Medical Director

What Medical Director Jobs are in Torrance Showing 5000+ Medical Director jobs in Torrance We\'re hiring a Clinical Director who wants to lead one of the nation\'s most innovative programs serving adults with severe mental illness while helping build the future of behavioral healthcare. You\'ll oversee an established outpatient program serving 100-200 active members across PHP, IOP, and maintenance levels of care. This role combines clinical leadership, team development, admissions oversight, quality improvement, and direct influence on patient outcomes. Why this role is compelling Monday-Friday schedule, 9:00 AM-5:00 PM No hospital call requirements Lead a multidisciplinary team of behavioral health professionals Oversight of PHP, IOP, and maintenance programming Partner with operational leadership in a true DIAD model Opportunity to influence clinical outcomes at scale Work with highly complex SMI populations Series B-backed organization with national expansion plans Proprietary technology and integrated care model designed specifically for severe mental illness Relocation assistance available for qualified candidates What makes you a great fit You hold an active California LCSW, LMFT, LPCC, PMHNP, Psychologist, or Psychiatrist license You have experience leading clinical teams and supervising clinicians You have worked with severe mental illness, addiction, inpatient psychiatry, residential treatment, PHP, IOP, or community mental health populations You are comfortable balancing clinical leadership and operational accountability You enjoy mentoring clinicians and improving systems of care You are willing to step in and support patients when needed If you want a Clinical Director role where you can help redefine care for some of behavioral healthcare\'s most complex patients while leading a mission-driven team, this is worth a conversation. Apply now or send your resume to . Or call if you have any questions. Is this job a match or a miss? warning Note: If you\'re asked to pay for a job, avoid the role and report the job to us immediately. This advertiser has chosen not to accept applicants from your region. JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for both members and providers and ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties Determines appropriateness and medical necessity of health care services provided to plan members. Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality member care. Educates and interacts with network, group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management. Assumes leadership relative to knowledge, implementation, training, and supervision of the use of the criteria for medical necessity. Participates in and maintains the integrity of the appeals process, both internally and externally. Responsible for investigation of adverse incidents and quality of care concerns. Participates in preparation for NCQA and URAC certifications. Provides leadership and consultation for NCQA standards/guidelines for the plan including compliant clinical quality improvement activity in collaboration with clinical leadership and quality improvement teams. Facilitates conformance to Medicare, Medicaid, NCQA and other regulatory requirements. Reviews quality referred issues, focused reviews and recommends corrective actions. Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. ... (content continues to the end of the posting, preserved verbatim where possible, with nonessential boilerplate and decorative elements removed) … #J-18808-Ljbffr