Director of Reimbursement
Medical director job in Salem, NH
Director of Reimbursement & Decision Support
JOB PURPOSE
Responsible for the revenue budgeting, reimbursement, and financial analysis functions. Train and develop staff. Prepare annual and flexible budgets including maintenance of budgets on financial system. Establish procedure to maintain and report hospital operating statistics. Ensure the accuracy of contractual allowances and due to third party for monthly closings including the running of the Medicare model. Prepare reports and graphs for monthly and quarterly financial statements. Analyze and report various departmental income statements including the allocation of overhead. Responsible for all cost report functions. Maintain system of automated contractual allowances. Document and implement operational procedures. Prepare forecasts. Perform special financial analysis projects.
Performs other duties and tasks as assigned by the Senior Director of Finance.
QUALIFICATIONS
Bachelors degree in accounting or finance required. At least 4 years of healthcare finance or accounting experience. Strong Excel and Word skills. Supervisory experience preferred.
Director-Rehab Clinical
Medical director job in Franconia, NH
15,000 SIGN-ON BONUS
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 team members. We offer Dental and Vision to Part-Time team members.
Paid Time Off: We offer generous paid time off to Full-Time and Part-Time team members.
Support for New Grads: 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 OT 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 OT 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 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 Bachelor's degree in an occupational therapy curriculum accredited by ACOTE standards.
2. They must have initial registration from the National Board for Certification in Occupational Therapy.
3. The Director of Rehab OT must hold a valid and unencumbered occupational therapy license as required in the state of practice.
4. Additionally, the Director of Rehab OT must have three years direct patient care experience and one year of management experience.
5. A thorough knowledge of Medicare and third party billing is also required. Posted Salary Range: USD $79,040.00 - USD $112,000.00 /Yr. Bonus: USD $15,000.00
Nurse Director Surgical Services
Medical director job in Manchester, NH
Community hospital part of a system looking to bring on Nurse Director Surgical Services! Bonus Incentives! Full Relocation!
Ensures high quality, patient-centered care through oversight of the overall function and staffing of the unit(s)/department(s) in addition to forecasting, planning, and budget monitoring. Director fosters a culture of accountability and collaboration and supports the development and implementation of strategies, policies, and procedures in support of facility objectives.
Information:
Trauma 3
Not Union
8 ORs with 2 CVORs
Service lines - General Surgery, Vascular, CVOR, Urology, Gynecological, Orthopedics, Neurological (struggling) and NO ENT.
Robots - 2 XIs for general surgery
Cases - 500
FTEs reporting under the position: 67
Direct report- 2 Certified Nurse Coordinators (CNC)
CVOR - lead tech
Reports to Administrative Director
Education & Experience:
Bachelor's Degree in Nursing REQUIRED
Master's Degree Preferred
MUST HAVE MIN 3 YRS OF DIRECTOR SURGICAL SERVICES EXPERIENCE
Medical Director
Medical director job in Lancaster, NH
Position Type: Part-time, exempt
Job Highlights
Work-Life Balance: Competitive compensation with balanced hours.
Weekend & On-Call Freedom: No on-call, no weekends.
Always Supported: NP/PA support at all locations, always.
Pre-Screened Patient Interactions: Virtual care team and APP triage before physician contact.
Flexible Scheduling: Your schedule, tailored to fit your life. No set daily shift times.
No Overnight Duties: Sleep peacefully with no overnight call/requirements.
Effortless documentation: Conversational and Dragon dictation.
Meaningful Connections: Establish lasting relationships with patients and staff.
Culture of Appreciation: Your work is valued and rewarded.
$1,500 CME and Conference Allowance: Invest in your growth.
Full Gear: iPad with LTE, Apple Pen, AirPods provided.
Licensure Reimbursed: We cover your medical licensure costs.
Malpractice & Tail Covered: Full insurance peace of mind.
Benefits: 401k match, Medical/Dental/Vision, Disability, Employer-paid Life Insurance.
Relocation Help: Assistance for a smooth move.
Referral Bonus: Earn more by expanding our team.
Travel Reimbursed: Gas and mileage for work travel.
Career Advancement: Leadership opportunities promoted.
UpToDate Subscription: Latest medical info at your fingertips.
Essential Functions & Responsibilities
The physician serves as medical director for skilled nursing facilities (SNF) and participates in administrative and quality initiatives for the facilities he or she is responsible for;
Medical directorship functions include attending and participating in monthly quality assurance and process improvement meetings; participating in quality improvement initiatives; providing guidance to facility staff; reviewing and revising (if necessary) facility's clinical guidelines; insuring compliance with state and federal regulations, training facility staff; and supervising facility clinical staff.
In addition to the medical director role, the physician also serves as the attending physician for the residents residing at each facility;
The physician collaborates with Nurse Practitioners and Physician Assistants to manage day to day resident care at each facility. Typically, each facility will have a full-time PA or NP assigned to the facility depending on the acuity and volume of the patient population;
Physician will provide high quality, patient-centered, comprehensive primary care services by rounding on patients residing in SNFs;
Physician is responsible for diagnosing and treating patients with acute illness, such as bacterial and viral infections, as well as chronic diseases and conditions, such as hypertension, heart disease, or diabetes
Provider documentation is completed in Theoria's proprietary electronic health record (EHR) system, ChartEasy™
PointClickCare, MatrixCare, and American HealthTech are the most commonly used facility EHR systems
Participating in Theoria's Chronic Care Management, Transitional Care, RPM and other medical quality initiatives and programs
Physician must be able to supervise collaborating nurse practitioners and physicians assistants
Physician must be able to utilize electronic/online medical tools such as EHR systems and state/county medical systems utilized for Death Certificates and administrative functions.
Company Overview
Leading the charge in healthcare innovation, Theoria Medical offers a unique blend of medical excellence and technological advancement, primarily serving the post-acute and primary care sectors. Our extensive network includes multispecialty physician services and RPM, covering skilled nursing facilities across the country. In our national push for expansion, we're scouting for the brightest nurse practitioners and physicians eager to drive change and deliver superior care. Join us for a rewarding career that promises professional growth, flexibility, and the chance to shape the future of healthcare.
Shift Structure
Shifts are flexible depending on physicians' schedule;
Typically, medical directors work a minimum of 2-3 days/week at each facility they oversee;
Rounding times are flexible with no set start and end time. Preferably, physicians start in the morning between 7-10 a.m. and finish their day when their caseload has been seen;
No nights, weekends, or on-call
Call is covered by Theoria's virtual care team
This is an in-person position
Compensation and Benefits
Competitive compensation package, including Medical Director stipend
Compensation ranges approximately from $50,000-$400,000/year depending upon employment status and availability (PRN, Part-Time, Full-Time)
Employer Paid - Life Insurance Policy
Employee must be able to perform the essential functions of this position satisfactorily, with or without a reasonable accommodation. Employer retains the right to change or assign other duties to this position. All benefits and job highlights are subject to and contingent upon availability.
Theoria Medical conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act.
Pre-employment drug testing, fingerprinting or other screening may also be required for certain types of positions at the Theoria Medical (ex: direct-patient care) or where required for compliance with state or federal laws, contracts or grants.
#LI-SM1
#LI-Onsite
#IND-MULTI
Auto-ApplyBehavioral Health Medical Director-Psychiatrist Appeals
Medical director job in Manchester, NH
**Behavioral Health Medical** **Director-Psychiatrist** **Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations can be considered.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
**Work schedule: Monday - Friday. Half day Saturday rotation, once a month.**
The **Medical Director** is responsible for the administration of behavioral health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities.
**How you will make an impact:**
+ Supports clinicians to ensure timely and consistent responses to members and providers.
+ Provides guidance for clinical operational aspects of a program.
+ Conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations.
+ Serves as a resource and consultant to other areas of the company.
+ May be required to represent the company to external entities and/or serve on internal and/or external committees. May chair company committees.
+ Interprets medical policies and clinical guidelines. May develop and propose new medical policies based on changes in healthcare.
+ Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes.
+ Identifies and develops opportunities for innovation to increase effectiveness and quality.
+ Provides oversight, direction, and guidance to Medical Director Associates.
+ Works independently with oversight from immediate manager.
+ May be responsible for an entire clinical program and/or independently performs clinical reviews.
+ Typically has program management responsibilities including clinical policy development, improvement of quality, cost, and outcomes, program development/implementation, and overseeing clinical/non-clinical activities.
**Minimum Qualifications:**
+ Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
+ Must possess an active unrestricted medical license to practice medicine or a health profession.
+ Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
+ Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
+ For Health Solutions and Carelon organizations (including Behavioral Health) only, minimum of 5 years of experience providing health care is required.
+ Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.
**Preferred Skills, Capabilities and Experiences:**
+ Child and Adolescent experience preferred.
+ Utilization Management experience.
+ Applied Behavior Analysis (ABA) experience.
+ An active unrestricted medical license to practice medicine or a health profession in California or ability to obtain upon hire.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $274,068 to $428,976.
Locations: Costa Mesa, CA, Walnut Creek, CA, Woodland Hills, CA
In addition to your salary, Elevance Health 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). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws _._
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Medical Director - Family Medicine ~ Newport, NH
Medical director job in Newport, NH
Seeking a dedicated Family Medicine Physician and Medical Director to join their vibrant rural outpatient practice. This permanent role offers a unique blend of clinical and administrative responsibilities, supporting a team of six providers in a supportive and community-focused environment. Responsibilities
Provide outpatient family medicine care at Newport Health Center, managing 16-18 patients per day
Serve as Medical Director, dedicating approximately 12 hours per week to administrative and clinical support duties
Work primarily during day shifts Monday through Friday, including one evening shift until 7:00 PM
Participate in on-call coverage evenings, nights, and weekends with a call ratio of 1:10
Utilize Epic EMR for all documentation and patient records
Collaborate with a team of 6 providers in a rural health center setting
Support quality improvement initiatives and oversee clinical operations as Medical Director
Maintain compliance with credentialing, licensing, and hospital policies
Participate actively in patient care, team meetings, and community health outreach as needed
Requirements
Board Certified or Board Eligible (acceptable for the right candidate) in Family Medicine
Must have or be willing to obtain New Hampshire state medical license
BLS certification
Manage an average of 16-18 patients per day in an outpatient setting
Gretchen Sheppard ~ US HealthCare Careers ~ gretchen@ushealthcarecareers.biz ~ 408-686-9450
PCO Medical Director- UM - Full Time
Medical director job in Concord, NH
**Become a part of our caring community and help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims. The Medical Director, Primary Care work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to operationalize this knowledge in their daily work.
The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, participation in care management and possible participation in care facilitation with hospitals. The clinical scenarios predominantly arise from inpatient or post-acute care environments. There are discussions with external physicians by phone to gather additional clinical information or discuss determinations regularly, and in some instances, these may require conflict resolution skills. An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope.
The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market care facilitation and priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management.
**Use your skills to make an impact**
**Responsibilities**
The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health Services. After completion of mentored training, daily work is performed with minimal direction. Enjoys working in a structured environment with expectations for consistency in thinking and authorship. Exercises independence in meeting departmental expectations and meets compliance timelines.
**Required Qualifications**
+ MD or DO degree.
+ 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age).
+ Current and ongoing Board Certification in an approved ABMS Medical Specialty as well as ABQAURP, or other boarddemonstratingadvanced training in transitions of care, quality assurance,utilizationmanagementand care coordination.
+ A current and unrestricted license in at least onejurisdictionand willing to obtainadditionallicense, ifrequired.
+ No currentsanctionfrom Federal or State Governmental organizations, and able to pass credentialing requirements.
+ Excellent organizational,verbaland written communication skills.
+ Evidence of analytic and interpretation skills, with prior experienceparticipatingin teams focusing on transitions of care, quality management,utilizationmanagement, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation.
**Preferred Qualifications**
+ Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management.
+ Utilizationmanagement experience in a medical management review organization, such as Medicare Advantage,managed Medicaid, or Commercial health insurance.
+ Experience with national guidelines such as MCG or InterQual.
+ Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialists
+ Advanceddegreesuch as an MBA, MHA, MPH
+ Exposure to value-based care, Public Health, Population Health, analytics, and use of business metrics.
+ Experience working with Casemanagersor Caremanagerson complex case management, including familiarity with social determinants of health.
+ The curiosity to learn, the flexibility toadaptand the courage to innovate.
**Additional Information**
Will report to the Director of Physician Strategy at Utilization Management. The Medical Director conducts Utilization review of the care received by members in an assigned region, market, member population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational committees.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$223,800 - $313,100 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 12-31-2025
**About us**
About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
Primary Care Medical Director - New London Hospital
Medical director job in Lebanon, NH
Enhance your Leadership Career with Darthmouth Health! New London Hospital - Primary Care Medical Director New London Hospital (NLH) is seeking an experienced and energetic BC/BE Primary Care Physician (Family Med, Internal Med, Geriatrics, Pediatrics) to join our Primary Care practice as Medical Director. In addition to providing primary care services to a panel of patients, this physician will serve as the Medical Director of New London Hospital.The ideal candidate has atleast 3 years of prior leadership experience managing a primary care team, ideally in a rural setting but all primary care settings will be considered.
The candidate will be fully supported by experienced nurses, medical assistants, and care coordinators to provide team-based care that is grounded by evidence-based best practices. This practice provides comprehensive care and is deeply rooted in the local community.
The Primary Care Medical Director is responsible for departmental clinical leadership and oversight of providers to ensure high-quality patient care, fiscal viability, and employee satisfaction. This person also serves as a liaison between the provider group and hospital administration and will collaborate with the medical staff committees and individuals to optimize communication, efficiency, and effectiveness of clinic services. The leader will work to foster an environment of collegiality by role-modeling the values of New London Hospital while setting clear expectations for team members to follow. They will also partner closely with the director of ambulatory services to create departmental goals and objectives that will advance and align with the priorities of New London Hospital (NLH). The Primary Care Medical Director will report directly to the Chief Medical Officer and be responsible for the clinic leadership team consisting of the primary care medical director, the Newport Health Center (NHC) medical director, and the clinical program director of quality initiatives.
What New London Hospital has to offer you:
* Established patient base for you to grow upon
* Collegial environment and referrals
* Ties to the Academic Medical Center
* Competitive compensation and benefits packages including relocation assistance
* Dedicated CME time and funds
What New England has to offer you:
* Four seasons and an outdoor lifestyle
* Proximity to mountains and hiking trails
* Driving distance to the seacoast and/or ski resorts
* Access to major cities and airports
* Local lakes for boating and swimming
Founded in 1918, New London Hospital is a not-for-profit Critical Access Hospital serving 15 communities within the Kearsarge/Lake Sunapee region in central New Hampshire, providing primary care and specialized clinical services in a patient and family-centered environment. New London Hospital is associated with the teaching hospital, Dartmouth-Hitchcock Medical Center, and the Geisel School of Medicine.
In addition to services at the main campus in New London, primary and some secondary care services are offered at the organization’s Newport Health Center, a rural health center founded in 1991 in Newport, NH. The center offers primary care, pediatrics, gynecology, occupational health, laboratory, X-ray, mammography, and rehabilitative services.
Incorporated in 1779, New London is situated in the beautiful Dartmouth-Lake Sunapee Region of New Hampshire. Just south of Hanover and north of Concord in Merrimack County.
New London offers a variety of unique retail shops, fine dining, lodging, and entertainment! Visitors will find plenty of activity in New London. Summer brings band concerts to the common, popular musicals to the Barn Playhouse, festivals, fairs, and parades. Winter activities include skiing at nearby Mount Sunapee, snowshoeing, cross-country skiing, and snowmobiling.
Responsibilities
Qualifications
Board Certified/Board Eligible in Family Medicine or Internal Medicine
Must obtain and maintain a medical license in the State of NH and Federal DEA registration
* Area of Interest:Physician
* FTE/Hours per pay period:1.00 - 1.00 - 40 hrs/week
* Shift:Day
* Job ID:14632
Dartmouth Health offers a total compensation package that includes a comprehensive selection of benefits. Our Core Benefits include medical, dental, vision and life insurance, short and long term disability, paid time off, and retirement plans. Click here for information on these benefits and more:Benefits | DHMC and Clinics Careers
Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
Dartmouth Hitchcock Medical Center and Dartmouth Hitchcock Clinics comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We do not exclude or treat people differently because of race, color, national origin, age, disability, or sex.
Medical Director - Outpatient Mental Health
Medical director job in Nashua, NH
Olesky Associates, Inc. has been in the placement / recruiting industry for three decades. We offer an extensive array of services, ranging from physician placement to practice and hospital brokering. Our Search Consultants located in our home office in Massachusetts utilize a state-of-the-art computer network and database that allows instant access to all of the information necessary for mutually beneficial placements throughout the country.
This technology, combined with our personal attention and expert screening of each candidate, has made our agency extremely successful in the placement of all specialties, including:
Family Practitioners
Internists, Pediatricians
OB/Gyns
Emergency Medicine
Psychiatrist
Nurse Practitioners
Hospitalist
Dermatologist
Oncology / Radiology
All medical specialties
All surgical specialties
LCSW / LICSW/ LMHC / BCBA
Job Description
Medical Director, Outpatient Mental Health - Nashua
Outpatient Mental Health Facility is seeking a Medical Director to oversee behavioral health care. This role is roughly 50% clinical and 50% administrative/leadership. Position is Outpatient and involves working with a multidisciplinary treatment team.
Duties involve conducting psychiatric evaluations and medication management services for patients with minor and major mental illnesses.
Director will be responsible for overall leadership of mental health center, including supervision of center's providers, overseeing treatment plans, reviewing medical records, etc.
No Nights, No Weekends and No Call
Contact Jerome at Olesky Associates for more information
Additional Information
All your information will be kept confidential according to EEO guidelines.
Veterinarian Medical Director - Exotics & Avian
Medical director job in Windham, NH
Are you a veterinarian who's reliable, driven, and passionate about medicine-and ready to lead with purpose?
At Canobie Lake Veterinary Hospital, we see you. We're the 2024 AAHA Hospital of the Year, and we're looking for a Medical Director who's excited to shape a thriving, multi-species practice while mentoring an incredible team.
We believe leadership should feel empowering, not exhausting. You'll have strong support (1:7 ratio), advanced tools (digital rads, ultrasound, in-house lab), and the autonomy to practice excellent medicine-your way.
What You'll Get:
Competitive salary + sign-on bonus + relocation + student loan help
Paid CE, mentor network, and future ownership opportunities
Full medical/dental/vision, 401K, pet discounts
Flexible scheduling and time to actually
enjoy
your life
What You Bring:
A great attitude, strong work ethic, and growth mindset
Experience in general practice with exotics/avian (preferred)
Leadership skills and a passion for mentoring others
This is your chance to lead a top-tier hospital-with heart. Let's talk about your goals and how we can help you reach them.
📍Windham, NH | 40 min to Boston | No income or sales tax
Job Description
Full-Time Medical Director Veterinarian
Proficient in general medicine, surgery and dentistry among a variety of species, with avian and exotics preferred as the primary species
Strong leadership qualities and ability to mentor and guide new veterinarians
Staff management, client relations, medical quality assurance and oversight of the practice
Qualifications
Doctor of Veterinary degree, or equivalent, from an accredited university
Active veterinary state license
Current DEA License preferred but not required
USDA Accreditation preferred but not required
Additional Information
WE ARE A DRUG-FREE, SMOKE-FREE, EQUAL OPPORTUNITY EMPLOYER.
Company Policy & Federal & State Laws Forbid Discrimination Because of Age, Color, Race, Religion, Sex, Disability, Sexual Orientation or National Origin
Veterinarian Medical Director - Exotics & Avian
Medical director job in Windham, NH
Are you a veterinarian who's reliable, driven, and passionate about medicine-and ready to lead with purpose? At Canobie Lake Veterinary Hospital, we see you. We're the 2024 AAHA Hospital of the Year, and we're looking for a Medical Director who's excited to shape a thriving, multi-species practice while mentoring an incredible team.
We believe leadership should feel empowering, not exhausting. You'll have strong support (1:7 ratio), advanced tools (digital rads, ultrasound, in-house lab), and the autonomy to practice excellent medicine-your way.
What You'll Get:
* Competitive salary + sign-on bonus + relocation + student loan help
* Paid CE, mentor network, and future ownership opportunities
* Full medical/dental/vision, 401K, pet discounts
* Flexible scheduling and time to actually enjoy your life
What You Bring:
* A great attitude, strong work ethic, and growth mindset
* Experience in general practice with exotics/avian (preferred)
* Leadership skills and a passion for mentoring others
This is your chance to lead a top-tier hospital-with heart. Let's talk about your goals and how we can help you reach them.
Windham, NH | 40 min to Boston | No income or sales tax
Job Description
* Full-Time Medical Director Veterinarian
* Proficient in general medicine, surgery and dentistry among a variety of species, with avian and exotics preferred as the primary species
* Strong leadership qualities and ability to mentor and guide new veterinarians
* Staff management, client relations, medical quality assurance and oversight of the practice
Qualifications
* Doctor of Veterinary degree, or equivalent, from an accredited university
* Active veterinary state license
* Current DEA License preferred but not required
* USDA Accreditation preferred but not required
Additional Information
WE ARE A DRUG-FREE, SMOKE-FREE, EQUAL OPPORTUNITY EMPLOYER.
Company Policy & Federal & State Laws Forbid Discrimination Because of Age, Color, Race, Religion, Sex, Disability, Sexual Orientation or National Origin
Physician - Medical Director of Thoracic Surgery
Medical director job in Concord, NH
Concord Hospital's Cardiovascular Institute is seeking a Medical Director of Thoracic Surgery to join a comprehensive team of specialists in a highly diverse and successful program, working closely with the Chief of Cardiothoracic Surgery. The ideal candidate will have a demonstrated ability to work collaboratively in a multispecialty group practice environment and will possess strong leadership skills and excellent clinical capabilities. Concord Hospital is a non-profit hospital located in Concord, New Hampshire. It is the principal site of the Concord Hospital regional health system which serves central and northern New Hampshire.
This opportunity provides the ability to work in a 295 bed hospital with a level II trauma center and an outpatient clinic setting. Concord Hospital is a designated lung cancer screening center, offering a weekly collaborative multidisciplinary case conference and quarterly Cancer Committee meetings. The pulmonary team of eight physicians collaborates with this team to promote multidisciplinary team-based care. Works closely with our team of medical and radiation oncologists, nurse navigator, social workers and dietitian at the Payson Center for Cancer Care. The Payson Center for Cancer Care is accredited by the American College of Surgeons Commission on Cancer as a Comprehensive Community Cancer Program (CoC-CCCP) and the American College of Radiology -Radiation Oncology Practice Program (ACR-ROPA).
Concord Hospital's Cardiovascular Institute is a multispecialty, energetic and fast growing service looking for a hardworking, motivated individual to support and expand our high-quality program. Currently our program has a total of 12 non-invasive cardiologists, 4 interventional cardiologists, 2 electrophysiologists, 2 cardiothoracic surgeons,1 thoracic surgeon and 4 vascular surgeons. Our team also includes 10 cardiology advanced providers 5 physician assistants dedicated to cardiothoracic surgery and 2 physician assistants dedicated to vascular surgery.
Generous compensation package
Competitive income guarantee
Attractive benefits package
Competitive CME allowance
Starting & Retention Bonus
Relocation Reimbursement
Live, work and play in Concord
Concord provides all the energy, culture and opportunities of an urban city-yet is surrounded by magnificent natural beauty and protected habitats.
One hour to Boston, the White Mountains and the Atlantic Coast
Local regional airport in Manchester, NH; 20 minutes from Concord
An abundance of outdoor activities like biking, boating, golfing, skiing and hiking
Eclectic mix of dining, shopping and entertainment
Enjoy a lower cost of living with no state income tax or sales tax
Excellent private & public school systems all within close proximity to the hospital
Qualifications
MD/DO
BC/BE in Thoracic Surgery
Minimum of 5 years experience
Ability to obtain NH state professional licensing & DEA
Concord Hospital is an Equal Employment Opportunity employer. It is our policy to provide equal opportunity to all employees and applicants and to prohibit any discrimination because of race, color, religion, sex, sexual orientation, gender, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status.
Know Your Rights: Workplace Discrimination is Illegal
Applicants to and employees of this company are protected under federal law from discrimination on several bases. Follow the link above to find out more.
If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, you may contact Human Resources at ************.
Physical Demands and Work Environment Requirements
The Dictionary of Occupational Titles Material Handling Classification is LIGHT. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds.
The employee is regularly required to hear and speak. The employee is frequently required to walk, sit, do repetitive motion and perform activities that require fine motor skills. The employee is occasionally required to bend, climb, reach, drive, smell, squat and stand.
Specific vision abilities required by this job include color vision, depth perception, far vision, near vision, and peripheral vision.
The employee is frequently exposed to airborne pathogens, bloodborne pathogens, and bodily fluids. The employee is occasionally exposed to airborne contaminants, radiation, chemotherapeutic agents, toxic or caustic chemicals, electrical hazards-shock, non-weather related heat or cold, variable weather conditions, moving mechanical parts and slippery surfaces.
The noise level in the work environment is usually moderate.
Auto-ApplyMedical Director-PSCCR
Medical director job in Manchester, NH
Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The Medical Director-PSCCR is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program.
How you will make an impact:
* Supports clinicians to ensure timely and consistent responses to members and providers.
* Provides guidance for clinical operational aspects of a program.
* Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients office visits with providers and external physicians.
* May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations.
* Serves as a resource and consultant to other areas of the company.
* May be required to represent the company to external entities and/or serve on internal and/or external committees. May chair company committees.
* Interprets medical policies and clinical guidelines. May develop and propose new medical policies based on changes in healthcare.
* Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes.
* Identifies and develops opportunities for innovation to increase effectiveness and quality.
* Provides oversight, direction, and guidance to Medical Director Associates.
* Works independently with oversight from immediate manager.
* May be responsible for an entire clinical program and/or independently performs clinical reviews.
* Typically has program management responsibilities including clinical policy development, improvement of quality, cost, and outcomes, program development/implementation, and overseeing clinical/non-clinical activities.
Minimum Qualifications:
* Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
* Must possess an active unrestricted medical license to practice medicine or a health profession.
* Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
* Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
* For Health Solutions only, minimum of 5 years of experience providing health care is required.
* Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.
For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties, principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.
Preferred Skills, Capabilities and Experiences:
* Medical Licensed in California preferred.
* Team player, collaborative, and capable of independent work.
* Prior UM review experience.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $250,236 to $428,976.
Locations: California; Colorado; Nevada; New York
In addition to your salary, Elevance Health 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). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Job Level:
Director Equivalent
Workshift:
Job Family:
MED > Licensed Physician/Doctor/Dentist
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
PCO Medical Director - UM - Part Time (Hourly)
Medical director job in Concord, NH
**Become a part of our caring community and help us put health first** The Medical Director, Primary Care relies on medical background and reviews health claims. The Medical Director, Primary Care work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to operationalize this knowledge in their daily work.
The Medical Director's work includes computer-based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, participation in care management and possible participation in care facilitation with hospitals. The clinical scenarios predominantly arise from inpatient or post-acute care environments. There are discussions with external physicians by phone to gather additional clinical information or discuss determinations regularly, and in some instances, these may require conflict resolution skills. An aspect of the role includes an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope.
The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market care facilitation and priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or care management.
**Use your skills to make an impact**
**Responsibilities**
The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health Services. After completion of mentored training, daily work is performed with minimal direction. Enjoys working in a structured environment with expectations for consistency in thinking and authorship. Exercises independence in meeting departmental expectations and meets compliance timelines.
**Required Qualifications**
+ MD or DO degree.
+ 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age).
+ Current and ongoing Board Certification in an approved ABMS Medical Specialty as well as ABQAURP, or other boarddemonstratingadvanced training in transitions of care, quality assurance,utilizationmanagementand care coordination.
+ A current and unrestricted license in at least onejurisdictionand willing to obtainadditionallicense, ifrequired.
+ No currentsanctionfrom Federal or State Governmental organizations, and able to pass credentialing requirements.
+ Excellent organizational,verbaland written communication skills.
+ Evidence of analytic and interpretation skills, with prior experienceparticipatingin teams focusing on transitions of care, quality management,utilizationmanagement, case management, discharge planning and/or home health or post-acute services such as inpatient rehabilitation.
**Preferred Qualifications**
+ Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management.
+ Utilizationmanagement experience in a medical management review organization, such as Medicare Advantage,managed Medicaid, or Commercial health insurance.
+ Experience with national guidelines such as MCG or InterQual.
+ Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialists
+ Advanceddegreesuch as an MBA, MHA, MPH
+ Exposure to value-based care, Public Health, Population Health, analytics, and use of business metrics.
+ Experience working with Casemanagersor Caremanagerson complex case management, including familiarity with social determinants of health.
+ The curiosity to learn, the flexibility toadaptand the courage to innovate.
**Additional Information**
Will report to the Director of Physician Strategy at Utilization Management. The Medical Director conducts Utilization review of the care received by members in an assigned region, market, member population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational committees.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
1
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$223,800 - $313,100 per year
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident.
Application Deadline: 12-31-2025
**About us**
About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************
Medical Director
Medical director job in Tilton, NH
Position Type: Part-time, exempt
Leading the charge in healthcare innovation, Theoria Medical offers a unique blend of medical excellence and technological advancement, primarily serving the post-acute and primary care sectors. Our extensive network includes multispecialty physician services and RPM, covering skilled nursing facilities across the country. In our national push for expansion, we're scouting for the brightest nurse practitioners and physicians eager to drive change and deliver superior care. Join us for a rewarding career that promises professional growth, flexibility, and the chance to shape the future of healthcare.
Job Highlights
Work-Life Balance: Competitive compensation with balanced hours.
On-Call Freedom: No on-call
Always Supported: NP/PA support at all locations, always.
Pre-Screened Patient Interactions: Virtual care team and APP triage before physician contact.
Flexible Scheduling: Your schedule, tailored to fit your life. No set daily shift times.
No Overnight Duties: Sleep peacefully with no overnight call/requirements.
Effortless documentation: Conversational and Dragon dictation.
Meaningful Connections: Establish lasting relationships with patients and staff.
Culture of Appreciation: Your work is valued and rewarded.
$1,500 CME and Conference Allowance: Invest in your growth.
Full Gear: iPad with LTE, Apple Pen, AirPods provided.
Licensure Reimbursed: We cover your medical licensure costs.
Malpractice & Tail Covered: Full insurance peace of mind.
Benefits: 401k match, Medical/Dental/Vision, Disability, Employer-paid Life Insurance.
Relocation Help: Assistance for a smooth move.
Referral Bonus: Earn more by expanding our team.
Travel Reimbursed: Gas and mileage for work travel.
Career Advancement: Leadership opportunities promoted.
UpToDate Subscription: Latest medical info at your fingertips.
Essential Functions & Responsibilities
The physician serves as medical director for skilled nursing facilities (SNF) and participates in administrative and quality initiatives for the facilities he or she is responsible for;
Medical directorship functions include attending and participating in monthly quality assurance and process improvement meetings; participating in quality improvement initiatives; providing guidance to facility staff; reviewing and revising (if necessary) facility's clinical guidelines; insuring compliance with state and federal regulations, training facility staff; and supervising facility clinical staff.
In addition to the medical director role, the physician also serves as the attending physician for the residents residing at each facility;
The physician collaborates with Nurse Practitioners and Physician Assistants to manage day to day resident care at each facility. Typically, each facility will have a full-time PA or NP assigned to the facility depending on the acuity and volume of the patient population;
Physician will provide high quality, patient-centered, comprehensive primary care services by rounding on patients residing in SNFs;
Physician is responsible for diagnosing and treating patients with acute illness, such as bacterial and viral infections, as well as chronic diseases and conditions, such as hypertension, heart disease, or diabetes
Provider documentation is completed in Theoria's proprietary electronic health record (EHR) system, ChartEasy™
PointClickCare, MatrixCare, and American HealthTech are the most commonly used facility EHR systems
Participating in Theoria's Chronic Care Management, Transitional Care, RPM and other medical quality initiatives and programs
Physician must be able to supervise collaborating nurse practitioners and physicians assistants
Physician must be able to utilize electronic/online medical tools such as EHR systems and state/county medical systems utilized for Death Certificates and administrative functions.
Shift Structure
Shifts are flexible depending on physicians' schedule;
Typically, medical directors work a minimum of 2-3 days/week at each facility they oversee;
Rounding times are flexible with no set start and end time. Preferably, physicians start in the morning between 7-10 a.m. and finish their day when their caseload has been seen;
No nights or on-call
Call is covered by Theoria's virtual care team
This is an in-person position
Compensation and Benefits
Competitive compensation package, including Medical Director stipend
Employer Paid - Life Insurance Policy
Employee must be able to perform the essential functions of this position satisfactorily, with or without a reasonable accommodation. Employer retains the right to change or assign other duties to this position. All benefits and job highlights are subject to and contingent upon availability.
Theoria Medical conducts background screening and pre-employment drug testing on job candidates upon acceptance of a contingent job offer and may use a third party administrator to conduct background screenings. Background screenings are performed in compliance with the Fair Credit Report Act.
Pre-employment drug testing, fingerprinting or other screening may also be required for certain types of positions at the Theoria Medical (ex: direct-patient care) or where required for compliance with state or federal laws, contracts or grants.
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#LI-JT1
#TSMD2
Auto-ApplyOutpatient Psychiatry Medical Director- Nashua, NH
Medical director job in Nashua, NH
Olesky Associates, Inc. has been in the placement / recruiting industry for three decades. We offer an extensive array of services, ranging from physician placement to practice and hospital brokering. Our Search Consultants located in our home office in Massachusetts utilize a state-of-the-art computer network and database that allows instant access to all of the information necessary for mutually beneficial placements throughout the country.
This technology, combined with our personal attention and expert screening of each candidate, has made our agency extremely successful in the placement of all specialties, including:
Family Practitioners
Internists, Pediatricians
OB/Gyns
Emergency Medicine
Psychiatrist
Nurse Practitioners
Hospitalist
Dermatologist
Oncology / Radiology
All medical specialties
All surgical specialties
LCSW / LICSW/ LMHC / BCBA
Job Description
Outpatient Mental Health Facility is seeking a Medical Director to oversee behavioral health care. This role is roughly 60% clinical / 40% administrative/leadership.
Position is Outpatient and involves leading the centers multidisciplinary treatment team.
Duties involve conducting psychiatric evaluations and medication management services for patients with minor and major mental illnesses.
Director will be responsible for overall leadership of mental health center, including supervision of center's providers, overseeing treatment plans, reviewing medical records, etc.
Also seeking adult and child adolescent psychiatrist for opportunities in Nashua, Manchester and Keene, New Hampshire
Contact Jerome at Olesky Associates for more information
Additional Information
All your information will be kept confidential according to EEO guidelines.
Physician(FT) - Primary Care Medical Director - Newport Health Center
Medical director job in Newport, NH
New London Hospital (NLH) in collaboration with Newport Health Center (NHC) is seeking an experienced board certified/board eligible Family Practice Physician to join our Primary Care practice as Medical Director. In addition to providing primary care services to a panel of patients, this physician will serve as the Medical Director of the Rural Health Clinic (RHC). The physician will report to the NLH Chief Medical Officer.
The candidate will be fully supported by experienced leadership, nurses, medical assistants and care coordinators to provide team-based care that is grounded by evidence-based best practices. This practice provides comprehensive care and is deeply rooted in the local community.
This is a full-time position that includes clinical time and protected time to perform the duties as the Newport Health Center (NHC) Rural Health Center (RHC) site Medical Director. Besides normal clinical duties this role will be responsible for NHC clinical leadership and oversight of providers in collaboration with the NHC clinic leadership team to ensure high quality patient care, fiscal viability, patient satisfaction, employee engagement and regulatory expectations.
Responsibilities
Overall Objectives
* Serves as direct report for all NHC providers – physicians and advanced practice providers (APPs)
* Serves as a liaison between the NHC group and the New London Medical Group (NLMG) primary care team as well as with hospital administration;
* Collaborates with medical staff committees and individuals to optimize communication, efficiency and effectiveness of clinic services;
* Ensures that relationships with colleagues at the site and throughout the organization are collegial and align with NLH and DH values;
* Ensures that interactions with patients are effective and produce the best possible outcome;
* Collaborates with the NHC leadership team to achieve departmental goals and objectives.
* Collaborates with the NLMG primary care medical director to assure consistency of processes and expected clinical outcomes between the two NLH primary care site.
* Represents NLH/NHC at various Dartmouth Health (DH) quality or primary care meetings as determined by the Chief Medical Officer and the Senior Director of Ambulatory Services.
Performance Expectations
Clinical Leadership and Oversight of Providers
* Ensures compliance with all of the NLH policies and procedures.
* Ensures that all providers are aware of, and are in compliance with, NLH Medical Staff bylaws and Rules and Regulations.
* Performs regular check-ins with employed providers and documents as required per NLH human resources requirements.
* Supports employee engagement initiatives at NHC.
* Reviews and approves the medical record-keeping practices of NHC providers, and insures it is in compliance with NLH policies as well as State and Federal regulations.
* Maintains provider staffing schedules so that adequate coverage is ensured and patients are seen on a timely basis.
* Participates in the recruitment and selection of providers and coordinates their orientation and integration into NHC and NLH as a whole.
* Manages/resolves conflicts among providers at NHC, and between providers and other team members, groups and individuals.
* Provides mentoring for the professional growth and development of providers at NHC.
* Ensures that department providers attend mandatory training and education programs as determined by NLH
* Uses demonstrated leadership skills to communicate, collaborate, educate and build consensus among NHC RHC teams.
Clinical Quality
* Responsible for oversight of Quality Assurance and Performance Improvement activities in collaboration with the Medical Director of Ambulatory Quality. This includes any activities required for acquiring and maintaining Critical Access Hospital, Rural Health Center and Provider-Based Billing designations.
* Performs the duties as Medical Director of the RHC as outlined in “CMS Appendix G – Guidance for Surveyors: Rural Health Clinics (RHCs) Medical Director Responsibilities”.
* Champions the NLH/NHC ambulatory quality initiatives and performance and liaisons with Medical Director of Ambulatory Quality, NLH and DH providers and teams in identifying opportunities for improvement.
* Attends monthly NLH/NHC quality workgroup. Meets regularly with Medical Director of Ambulatory Quality and Director of Quality and Safety and other ambulatory leaders as needed to collaborate on quality initiatives.
* Responsible for assuring compliance with CMS CAH and RHC conditions of participation and participating in unannounced CMS surveys.
* Responsible for assuring oversight of non-physician providers caring for patients at NHC.
* Responsible for assuring, in collaboration with the NLMG Primary Care Medical Director, that all clinical policies are updated and current.
* Ensures that all providers at NHC maintain complete, accurate and timely patient medical records.
* Responsible for working with the quality team and CMO to address patient concerns about care of patients at NHC.
Business Management
* Collaborates with the NHC leadership team to provide overall management of the clinic.
* Provides input to the clinic leadership team and senior leadership regarding strategic planning.
* Provides RHC leadership with input regarding performance of staff from the perspective of providers.
Other
* Is in good standing as an Active member of Medical Staff at NLH.
Qualifications
* Minimum of four (4) years of clinical practice required, experience at a RHC or FQHC preferred
* Demonstrated leadership experience that focuses on people development, specifically training and developing clinical staff and colleagues
* Highly motivated, flexible and adaptable to working in a team-based environment
* Solid interpersonal skills with ability to communicate and build positive relationships with colleagues
* Ability to positively interact with other clinicians, management and all levels of medical and non-medical professionals
* Demonstrated competence in the use of electronic health records as will as associated technology and applications.
* Board certification or eligible in Family Medicine required
* Must obtain and maintain a medical license in the State of New Hampshire
Required Licensure/Certifications
REQUIRED LICENSE(S):
•
DEA License
•
Licensed MD or DO with NH eligibility REQUIRED CERTIFICATIONS:
•
(BLS) Basic Life Support
* Area of Interest:Physician
* FTE/Hours per pay period:1.00 - 1.00 - 40 hrs/week
* Shift:Day
* Job ID:35598
Dartmouth Health offers a total compensation package that includes a comprehensive selection of benefits. Our Core Benefits include medical, dental, vision and life insurance, short and long term disability, paid time off, and retirement plans. Click here for information on these benefits and more:Benefits | DHMC and Clinics Careers
Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
Dartmouth Hitchcock Medical Center and Dartmouth Hitchcock Clinics comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. We do not exclude or treat people differently because of race, color, national origin, age, disability, or sex.
Physician - Palliative Care Medical Director
Medical director job in Concord, NH
Concord Hospital, a not-for-profit health system, is seeking a Board-Certified/Eligible Palliative Care Physician to join our well-established, interdisciplinary team. This role includes a mix of clinical and administrative responsibilities, with a 4-day work week (3 days of clinical care and protected time as Medical Director).
About the Role
Consultative service across inpatient, outpatient, and cancer center settings
Collaborative team including physicians, advanced providers, nurses, and chaplains
Leadership opportunity with a focus on program development and quality care
No weekend/night call
Why Concord Hospital?
Concord Hospital and its programs have received numerous accolades:
#1 Most Socially Responsible Hospital -
Lown Institute, 2024
Best-in-State Employer -
Forbes, 2025
Newsweek's Best Maternity Hospitals & Baby-Friendly Hospital designation
Spirit of NH Award for end-of-life care
Stroke Program Awards -
American Heart Association
Certified Level II Trauma Center and Level III Pediatric Trauma Center
Recognized by NCQA as a Patient-Centered Medical Home (PCMH)
What We Offer
Competitive compensation with income guarantee
Sign-on bonus and relocation support
Full benefits with retirement contributions
Supportive, mission-driven environment
Where Your Career and Lifestyle Align Perfectly
Live and work in Concord, NH, a vibrant capital city in New Hampshire, consistently ranked among the best places to live.
One hour to Boston, mountains, and the seacoast
Manchester Regional Airport just 20 minutes away
No state income or sales tax
Affordable living with excellent schools
Easy access to year-round outdoor recreation
Qualifications
Board-certified/eligible in Palliative Care
Eligible for NH medical license and DEA
Concord Hospital is an Equal Employment Opportunity employer. It is our policy to provide equal opportunity to all employees and applicants and to prohibit any discrimination because of race, color, religion, sex, sexual orientation, gender, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status.
Know Your Rights: Workplace Discrimination is Illegal
Applicants to and employees of this company are protected under federal law from discrimination on several bases. Follow the link above to find out more.
If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, you may contact Human Resources at ************.
Physical Demands and Work Environment Requirements
The Dictionary of Occupational Titles Material Handling Classification is LIGHT. The employee must regularly lift, carry or push/pull less than 10 pounds, frequently lift, carry or push/pull up to 10 pounds, and occasionally lift, carry or push/pull up to 20 pounds.
The employee is regularly required to hear and speak. The employee is frequently required to walk, sit, do repetitive motion and perform activities that require fine motor skills. The employee is occasionally required to bend, climb, reach, drive, smell, squat and stand.
Specific vision abilities required by this job include color vision, depth perception, far vision, near vision, and peripheral vision.
The employee is frequently exposed to airborne pathogens, bloodborne pathogens, and bodily fluids. The employee is occasionally exposed to airborne contaminants, radiation, chemotherapeutic agents, toxic or caustic chemicals, electrical hazards-shock, non-weather related heat or cold, variable weather conditions, moving mechanical parts and slippery surfaces.
The noise level in the work environment is usually moderate.
Auto-ApplyMedical Director-PSCCR
Medical director job in Manchester, NH
Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The **Medical Director-PSCCR** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program.
**How you will make an impact:**
+ Supports clinicians to ensure timely and consistent responses to members and providers.
+ Provides guidance for clinical operational aspects of a program.
+ Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients office visits with providers and external physicians.
+ May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations.
+ Serves as a resource and consultant to other areas of the company.
+ May be required to represent the company to external entities and/or serve on internal and/or external committees. May chair company committees.
+ Interprets medical policies and clinical guidelines. May develop and propose new medical policies based on changes in healthcare.
+ Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes.
+ Identifies and develops opportunities for innovation to increase effectiveness and quality.
+ Provides oversight, direction, and guidance to Medical Director Associates.
+ Works independently with oversight from immediate manager.
+ May be responsible for an entire clinical program and/or independently performs clinical reviews.
+ Typically has program management responsibilities including clinical policy development, improvement of quality, cost, and outcomes, program development/implementation, and overseeing clinical/non-clinical activities.
**Minimum Qualifications:**
+ Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
+ Must possess an active unrestricted medical license to practice medicine or a health profession.
+ Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
+ Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
+ For Health Solutions only, minimum of 5 years of experience providing health care is required.
+ Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.
For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties, principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.
**Preferred Skills, Capabilities and Experiences:**
+ Medical Licensed in California preferred.
+ Team player, collaborative, and capable of independent work.
+ Prior UM review experience.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $250,236 to $428,976.
Locations: California; Colorado; Nevada; New York
In addition to your salary, Elevance Health 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). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws _._
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Physician(FT) - Primary Care Medical Director - Newport Health Center
Medical director job in New London, NH
New London Hospital (NLH) in collaboration with Newport Health Center (NHC) is seeking an experienced board certified/board eligible Family Practice Physician to join our Primary Care practice as Medical Director. In addition to providing primary care services to a panel of patients, this physician will serve as the Medical Director of the Rural Health Clinic (RHC). The physician will report to the NLH Chief Medical Officer.
The candidate will be fully supported by experienced leadership, nurses, medical assistants and care coordinators to provide team-based care that is grounded by evidence-based best practices. This practice provides comprehensive care and is deeply rooted in the local community.
This is a full-time position that includes clinical time and protected time to perform the duties as the Newport Health Center (NHC) Rural Health Center (RHC) site Medical Director. Besides normal clinical duties this role will be responsible for NHC clinical leadership and oversight of providers in collaboration with the NHC clinic leadership team to ensure high quality patient care, fiscal viability, patient satisfaction, employee engagement and regulatory expectations.
Qualifications
Minimum of four (4) years of clinical practice required, experience at a RHC or FQHC preferred
Demonstrated leadership experience that focuses on people development, specifically training and developing clinical staff and colleagues
Highly motivated, flexible and adaptable to working in a team-based environment
Solid interpersonal skills with ability to communicate and build positive relationships with colleagues
Ability to positively interact with other clinicians, management and all levels of medical and non-medical professionals
Demonstrated competence in the use of electronic health records as will as associated technology and applications.
Board certification or eligible in Family Medicine required
Must obtain and maintain a medical license in the State of New Hampshire
Responsibilities
Overall Objectives
Serves as direct report for all NHC providers - physicians and advanced practice providers (APPs)
Serves as a liaison between the NHC group and the New London Medical Group (NLMG) primary care team as well as with hospital administration;
Collaborates with medical staff committees and individuals to optimize communication, efficiency and effectiveness of clinic services;
Ensures that relationships with colleagues at the site and throughout the organization are collegial and align with NLH and DH values;
Ensures that interactions with patients are effective and produce the best possible outcome;
Collaborates with the NHC leadership team to achieve departmental goals and objectives.
Collaborates with the NLMG primary care medical director to assure consistency of processes and expected clinical outcomes between the two NLH primary care site.
Represents NLH/NHC at various Dartmouth Health (DH) quality or primary care meetings as determined by the Chief Medical Officer and the Senior Director of Ambulatory Services.
Performance Expectations
Clinical Leadership and Oversight of Providers
Ensures compliance with all of the NLH policies and procedures.
Ensures that all providers are aware of, and are in compliance with, NLH Medical Staff bylaws and Rules and Regulations.
Performs regular check-ins with employed providers and documents as required per NLH human resources requirements.
Supports employee engagement initiatives at NHC.
Reviews and approves the medical record-keeping practices of NHC providers, and insures it is in compliance with NLH policies as well as State and Federal regulations.
Maintains provider staffing schedules so that adequate coverage is ensured and patients are seen on a timely basis.
Participates in the recruitment and selection of providers and coordinates their orientation and integration into NHC and NLH as a whole.
Manages/resolves conflicts among providers at NHC, and between providers and other team members, groups and individuals.
Provides mentoring for the professional growth and development of providers at NHC.
Ensures that department providers attend mandatory training and education programs as determined by NLH
Uses demonstrated leadership skills to communicate, collaborate, educate and build consensus among NHC RHC teams.
Clinical Quality
Responsible for oversight of Quality Assurance and Performance Improvement activities in collaboration with the Medical Director of Ambulatory Quality. This includes any activities required for acquiring and maintaining Critical Access Hospital, Rural Health Center and Provider-Based Billing designations.
Performs the duties as Medical Director of the RHC as outlined in “CMS Appendix G - Guidance for Surveyors: Rural Health Clinics (RHCs) Medical Director Responsibilities”.
Champions the NLH/NHC ambulatory quality initiatives and performance and liaisons with Medical Director of Ambulatory Quality, NLH and DH providers and teams in identifying opportunities for improvement.
Attends monthly NLH/NHC quality workgroup. Meets regularly with Medical Director of Ambulatory Quality and Director of Quality and Safety and other ambulatory leaders as needed to collaborate on quality initiatives.
Responsible for assuring compliance with CMS CAH and RHC conditions of participation and participating in unannounced CMS surveys.
Responsible for assuring oversight of non-physician providers caring for patients at NHC.
Responsible for assuring, in collaboration with the NLMG Primary Care Medical Director, that all clinical policies are updated and current.
Ensures that all providers at NHC maintain complete, accurate and timely patient medical records.
Responsible for working with the quality team and CMO to address patient concerns about care of patients at NHC.
Business Management
Collaborates with the NHC leadership team to provide overall management of the clinic.
Provides input to the clinic leadership team and senior leadership regarding strategic planning.
Provides RHC leadership with input regarding performance of staff from the perspective of providers.
Other
Is in good standing as an Active member of Medical Staff at NLH.
Required Licensure/Certifications REQUIRED LICENSE(S):
•
DEA License
•
Licensed MD or DO with NH eligibility REQUIRED CERTIFICATIONS:
•
(BLS) Basic Life Support We can recommend jobs specifically for you! Click here to get started.
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