relative to knowledge, implementation, training, and supervision of the use of the criteria for medical necessity. * Participates in and maintains the integrity of the appeals process, both internally and externally. * Responsible for investigation of adverse incidents and quality of care concerns. * Participates in preparation for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. * Provides leadership and consultation for NCQA standards/guidelines for the plan including compliant clinical quality improvement activity (QIA) in collaboration with clinical leadership and quality improvement teams. * Facilitates conformance to Medicare, Medicaid, NCQA and other regulatory requirements. * Reviews quality referred issues, focused reviews and recommends corrective actions. * Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. * Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and other committees as directed by the chief medical officer. * Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the denial process. * Monitors appropriate care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost-efficiency, and continuity of care. * Ensures that medical decisions are rendered by qualified medical personnel and not influenced by fiscal or administrative management considerations, and that care provided meets the standards for acceptable medical care. * Ensures medical protocols and rules of conduct for plan medical personnel are followed. * Develops and implements plan medical policies. * Provides implementation support for quality improvement activities. * Stabilizes, improves and educates primary care physicians and specialty networks; monitors practitioner practice patterns and recommends corrective actions as needed. * Fosters clinical practice guideline implementation and evidence-based medical practices. * Utilizes information technology and data analytics to produce tools to report, monitor and improve utilization management. * Actively participates in regulatory, professional and community activities. Required Qualifications * At least 3 years health care experience, including at least 2 years of medical practice experience, or equivalent combination of relevant education and experience. * Active and unrestricted Doctor of Medicine (MD) or Doctor of Osteopathy (DO) license in state of practice. * Board certification. * Working knowledge of applicable national, state, and local laws and regulatory requirements affecting medical and clinical staff. * Ability to work cross-collaboratively within a highly matrixed organization. * Strong organizational and time-management skills. * Ability to multi-task and meet deadlines. * Attention to detail. * Critical-thinking and active listening skills. * Decision-making and problem-solving skills. * Strong verbal and written communication skills. * Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $186,201.39 - $363,093 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $186.2k-363.1k yearly 60d+ ago
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  • Veterinarian Medical Director

    MBC Talent Connections

    Medical director job in Columbus, GA

    Veterinary Medical Director Columbus, GA Our hospital in Columbus, GA is seeking an experienced Medical Director to provide strong leadership and deliver exceptional veterinary care for small animals. As the Medical Director, you will set the clinical standards for the hospital, supported by a skilled veterinary team, an engaged hospital manager, and dedicated staff all within a modern, well-equipped facility. Why Join Us Leadership & Growth: Guide and inspire a talented team while shaping the future of our hospital. Collaborative Environment: Work with a 2:1 technician-to-veterinarian ratio and access to advanced equipment for high-quality care. Teaching Opportunities: Located near Auburn, we frequently welcome veterinary students, giving you the chance to mentor and support the next generation of veterinarians. Competitive Compensation: Your leadership and expertise will be well rewarded. Signing Bonus: Receive a generous welcome package as you step into this leadership role. Work-Life Balance: Enjoy generous PTO, holidays, and continuing education support. Comprehensive Benefits: Medical, dental, vision, and mental health resources for you and your family. Relocation Assistance: Support provided to make your transition seamless. What We Offer We provide customized development programs, mentorship opportunities, and career support designed to help you achieve your professional goals. Our compensation package includes competitive pay, performance bonuses, 401(k) with matching, and student loan assistance. Additional benefits include health, dental, vision, and life insurance, mental health resources, paid time off, and holidays. Join us in Columbus, GA, where you can lead with purpose, grow your career, and make a lasting impact in veterinary medicine. If you have any questions, please email *********************
    $173k-280k yearly est. Easy Apply 60d+ ago
  • Medical Director

    Teamhealth 4.7company rating

    Medical director job in Columbus, GA

    Lead the future of emergency medicine (EM) as our Medical Director of Transformation and Quality. Join us at St. Francis - Emory Healthcare, a Level III Trauma Center located in the second largest city in Georgia. Experience life just outside of the Atlanta Metro area. If you are ACLS, ATLS, and PALS certified and are interested in taking your clinical practice to the next level, you are just right for this role. Apply today and ask us about the opportunity for a paid sabbatical or executive MBA sponsorship! California Applicant Privacy Act: ***************************************************************
    $209k-313k yearly est. 8d ago
  • Clinical Director, BCBA

    Apollo Behavior 3.4company rating

    Medical director job in Columbus, GA

    Role: Clinical Director and Board Certified Behavior Analyst/BCBA Compensation: $100,000 base. Target earnings $113,000-$123,000 Schedule: Monday-Friday, 8:00 am - 5:00 pm Apollo Behavior is the premier provider of ABA therapy in metro Atlanta, and the largest ABA provider based in Georgia. We are focused on being the best, and have heavily incorporated relational frame theory into our clinical model. Our excellence is not anecdotal - we have a ~25% annual client graduation rate, and many of our clients enter mainstream educational settings. We embrace a servant leadership model and work hard every day to empower our team to do their best work and be their best selves. We are dedicated to ensuring that our team enjoys a fun, collaborative, non-bureaucratic culture and maintains a healthy work-life balance. To learn more, please visit our website at: ******************************* Role: Clinical Director and Board Certified Behavior Analyst/ BCBA Apollo Behavior is looking for a Clinical Director and Board Certified Behavior Analyst for our center-focused applied behavior analysis services in the Columbus, Georgia area. This is a great opportunity for someone who wants to do great work with other excellent clinicians, be a part of a fun and collaborative culture, maintain work/life balance, and help implement the highest quality ABA available. As a Clinical Director, you are responsible for overseeing the delivery of services and operations of a single location. Your typical day might include: Serving as the leader of our center, overseeing several other BCBAs as they join the team, as well as the Columbus Operations Manager Overseeing your BCBA team's implementation of treatment plans, ensuring they align with best practice standards and meet individual client needs. Completing a tour with a prospective client family Coaching other BCBAs on how to address a specific learning objective, or how to be a more effective leader Collaborating with parents or other caregivers to ensure client progress is sustained long-term Developing and leading other team members Learning about and overseeing our BCBA team's implementation of innovative ABA methods, such as RFT, with mentorship provided by our Clinical Excellence team This role might be for you if: You are a leader who has passion and vision You value the opportunity to develop your clinical and managerial skills with mentorship provided by the leading minds within the ABA field You are an excellent clinician, a great manager, and a collaborator with client caretakers You love to see the results of your work improving the lives of your clients You love to lead and develop other clinicians so we can all ensure our clients achieve their full potential You can be an evangelist to employees, parents, referral sources, and the ABA community You have worked as a BCBA in-center for at least three years Benefits: 26 paid days off per year (includes 8 paid holidays) Health, life, vision and dental insurance 401(k) with a company match $1,000 CEU and travel reimbursement, plus three additional paid CEU days Mentorship and leadership coaching provided by well-known leaders in the field of ABA Referral program What you need: A Board Certified Behavior Analyst credential and 3+ years working as a BCBA with some portion working in-center You must be an exceptional clinician, leader, and operator Strong competency in a range of skill acquisition and behavior reduction techniques Success leading and managing direct care clinical team members
    $113k-123k yearly Auto-Apply 60d+ ago
  • Quality, Risk, Incidents Director- West Central Regional Hospital- Columbus

    State of Georgia 3.9company rating

    Medical director job in Columbus, GA

    Job Title: Quality, Risk, Incidents Director- West Central Regional Hospital- Columbus Pay Grade: N Workplace: West Central Regional Hospital Travel: 10% * Under the supervision of the Director of the Office of Quality, Risk, Incidents, and Investigations, Implements the vision and mission of the Office of Quality, Risk, Incidents, and Investigations at the assigned DBHDD State Hospital. * Provides direction to the local OQRI Staff. * Directly supervises the Risk Manager and Quality Improvement Manager. * Implements state-wide processes to ensure consistency between DBHDD State Hospitals. * Coordinates with other QRI Directors to identify and implement DBHDD Hospital System Performance Improvement needs. * Participates in Hospital Executive Leadership Team, Hospital Medical Executive Committee, and other designated committees. * Provides oversight and ongoing monitoring of CAPs related to internal and external surveys to confirm that the action steps have been fully implemented. * On behalf of Hospital Executive Leadership team, facilitates monthly hospital Quality Council and prepares other quality, risk, and incident related reports as deemed necessary * As part of Hospital Executive Leadership team, implements required TJC and CMS standards and educates hospital staff regarding regulations and compliance expectations in conjunction with State and Federal Law. * As part of Hospital Executive Leadership team: * Works to improve safety and quality of care provided to individuals served at the hospital. * Contributes to biannual reports for Governing Body. * Prepares, organizes, and coordinates TJC Accreditation and CMS Certification Surveys * Actively participates in hospital leadership meetings and works with hospital project leaders to provide guidance and assistance in developing and implementing solutions to quality, risk, and incident issues. * selects key performance indicators * Under the direction of the Hospital RHA, coordinates reporting of Sentinel Events to regulatory entities and facilitates hospital Root Cause Analysis * Position requires up to 10% travel within state hospital system * Actively Participate in assigned Hospital System Meetings * Other duties as assigned Preferred Qualifications Master's in Public Admin, Social Work, Nursing, Business Admin or related field or Master's in healthcare management or related field OR 5 years experience in Quality Management, Risk Management, project management, or related experience. * Experience in Performance Improvement * Knowledge of TJC (HAP, NCC, BHC) accreditation requirements and CMS certification standards * Experience in organizing and preparing for TJC Accreditation (HAP, BHC, NCC) and CMS Certification Surveys * Experience in overseeing established structures and processes in relation to quality management & assurance, performance improvement, risk reporting & mitigation, incident management and Health & Safety within a psychiatric inpatient facility * Experience in Data Analysis * Good communication (verbal and written) and interpersonal skills * Certification in Performance Improvement or Project Management * Experience in Microsoft Office programs * Experience with Microsoft SharePoint and Teams For benefits information, please visit: *************************************** Employment Requirements To ensure the safety and wellbeing of our employees, individuals and communities we serve, certain positions within DBHDD may require evaluations, vaccinations, professional licensure and certifications. Licenses must be current and enable providers to practice within the State of Georgia. The following are a listing of evaluations and vaccinations that may be required for employees, including those not involved with direct care: * Drug Screening * TB Evaluation * Annual Influenza* * Limited exemptions may be made for documented medical contraindications or religious beliefs that object to vaccinations. DBHDD is an Equal Opportunity Employer It is the policy of DBHDD to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. Due to the volume of applications received, we are unable to provide information on application status by phone or e-mail. All qualified applicants will be considered but may not necessarily receive an interview. Selected applicants will be contacted by the hiring agency for next steps in the selection process. This position is subject to close at any time once a satisfactory applicant pool has been identified. FOR THIS TYPE OF EMPLOYMENT, STATE LAW REQUIRES A NATIONAL AND STATE BACKGROUND CHECK AS A CONDITION OF EMPLOYMENT. High school diploma/GED and six (6) years of professional level experience related to the area of assignment. Additional Information * Agency Logo: * Requisition ID: ADM0JB2 * Number of Openings: 1 * Shift: Day Job
    $40k-60k yearly est. 2d ago
  • Director of Culinary Services

    Monarch Estates

    Medical director job in Auburn, AL

    Job Description Provincial Senior Living, proudly part of the Discovery Senior Living family of operating companies, manages lifestyle-focused senior living communities. Our company, which was built on our “Pillars of Excellence,” employs thousands of vital Team Members and is committed to providing a positive work environment and culture that recognizes their value in providing excellent experiences for our residents. We offer rewarding career opportunities that include: Competitive wages Access to wages before payday Flexible scheduling options with full-time and part-time hours Paid time off and Holidays (full-time) Comprehensive benefit package including health, dental, vision, life and disability insurances (full-time) 401(K) with employer matching Paid training Opportunities for advancement Meals and uniforms Employee Assistance Program Our community is looking for an Executive Chef to join our team. The Executive Chef, in collaboration with the Hospitality Manager, is responsible for the overall management and oversight of culinary strategies, initiatives, and daily culinary activities. This role is accountable for overall meal preparation, accurate estimate of food consumption, purchase of food; select and develop recipes; standardize production recipes to ensure consistent quality; establish presentation technique and quality standards. The Executive Chef also plans menus to meet the needs of our residents; ensure proper equipment operation/maintenance; and ensure proper safety and sanitation in kitchen. The Executive Chef will oversee special catering events and may also offer culinary instruction and/or demonstrate culinary techniques. The Executive Chef uses innovation, imagination, originality, and talent as well as judgment and discretion in performance of the essential function of their role. Responsibilities: Assist in planning, preparation, and execution of special events, banquets, and theme meals. Uses innovation, imagination, originality, and talent to produce menus and recipes that utilize the highest quality ingredients allowed within the overall food and labor budget of the community. Understand and maintain monthly and annual budgets for Food & Beverage department, including documentation of monthly spend on food, supplies, and Back of the house labor. Review and adjust menus to accommodate seasonal ingredients, recipe improvements, supply chain shortages, rebated and contracted products and cost of goods increases. Responsible for ensuring that purchasing standards are maintained and that approved vendors are always used. Maintain strong and positive relationships with all vendors. Accurately report and submit monthly inventory of food & beverage supplies. Interview, hire and train staff for culinary and back of the house positions. May assist with interviews for front of the house positions as well. Responsibly manage and supervise all culinary and back of the house staff including scheduling, assignment, direction, performance review, hiring and corrective action consistent with company policy. Work with the Executive Director, Hospitality Manager and community Department Heads to obtain and maintain department customer satisfaction and department of health survey levels at or above designated scores. Ensure preventive maintenance programs are conducted for kitchen equipment and that all staff uses and maintains equipment properly to avoid damage and costly repair. Ensures any dietary needs and restrictions are met. Confirm food policies and procedures are being practiced by kitchen staff including, personal hygiene, safe food storage and handling procedures. Manages control of food preparation with particular attention to potential overproduction and waste. Oversee maintenance and production of accurate daily records. Provide ongoing training at regular intervals to kitchen staff in the areas of food preparation and quality service and ensure that plating and presentation meet DSL standards for quality and appearance. In collaboration with the Hospitality Manager, ensures that the front of house and back of house staff work closely together to deliver a food product that exceeds the residents' and/or guest's expectation. In collaboration with the Hospitality Manager, works with BOH & FOH staff to ensure that they have a clear understanding of how to provide outstanding customer service. Work closely with Marketing and Activities personnel to ensure all resident special needs are met as well as to coordinate planning of unique events. In unison with the Hospitality Manager and Executive Director, meet regularly with residents and family members to confirm that high satisfaction levels are being delivered. Advise community leadership of any concerns regarding residents. Assist Kitchen and Restaurant staff with back and front of the house operations as needed. This includes the ability to work all stations in the kitchen and/or dining room if needed. Supervisory Responsibilities: Directly supervises employees in the Kitchen. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees. Qualifications: Bachelor's degree from an accredited college or university in Culinary Arts preferred, or an associate degree and equivalent combination of minimum five years' work experience as an Executive Chef. Minimum of five years' experience as an Executive Chef within the hospitality industry. Current ServSafe Certification. If having a direct impact on the lives of others is appealing to you, apply today and join our team! EOE D/V
    $75k-132k yearly est. 14d ago
  • Hospice Clinical Manager for Christian provider

    Empyrean Hospice 4.0company rating

    Medical director job in Columbus, GA

    We are a Christian hospice offering the highest quality clinical care and the love and salvation of Jesus Christ. Empyrean Hospice hires Clinical Managers for the overall direction of hospice branch's clinical services. The Clinical Manager establishes, implements, and evaluates goals and objectives that meet and promote our standards of quality and compassionate care delivery. Salary or hourly rate listed is the base for this role; increase commensurate with experience. Position Overview - Clinical Manager: • Represents Empyrean Hospice with the utmost professionalism and compassion • Assists in the development of organization goals • Develops, recommends, and administers policies and procedures • Manages the daily operations of the branch, its staff, the patients in its care or considering its care, and community relationships regarding hospice education and services • Coordinates and oversees all direct and indirect patient services and assures the quality and safe delivery of hospice services • Provides guidance and counseling to the team for continual improvement in all aspects of care • Promotes hospice referrals in the health care community. • Assists with budget preparation and administration • Interprets operational indicators that could impact staffing levels, revenue, or expenses • Hires and orients personnel and conducts performance evaluations • Assures proper maintenance of clinical records in compliance with local, state, and federal laws • Maintains appropriate inventory of supplies and equipment for the provision of patient care • Plans and implements in-service and continuing education programs • Assures compliance with all local, state, and federal laws regarding licensure and certification of organization personnel and, maintains compliance to the CHAP Home Care standards • Stays informed and shares knowledge of changes in the field of nursing and hospice care • In the absence of the Executive Director/Administrator, the Clinical Manager will be vested with authority to act on their behalf • Ensures standards of ethical business and clinical practice are prioritized Who is Empyrean Hospice? With Empyrean Hospice, we are family. We are committed to caring for people at end of life with the same level of dedication and compassion we would choose for our own loved ones. Our core values are the foundation for our dedication to integrity and clinical excellence. Empyrean is a national company with community heart. We provide resources and leadership to support our care teams across the country so they can focus on the quality-of-life care and clinical excellence for the patients and families we serve. Our culture fosters a focus on our care delivery with work-life balance and support for our team members through manageable caseloads and professional growth supported by a team of expert leaders. Empyrean offers ongoing professional education opportunities, manageable caseloads, and a benefits package for eligible employees. • Competitive compensation • Comprehensive benefits include paid time off (PTO), dental, health, life, and vision insurance, an employee assistance program, and professional development assistance • Mileage reimbursement plan • Opportunities for professional growth and advancement Position Qualifications • Professionalism, compassion, empathy, and a desire to help others • Initiative-taking, organized, with attention to detail • Registered nurse in the state with current licensure to practice professional nursing in the state • Bachelor's degree in nursing from an accredited program by the National League for Nursing and/or master's degree in hospice preferred • One (1) to two (2) years of recent experience in home care • One (1) year of management experience preferred with demonstrated ability to supervise and direct personnel • Interpersonal skills and ability to deal tactfully with the community • Has excellent observation, verbal, and written communication skills • Knowledge of business management, governmental regulations, and CHAP standards • Must be flexible in work hours • Must possess a willingness to maintain comprehensive working knowledge regarding information systems and applicable software programs; Computer proficient with Microsoft suite; preferred experience with Homecare Homebase or other EMR • Understands hospice care and the services provided to patient and family/caregiver • Intimate knowledge of Medicare Hospice Certification Empyrean Hospice is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or veteran status. Candidates for employment with Empyrean understand that Empyrean expressly does not want employees to use, and employee's responsibilities and duties with Empyrean will not require or involve, any trade secrets or other confidential information secrets that employee may have obtained from former employers or any other third party. Further, Empyrean expects and facilitates disclosure of, and compliance with, any obligations with any prior employers or other third parties that may legally apply to an employee.
    $53k-88k yearly est. Auto-Apply 60d+ ago
  • Clinic Manager - Columbus/Macon

    Georgia Spine & Orthopedics

    Medical director job in Columbus, GA

    Full-time Description Georgia Spine & Orthopaedics is a leading healthcare facility that provides exceptional orthopedic and spine care to our community. Committed to excellence in patient outcomes, innovative medical practices, and a patient-centered approach, we are seeking an experienced Clinic Manager to contribute to the success of our organization. We are seeking a proactive and organized Clinic Manager to oversee both administrative and clinical operations in Columbus and Macon. The successful candidate will play a vital role in maintaining efficient office processes, promoting a positive work environment, and supporting the overall success of our team. Clinic Manager Responsibilities Manage day-to-day administrative and clinical operations, including scheduling, patient flow, appointment coordination, and inquiries. Supervise and support administrative staff, providing guidance and fostering a collaborative and positive work environment. Implement and enforce office policies and procedures to ensure smooth operations and compliance with healthcare regulations. Coordinate and collaborate with various departments to optimize workflow and communication. Manage inventory, order supplies, and maintain relationships with vendors. Develop and maintain effective filing systems and electronic records to ensure data integrity. Handle patient concerns and inquiries, ensuring a high level of customer service. Support the recruitment, training, and development of administrative staff. Collaborate with leadership to implement improvements in office efficiency and patient experience Requirements • Proven experience as an Office Manager, preferably in a healthcare setting. • Medical Assistant Experience Required • Strong organizational and multitasking skills. • Excellent communication and interpersonal abilities. • Familiarity with healthcare regulations and compliance. • Proficient in office software (e.g., Microsoft Office, electronic health records systems). • Ability to work collaboratively with a diverse team. • Detail-oriented and committed to maintaining confidentiality. Clinic Manager Benefits and Perks • Excellent benefits package including medical, dental, vision, and multiple add-ons available. • Paid time off • Paid holidays • Mileage reimbursement and travel stipends are available.
    $48k-82k yearly est. 48d ago
  • Clinical Director - LaGrange, GA (OTP)

    Crossroads Treatment Centers

    Medical director job in LaGrange, GA

    Crossroads Treatment Centers is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Since 2005, Crossroads has been at the forefront of treating patients with opioid use disorder. Crossroads is a family of professionals dedicated to providing the most accessible, highest quality, evidence-based medication assisted treatment (MAT) options to combat the growing opioid epidemic and helping people with opioid use disorder start their path to recovery. This comprehensive approach to treatment, the gold standard in care for opioid use disorder, has been shown to prevent more deaths from overdose and lead to long-term recovery. We are committed to bringing critical services to communities across the U.S. to improve access to treatment for over 26,500 patients. Our clinics are all outpatient and office-based, with clinics in Georgia, Kentucky, New Jersey, North and South Carolina, Pennsylvania, Tennessee, Texas, and Virginia. As an equal opportunity employer, we celebrate diversity and are committed to an inclusive environment for all employees and patients. Position Requirements: The most qualified candidates will possess the following: Masters Level Degree (or equivalent). Minimum of five (5) years of experience working in addictions treatment. Must have at least one year of supervisory and administrative experience in the field of substance abuse treatment. Must be licensed in the State of Georgia with one of the following: LCSW, LMFT, LPC, or CADC II Must have Certified Clinical Supervisor (CCS) credential.
    $52k-84k yearly est. Auto-Apply 60d+ ago
  • Director Of Rehab - Permanent

    Central Business Solutions 3.2company rating

    Medical director job in Ideal, GA

    Reach us directly at ************************** or ************ The Director of Rehabilitation (DOR) at PowerBack Rehabilitation is responsible for leading a team of clinicians to provide high-quality rehabilitation services to patients. This role involves overseeing all rehab services within the facility, supporting the clinical team through direct patient care, and ensuring the highest standards of rehabilitation practices. The DOR is expected to mentor and grow the clinical team while prioritizing patient needs and fostering a collaborative environment. Responsibilities Oversee all rehabilitation services in the facility. Support the clinical team by providing direct patient care. Ensure the highest standards of rehabilitation services are met. Mentor and grow the clinical team. Design, implement, and execute rehabilitation programs for patients. Make referrals to ensure patients receive comprehensive care. Adapt to the needs of the team and patients. Requirements Bachelor's degree in a rehabilitation discipline (Physical Therapy, Occupational Therapy, or Speech-Language Pathology) required; Master's degree preferred. Licensed and/or eligible for licensure as required in the state of practice. Thorough knowledge of Medicare and third-party billing required. Good verbal and written communication skills. Ability to make independent decisions and problem-solve appropriately. Thorough knowledge of all state practice acts. Ability to positively interact with personnel, patients, residents, family members, visitors, and government agencies. Ability to effectively manage and motivate staff. Central Business Solutions, Inc(A Certified Minority Owned Organization) Checkout our excellent assessment tool: ************************* Checkout our job board : *********************** ===================================================== Central Business Solutions, Inc 37600 Central Court Suite 214 Newark CA, 94560 Phone: ************* Fax: ************** Web: ************************* =====================================================
    $58k-89k yearly est. Easy Apply 60d+ ago
  • Administrative - Clinical Director

    Sequel Youth Services 3.9company rating

    Medical director job in Tuskegee, AL

    Overview: The Therapist coordinates and delivers various programmatic interventions based upon strengths and needs identified in a treatment or service plan. Interventions include individual, group and family counseling. The Therapist acts as a liaison with sponsoring agencies, including utilization review. Prepares accurate documentation of services delivered within set time frames. Sequel TSI of Tuskegee services adjudicated adolescents, ages 12 - 18. Qualifications: This position requires a Master's Degree from an accredited program in social work or related discipline. Must have 1 year experience with adjudicated adolescents to include family and group work or equivalent combination of education and experience. Must be capable of relating to students, other staff and external professionals in a manner to disseminate information in a clear and understandable format. The incumbent will have the ability to solve practical problems and deal with a varied of variables in situations where only limited standardization exist as well as interpret educational and case assessments. Classification: Non-Exempt Benefits: Daily Pay
    $48k-58k yearly est. 17d ago
  • Director of Counseling & Health Promotion Services

    Auburn University at Montgomery 3.8company rating

    Medical director job in Auburn, AL

    Information Vacancy Number: S-01247 Position Title: Director of Counseling & Health Promotion Services Classification Title: Department: Counseling & Health Promotion Services Employment Type: Full-Time Special Instructions to Applicants: Auburn University at Montgomery reserves the right once interviewing has begun to stop accepting applications. Duties and Responsibilities: The Counseling and Health Promotion Services Department at Auburn University at Montgomery (AUM) is accepting applications for a full time Director. The candidate selected for this position will be responsible for the following duties and responsibilities: * Ensures counseling services are available to students, ensures the continuous quality improvement and evaluation of counseling services. * Serve as subject-matter expert for mental health issue on campus including developing informational materials for the campus community. * Direct the human, financial, and other resources needed to accomplish objectives of the Counseling Center. * Develops, monitors, and administers the Counseling Center's budget. * Establish and administer policies and procedures within the Center consistent with ethical practices within the counseling field as well as stated and federal regulations. * Provide direction and coordination of services to students including individual and group counseling, administration and interpretation of diagnostic instrument, and academic and career counseling. * Plan, direct, and evaluate the operational, financial, and personnel activities of the Counseling Center. * Provide administrative leadership and supervision. * Recommend, hire, orient, train, and evaluate assigned staff; monitor and coordinate staff development and training programs. * Provide general mental health services such as individual and group therapy, crisis intervention, and case management. * Provide culturally competent service to a diverse client population. Knowledge, Skills, and Abilities: The successful candidate should possess the following knowledge, skills, and abilities: * Knowledge of basic word processing software and the ability to operate standard PC/PC software applications * Knowledge of applicable university policies and procedures * Knowledge of ethical and legal issues as applied to the provision of clinical services * Knowledge of clinical service delivery systems in university counseling centers * Knowledge of budgeting principles and practices * Knowledge of acceptable supervisory practices * Knowledge of public relations and marketing strategies * Knowledge of applicable state and federal rules and regulations * Technical knowledge and abilities specifically related to the Counseling Center * Problem analysis skills * Interpersonal skills * Oral and written communication skills * Ability to coordinate and manage the work of others and multiple programs and activities * Ability to develop and maintain relationships with others * Ability to speak in public and make oral presentations * Ability to supervise professional counselors as well as interns in psychology and counseling * Ability to respond to multiple competing demands Minimum Qualifications: Masters in counseling, psychology, or related field is required (doctorate preferred). Must be a professional licensed counselor by the State of Alabama at the time of hire. Applicant must possess five (5) years of related experience in a counseling center, with at least two (2) years in a management or supervisory role. Job Open Date: 12/18/2025 This posting will remain open until closed: Yes Job Close Date: About the University/College Located in Alabama's vibrant state capital, Auburn University at Montgomery is a fast-growing university on the rise. Don't just take our word for it: The Princeton Review rates us as one of the best colleges in the Southeast, while U.S. News & World Report recently ranked us No. 22 among regional universities in the South for the quality of undergraduate teaching and 38th among all public institutions in the region. AUBURN UNIVERSITY AT MONTGOMERY IS AN AFFIRMATIVE ACTION/EQUAL OPPORTUNITY EMPLOYER. It is our policy to provide equal employment and education opportunities for all individuals without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, gender expression, pregnancy, age, disability, protected veteran status, genetic information, or any other classification protected by applicable law. The Office of Human Resources/ Affirmative Action/Equal Employment Opportunity (AA/EEO) strives to ensure an inclusive and equitable working, living, and learning environment for members of the AUM community. Quick Link ************************************** Position Profile Link Applicant Documents Required Documents * Cover Letter * Resume * Professional Reference Sheet
    $64k-74k yearly est. 41d ago
  • Director of Nursing Services

    TMC 4.5company rating

    Medical director job in Tuskegee, AL

    DescriptionTo plan, organize, develop and direct the overall operation of the Nursing Services Department in accordance with current federal, state and local standards governing the facility, and as may be directed by the Administrator, to ensure that the highest degree of quality care is maintained at all times. Key Responsibilities ESSENTIAL FUNCTIONS: 1. Develops and maintains nursing service goals and standards of practice. 2. Ensures nursing employees follow policies and procedures. 3. Ensures nursing employees understand and follow responsibilities defined in their job description. 4. Recommends to the administrator resources needed to carry out nursing activities, including but not limited to clinical equipment and supplies and the number and level of nursing personnel to be employed. 5. Participates in the employment of nursing personnel, including recruitment, retention, hiring, orientation, in-service education, supervision, evaluation, and termination of nursing employees. 6. Participates with the Medical Director in developing and implementing policies and procedures for patient care. 7. Ensures a comprehensive plan of care is developed and implemented in tandem with the interdisciplinary team. Ensures patients are assessed and plan of care revised timely. 8. Coordinates nursing services with other services such as medical, rehabilitative, social services and activities. 9. Makes daily rounds on patient care units. 10. Ensures the function of the person identified as the center's Education Coordinator are carried out when the DON does not assume the role of Education Coordinator. The DON may assign the responsibilities to the Assistant Director of Nursing, who will be responsible for conducting nursing department training programs, required in-services and meetings. Human Resources Page 2 of 3 11. Conducts nursing employee meetings with nursing employees on all shifts on a quarterly basis. 12. Maintains compliance with state and federal regulation and company policies and procedures. 13. Works with the Administrator to develop a Plan of Correction for any identified survey deficiencies related to the nursing department and will ensure that the Plan of Correction is fully implemented. 14. Administers and evaluates nursing service programs to maintain standards of patient care. 15. Develops effective relationships with other departments to ensure that the nursing programs are properly planned and maintained to meet the needs of the patient. 16. Protects patients' rights to ensure fair and equitable treatment, self-determination, individuality, privacy, dignity, civil rights, and safety. 17. Works with the HR department to ensure the primary source of verification of all licensed and certified nursing employees is current and meets state and federal regulations. 18. Ensures an adequate number of trained, competent nursing employees are scheduled twenty-four hours a day. 19. Ensures nursing hours are posted daily according to federal regulations. 20. Counsels and disciplines nursing employees when indicated and ensures necessary documentation is completed and maintained. 21. Evaluates job performance of nursing employees with input from Unit Managers and Assistant Director of Nursing. 22. Demonstrates and ensures customer service standards are being met when interacting with employees, patients, visitors, and the general public. 23. In collaboration with the Infection Preventionist or designee ensures infection prevention and control program, and employee health policies are implemented. 24. Promotes and maintains a positive working relationship with physicians/physician extenders and providers of lab, pharmacy, and therapy services to ensure safe care of patients. 25. Completes accident/incident reports, investigates, and does appropriate follow through for allegations of abuse/neglect, family/patient concerns, and associated incidents. a. Reports allegations/incidents to Administrator, b. Ensures notification is made to all local, state, and federal agencies as required, c. Ensures notification is made to physician/physician extender and family. Human Resources Page 3 of 3 26. Ensures nursing representation on all quality assurance committees: a. Care Planning b. Infection Prevention and Control c. Risk, d. Utilization Review, e. Pharmacy, and Safety. 27. Effectively manages budget for the nursing department, medical supplies, and equipment. 28. Works to resolve problems that arise, such as errors in judgment, inappropriate or wasteful use of supplies. 29. Practices and ensures compliance with the center's Safety Program, including back safety and fire safety. 30. Ensures administration of medication according to current standards of nursing practice. 31. Performs other duties, as assigned. Skills, Knowledge and Expertise Must be a Registered Nurse in good standing and currently licensed by the State of Alabama or in training to satisfactorily complete the requirements to become a Registered Nurse Must be at least 18 years of age Must show ability to read and write in a legible and understandable manner Must speak and understand English Previous experience in a hospital, long-term care facility or other healthcare related facility Must be knowledgeable of general, rehabilitative and restorative nursing and medical practices and procedures and laws, regulations and guidelines governing long-term care Positive attitude toward the elderly
    $64k-86k yearly est. 15d ago
  • Director of Nursing (DON)

    Ball Healthcare 4.3company rating

    Medical director job in Tuskegee, AL

    Job Description NOW HIRING: Director of Nursing Services (DON) If you are looking for a great career opportunity to work for an established Skilled Nursing Facility, look no further! We are currently seeking a Director of Nursing Services (DON) for our Magnolia Haven Health & Rehabilitation Center in Tuskegee, AL. You must have the ability to plan, develop, organize, implement, evaluate and direct the overall operation of the Nursing Services department in accordance with current federal, state and local standards governing the facility and as may be directed by the Administrator to ensure that the highest degree of quality care is maintained at all times. You must have clinical skills capable of providing skilled care to both long-term and short-term post- acute patients. If you have a desire and a passion to serve the rehabilitation and healthcare needs in both long-term and short-term care, this is the opportunity for you! Qualifications: Must be a Registered Nurse in good standing and currently licensed by the State of Alabama Must have Nurse Management experience Must have previous experience in a hospital, long-term facility or other healthcare related facility Must be knowledgeable of general, rehabilitative and restorative nursing and medical practices and procedures and laws, regulations and guidelines governing long-term care Must have the ability to communicate effectively, both verbally and in writing Must have a comfort and positive attitude in communicating with the elderly who have multiple nursing care needs Job Type: Full-time Benefits: Competitive Pay * Excellent Benefits Package * Continuing Education Support (Professional Licenses) * Tuition Reimbursement Program Interested in joining a great team, email your resume or stop by the facility! Magnolia Haven Health & Rehabilitation Center 603 Wright Street Tuskegee, AL 36803 - Phone: ************** Magnolia Haven Health & Rehabilitation Center is an Equal Opportunity Employer Job Type: Full-time
    $60k-75k yearly est. 7d ago
  • Medical Director (NV)

    Molina Healthcare 4.4company rating

    Medical director job in Columbus, GA

    Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for both members and providers and ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties - Determines appropriateness and medical necessity of health care services provided to plan members. - Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality member care - ensuring members receive the most appropriate care at the most effective setting. -Evaluates effectiveness of utilization management (UM) practices - actively monitoring for over and under-utilization. - Educates and interacts with network, group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management. - Assumes leadership relative to knowledge, implementation, training, and supervision of the use of the criteria for medical necessity. - Participates in and maintains the integrity of the appeals process, both internally and externally. - Responsible for investigation of adverse incidents and quality of care concerns. - Participates in preparation for national committee for quality assurance (NCQA) and utilization review accreditation commission (URAC) certifications. - Provides leadership and consultation for NCQA standards/guidelines for the plan including compliant clinical quality improvement activity (QIA) in collaboration with clinical leadership and quality improvement teams. - Facilitates conformance to Medicare, Medicaid, NCQA and other regulatory requirements. - Reviews quality referred issues, focused reviews and recommends corrective actions. - Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. - Attends or chairs committees as required such as credentialing, Pharmacy and Therapeutics (P&T) and other committees as directed by the chief medical officer. - Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review and manages the denial process. - Monitors appropriate care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost-efficiency, and continuity of care. - Ensures that medical decisions are rendered by qualified medical personnel and not influenced by fiscal or administrative management considerations, and that care provided meets the standards for acceptable medical care. - Ensures medical protocols and rules of conduct for plan medical personnel are followed. - Develops and implements plan medical policies. - Provides implementation support for quality improvement activities. - Stabilizes, improves and educates primary care physicians and specialty networks; monitors practitioner practice patterns and recommends corrective actions as needed. - Fosters clinical practice guideline implementation and evidence-based medical practices. - Utilizes information technology and data analytics to produce tools to report, monitor and improve utilization management. - Actively participates in regulatory, professional and community activities. Required Qualifications - At least 3 years health care experience, including at least 2 years of medical practice experience, or equivalent combination of relevant education and experience. - Active and unrestricted Doctor of Medicine (MD) or Doctor of Osteopathy (DO) license in state of practice. - Board certification. - Working knowledge of applicable national, state, and local laws and regulatory requirements affecting medical and clinical staff. - Ability to work cross-collaboratively within a highly matrixed organization. - Strong organizational and time-management skills. - Ability to multi-task and meet deadlines. - Attention to detail. - Critical-thinking and active listening skills. - Decision-making and problem-solving skills. - Strong verbal and written communication skills. - Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs. Preferred Qualifications - Experience with utilization/quality program management. - Managed care experience. - Peer review experience. - Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $186,201.39 - $363,093 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $186.2k-363.1k yearly 60d+ ago
  • Veterinarian Medical Director

    MBC Talent Connections

    Medical director job in Columbus, GA

    Veterinary Medical Director - Columbus, GA Our Columbus, GA hospital seeks a Medical Director dedicated to leadership and high-quality veterinary care for small animals. As the Medical Director, you will be responsible for shaping the clinical standards at our hospital. You will have full support from a skilled team, an enthusiastic hospital manager, and our cooperative staff, all within a well-equipped facility. **Why Join Us? - **Leadership & Growth:** Lead and support a dedicated team while influencing the future of our hospital. - **Collaborative Environment:** Work with a 2:1 technician-to-veterinarian ratio and utilize modern equipment for effective operations and outstanding patient care. - **Teaching Opportunities:** We are located near Auburn and often welcome veterinary students, giving you the chance to share your knowledge and inspire the next generation of veterinarians. - **Competitive Compensation:** We appreciate your leadership and expertise. - **Signing Bonus:** Enjoy a warm welcome as you begin this leadership position. - **Generous PTO & CE:** We value your work-life balance and ongoing education. - **Comprehensive Benefits:** We offer health, vision, dental, and mental health resources for you and your family. - **Relocation Assistance:** We will help make your transition smooth. **What We Offer: We offer personalized development programs, mentorship, and career support to help you reach your goals. Enjoy competitive pay, performance bonuses, 401(k) matching, and student loan assistance. Our benefits include health, dental, vision, and life insurance, along with mental health resources. Youll also receive generous paid time off and holidays.
    $173k-280k yearly est. 60d+ ago
  • Director of Culinary Services

    Monarch Estates

    Medical director job in Auburn, AL

    Provincial Senior Living, proudly part of the Discovery Senior Living family of operating companies, manages lifestyle-focused senior living communities. Our company, which was built on our “Pillars of Excellence,” employs thousands of vital Team Members and is committed to providing a positive work environment and culture that recognizes their value in providing excellent experiences for our residents. We offer rewarding career opportunities that include: Competitive wages Access to wages before payday Flexible scheduling options with full-time and part-time hours Paid time off and Holidays (full-time) Comprehensive benefit package including health, dental, vision, life and disability insurances (full-time) 401(K) with employer matching Paid training Opportunities for advancement Meals and uniforms Employee Assistance Program Our community is looking for an Executive Chef to join our team. The Executive Chef, in collaboration with the Hospitality Manager, is responsible for the overall management and oversight of culinary strategies, initiatives, and daily culinary activities. This role is accountable for overall meal preparation, accurate estimate of food consumption, purchase of food; select and develop recipes; standardize production recipes to ensure consistent quality; establish presentation technique and quality standards. The Executive Chef also plans menus to meet the needs of our residents; ensure proper equipment operation/maintenance; and ensure proper safety and sanitation in kitchen. The Executive Chef will oversee special catering events and may also offer culinary instruction and/or demonstrate culinary techniques. The Executive Chef uses innovation, imagination, originality, and talent as well as judgment and discretion in performance of the essential function of their role. Responsibilities: Assist in planning, preparation, and execution of special events, banquets, and theme meals. Uses innovation, imagination, originality, and talent to produce menus and recipes that utilize the highest quality ingredients allowed within the overall food and labor budget of the community. Understand and maintain monthly and annual budgets for Food & Beverage department, including documentation of monthly spend on food, supplies, and Back of the house labor. Review and adjust menus to accommodate seasonal ingredients, recipe improvements, supply chain shortages, rebated and contracted products and cost of goods increases. Responsible for ensuring that purchasing standards are maintained and that approved vendors are always used. Maintain strong and positive relationships with all vendors. Accurately report and submit monthly inventory of food & beverage supplies. Interview, hire and train staff for culinary and back of the house positions. May assist with interviews for front of the house positions as well. Responsibly manage and supervise all culinary and back of the house staff including scheduling, assignment, direction, performance review, hiring and corrective action consistent with company policy. Work with the Executive Director, Hospitality Manager and community Department Heads to obtain and maintain department customer satisfaction and department of health survey levels at or above designated scores. Ensure preventive maintenance programs are conducted for kitchen equipment and that all staff uses and maintains equipment properly to avoid damage and costly repair. Ensures any dietary needs and restrictions are met. Confirm food policies and procedures are being practiced by kitchen staff including, personal hygiene, safe food storage and handling procedures. Manages control of food preparation with particular attention to potential overproduction and waste. Oversee maintenance and production of accurate daily records. Provide ongoing training at regular intervals to kitchen staff in the areas of food preparation and quality service and ensure that plating and presentation meet DSL standards for quality and appearance. In collaboration with the Hospitality Manager, ensures that the front of house and back of house staff work closely together to deliver a food product that exceeds the residents' and/or guest's expectation. In collaboration with the Hospitality Manager, works with BOH & FOH staff to ensure that they have a clear understanding of how to provide outstanding customer service. Work closely with Marketing and Activities personnel to ensure all resident special needs are met as well as to coordinate planning of unique events. In unison with the Hospitality Manager and Executive Director, meet regularly with residents and family members to confirm that high satisfaction levels are being delivered. Advise community leadership of any concerns regarding residents. Assist Kitchen and Restaurant staff with back and front of the house operations as needed. This includes the ability to work all stations in the kitchen and/or dining room if needed. Supervisory Responsibilities: Directly supervises employees in the Kitchen. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees. Qualifications: Bachelor's degree from an accredited college or university in Culinary Arts preferred, or an associate degree and equivalent combination of minimum five years' work experience as an Executive Chef. Minimum of five years' experience as an Executive Chef within the hospitality industry. Current ServSafe Certification. If having a direct impact on the lives of others is appealing to you, apply today and join our team! EOE D/V JOB CODE: 1004465
    $75k-132k yearly est. 12d ago
  • Director of Nursing Services

    TMC 4.5company rating

    Medical director job in Tuskegee, AL

    Department Quality Care Rehab Employment Type Full Time Location Magnolia Haven HealthCare & Rehabilitation Center Workplace type Onsite Key Responsibilities Skills, Knowledge and Expertise About TMC We specialize in delivering innovative solutions and exceptional services to meet the diverse needs of our clients. With a strong commitment to quality and customer satisfaction, we strive to exceed expectations and drive success in every project we undertake.
    $64k-86k yearly est. 22d ago
  • Director of Nursing

    Ball Healthcare 4.3company rating

    Medical director job in Tuskegee, AL

    NOW HIRING: Director of Nursing Services (DON) If you are looking for a great career opportunity to work for an established Skilled Nursing Facility, look no further! We are currently seeking a Director of Nursing Services (DON) for our Magnolia Haven Health & Rehabilitation Center in Tuskegee, AL. You must have the ability to plan, develop, organize, implement, evaluate and direct the overall operation of the Nursing Services department in accordance with current federal, state and local standards governing the facility and as may be directed by the Administrator to ensure that the highest degree of quality care is maintained at all times. You must have clinical skills capable of providing skilled care to both long-term and short-term post- acute patients. If you have a desire and a passion to serve the rehabilitation and healthcare needs in both long-term and short-term care, this is the opportunity for you! Qualifications: Must be a Registered Nurse in good standing and currently licensed by the State of Alabama Must have Nurse Management experience Must have previous experience in a hospital, long-term facility or other healthcare related facility Must be knowledgeable of general, rehabilitative and restorative nursing and medical practices and procedures and laws, regulations and guidelines governing long-term care Must have the ability to communicate effectively, both verbally and in writing Must have a comfort and positive attitude in communicating with the elderly who have multiple nursing care needs Job Type: Full-time Benefits: Competitive Pay * Excellent Benefits Package * Continuing Education Support (Professional Licenses) * Tuition Reimbursement Program Interested in joining a great team, email your resume or stop by the facility! Magnolia Haven Health & Rehabilitation Center 603 Wright Street Tuskegee, AL 36803 - Phone: ************** Magnolia Haven Health & Rehabilitation Center is an Equal Opportunity Employer Job Type: Full-time
    $60k-75k yearly est. 8d ago
  • Medical Director, Behavioral Health (PST)

    Molina Healthcare 4.4company rating

    Medical director job in Columbus, GA

    JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties - Provides behavioral health oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and decrease costs. - Facilitates behavioral health-related regional medical necessity reviews and cross coverage. - Standardizes behavioral health-related utilization management, quality, and financial goals across all lines of businesses. - Responds to behavioral health-related requests for proposal (RFP) sections and reviews behavioral health portions of state contracts. - Assists behavioral health medical director lead trainers in the development of enterprise-wide education on psychiatric diagnoses and treatment. - Provides second level behavioral health clinical reviews, peer reviews and appeals. - Supports behavioral health committees for quality compliance. - Implements behavioral health specific clinical practice guidelines and medical necessity review criteria. - Tracks all clinical programs for behavioral health quality compliance with National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS). - Assists with the recruitment and orientation of new psychiatric medical directors. - Ensures all behavioral health programs and policies are in line with industry standards and best practices. - Assists with new program implementation and supports for health plan in-source behavioral health services. Required Qualifications - At least 3 of relevant experience, including 2 years of medical practice experience in psychiatry/behavioral health, or equivalent combination of relevant education and experience. - Doctor of Medicine (MD) or Doctor of Osteopathy (DO). License must be active and unrestricted in state of practice. - Board Certification in Psychiatry. - Working knowledge of applicable national, state, and local laws and regulatory requirements affecting medical and clinical staff. - Ability to work cross-collaboratively within a highly matrixed organization. - Strong organizational and time-management skills. - Ability to multi-task and meet deadlines. - Attention to detail- available to work PST zone. - Critical-thinking and active listening skills. - Decision-making and problem-solving skills. - Strong verbal and written communication skills. - Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs. Preferred Qualifications - Experience with utilization/quality program management. - Managed care experience. - Peer review experience. - Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $186,201.39 - $363,093 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
    $186.2k-363.1k yearly 23d ago

Learn more about medical director jobs

How much does a medical director earn in Columbus, GA?

The average medical director in Columbus, GA earns between $139,000 and $348,000 annually. This compares to the national average medical director range of $143,000 to $369,000.

Average medical director salary in Columbus, GA

$220,000

What are the biggest employers of Medical Directors in Columbus, GA?

The biggest employers of Medical Directors in Columbus, GA are:
  1. Molina Healthcare
  2. MBC Talent Connections
  3. TeamHealth
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