Medicaid Medical Director: Clinical Strategy & Compliance
Geisinger Health System
Geisinger in Pennsylvania is seeking a Medical Director to lead the clinical strategy for its Medicaid line. This role involves ensuring compliance with state regulations and collaborating with various departments to deliver high-quality care. The ideal candidate will have significant experience in clinical practice and Medicaid leadership roles. Responsibilities include overseeing utilization management and serving as a liaison with state agencies and provider networks. The position offers onsite/hybrid/remote options with periodic travel within Pennsylvania. #J-18808-Ljbffr
- ...travel) Reports to: Chief Medical Officer Department:... ...Role Summary Lead clinical strategy, medical management,... ...performance for our Medicaid line of business... ...Provider Network, and Compliance to deliver high-quality... ...leadership role (Medical Director or Deputy) specific...SuggestedFull timeContract workPart timeRemote workRelocation
- ...Job Description Laboratory Manager / Director Full-Time | Day Shift | Community-Based... ...-respected, community-focused general medical and surgical hospital. Lead and manage... ...off on completed lab reports, ensuring compliance with CLIA and state regulatory standards...SuggestedPermanent employmentFull timeRelocation packageMonday to FridayShift workDay shift
- Job Summary Manages all aspects of complex projects from inception to conclusion, including end to end management of Pennsylvania DHS HealthChoices procurements, serving as the primary point of coordination between internal stakeholders and external proposal development...SuggestedFull timePart timeWork at officeRemote work
- ...QUALIFICATIONS MD or DO with Pennsylvania State medical license Board Certified or Board... ...experience required Job Duties The Medical Director oversees the programmatic quality and... ...pivotal role in optimizing the overall clinical care of the hospital while also...SuggestedFull timePart timeMonday to Friday
$75.62k - $113.43k
...collaboration with other professionals and implement treatment strategies based on scientific nursing theory that promotes physical,... ...techniques when appropriate Maintains accurate and relevant clinical notes regarding the patient's condition Ability to function...SuggestedMinimum wageFull timeWork experience placementLocal area$75.62k - $113.43k
...collaboration with other professionals and implement treatment strategies based on scientific nursing theory that promotes physical,... ...techniques when appropriate Maintains accurate and relevant clinical notes regarding the patient's condition Ability to function...Minimum wageFull timeWork experience placementLocal area- ...Location Geisinger Medical Center (GMC) Shift Days (United States of America) Scheduled... ...Regular Exemption Status No Job Summary The Clinical Coordinator is a key member of Geisinger... ..., and accreditation processes. Ensure compliance with accreditation (e.g., NAACLS),...Full timePart timeShift work
- ...A renowned medical institution in Danville is seeking a Clinical Coordinator to manage and enhance the clinical education experience for students in its laboratory... ...’s Degree. The successful candidate will ensure compliance with accreditation standards and collaborate with...Part time
- ...certified MD, PhD, or MD, PhD (or equivalent) Clinical Microbiologist to join the Department of... ..., collaborating with two other directors, providers, operational teams, and healthcare... ...Medicine is standard; teaching includes medical students, residents, fellows, clinical...Full timePart timeRemote work
- ...Acadia Healthcare is seeking a CASE MANAGER III in Danville, Pennsylvania. Responsible for managing patient cases utilizing clinical expertise, the ideal candidate will coordinate care across providers and maintain high-quality patient documentation. Candidates must have...
$63.74k - $95.26k
...independent registered nurse to fill a Medical Case Manager position in the Allentown,... ...developing an effective long-term care strategy Conducts home visit for initial evaluation... ...RN Medical Case Manager is ideal, or a clinical background in orthopedics, neurology, or...Minimum wageFull timeLive inWork at officeLocal areaRemote workMonday to FridayFlexible hoursNight shift- ...Job Summary Geisinger is proud to offer a full time Clinical Team Coordinator up to $24,000 hiring incentive for eligible candidates... ...team. Provides direct patient care including, treatments, medications, and diagnostic studies according to policy and procedure....Full timeTemporary workPart timeFlexible hours
- Direct Jobs is seeking a qualified professional in the Anesthesia Department to monitor staff performance and coordinate educational activities. The ideal candidate should hold a Master's Degree in Nursing and have at least 3 years of experience. The position requires ...
- ...every day. This is an in-person RN position based at Geisinger Medical Center (GMC), providing on-site support to inpatient care teams... ...metrics to further refine the delivery of care model to maximize clinical, quality, and fiscal outcomes. Integrates evidence-based...Full timeTemporary workPart timeMonday to FridayFlexible hours
- ...every day. This is an in-person RN position based at Geisinger Medical Center (GMC), providing on-site support to inpatient care teams... ...metrics to further refine the delivery of care model to maximize clinical, quality, and fiscal outcomes. Integrates evidence-based...Full timeTemporary workPart timeMonday to FridayFlexible hours
- Job Summary Works collaboratively with all anesthesia staff and department employees. Coordinates department activities in at least one of the following areas: Education, Orientation, Competencies, Research, Equipment, Epic, or Performance Improvement. Job Duties Monitors...Full timePart timeWork experience placement
- Company:CompassusAt Compassus, we know that caring for our teammates is the first step in caring for our patients. We are committed to providing Care for Who You Are and What You Need to balance work and life including flexible scheduling, a supportive family-focused culture...Full timePart timeFlexible hours
- ...care across Lewisburg and surrounding areas. Qualified candidates will possess an active RN license and a minimum of one year of clinical experience. Benefits include a competitive salary, $10,000 success bonus, generous time off, and educational support. #J-18808-Ljbffr...Flexible hours
- Glen Brook Rehabilitation and Healthcare Center is seeking a Registered Nurse (RN) Unit Manager in Bloomsburg, PA. You will oversee daily operations, manage nursing staff, and ensure high-quality patient care. The ideal candidate has an active RN license in Pennsylvania...
- Hospice Registered Nurse / RN Case Manager At Compassus, we know that caring for our teammates is the first step in caring for our patients. We are committed to providing Care for Who You Are and What You Need to balance work and life including flexible scheduling, ...Full timePart timeLocal areaFlexible hours
- Registered Nurse (RN) Unit Manager Join the Glen Brook Rehabilitation and Nursing Team in Berwick, PA! At Glen Brook Rehab and Nursing, we pride ourselves on fostering a warm, family-like atmosphere where residents and staff alike feel valued and supported. Our commitment...Daily paid
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