- Elevance Health (Richmond, VA)
- ** Director Clinical Quality Management ** **Location:** This position will work a hybrid model (remote and office). Must live within 50 miles/1 hour ... commute of an Elevance Health location. The ** Director Clinical Quality Management ** is responsible for the oversight of day-to-day operations of… more
- BrightSpring Health Services (Colonial Heights, VA)
- …AT Home Care & Hospice Overview MUST HAVE HOSPICE EXPERIENCE RN REQUIRED The Director , Clinical Operations is responsible for the overall direction of hospice ... clinical services. The Director , Clinical ...hospice services that meet and promote the standards of quality and contribute to the total organization and philosophy.… more
- HCA Healthcare (Richmond, VA)
- …developmental activities to prepare you to become a Clinical Resource Director or another key management position within HealthTrust Supply Chain ... integrity. We care like family! Jump-start your career as a(an) Associate Director Clinical Resources today with HealthTrust. **Benefits** HealthTrust, offers a… more
- CenterWell (Richmond, VA)
- …for value-based, senior care model in the primary care network. The Associate Director , Clinical Coding Education (RN) will develop, design, and deploy the ... to managing a team of role-based trainers and training facilitators. The Associate Director , Clinical Coding Education (RN) role will report to the National… more
- HCA Healthcare (Salem, VA)
- …your potential! **Job Summary and Qualifications** The Director of Clinical informatics (DCI) supports high quality , patient-centered care through leading ... over 156,000 hours volunteering in our communities. As a Director of Clinical Informatics with LewisGale Medical...dataflow, outcome measures, quality and patient safety, clinical risk management , and root cause analysis.… more
- Monte Nido (Fairfax Station, VA)
- …Clementine team. The ** Clinical Director ** is responsible for the overall clinical quality of our treatment program. This includes, but is not limited ... while providing the opportunity for people to realize their healthy selves. ** Clinical Director ** **Monte Nido Clementine Fairfax** **Fairfax Station, VA**… more
- ChenMed (Richmond, VA)
- …We're rapidly expanding and we need great people to join our team. The Clinical Director will directly supervise and train primary care providers (PCPs) in ... is accountable for maximizing overall core model execution, including improving clinical quality , efficiency, outcomes, and clinician/patient satisfaction. In… more
- Prime Therapeutics (Richmond, VA)
- … clinical research and analytics that improve medical cost savings and provide clinical quality initiatives + Manages current clients in all Medical Pharmacy ... and drives every decision we make. **Job Posting Title** Director , Specialty Clinical Solutions -RPH/PharmD required- REMOTE...programs such as Fee Schedule Management , Prior Authorization, Post Service Claim Edits, Site of… more
- Thrive Proactive Health (Virginia Beach, VA)
- …career advancement. We are looking for a Lead Physical Therapist and/or Clinic Director to help lead and run our physical therapy department. Ideal candidate enjoys ... entrepreneurial spirit. Will help be responsible for the direct management and oversight of assigned team members and assist...being a subject matter expert and working with Marketing Director to assure ongoing incoming leads and referrals to… more
- CVS Health (Richmond, VA)
- …enterprise and provides clinical oversight and mentorship for CVS Health clinical programs, PBM Clinical Quality activities, consultative support to ... in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior... clinical oversight and mentorship for CVS Health clinical programs, PBM Clinical Quality … more
- CVS Health (Richmond, VA)
- …of our members' health care and social determinant needs. The Duals Care Management (CM) Medical Director will participate in designing, developing and deploying ... and socioeconomic needs. * Partner closely with the Executive Director of Duals and other Duals Care Management...Collaborates with the Learning and Performance Team to develop clinical training for care management staff. *… more
- Bon Secours Mercy Health (Newport News, VA)
- …and clinicians are recognized for clinical and operational excellence. The Quality Director is responsible for overseeing and administering the quality ... At Bon Secours Mercy Health, we are dedicated to continually improving health care quality , safety and cost effectiveness. Our hospitals, care sites… more
- Sunrise Senior Living (Charlottesville, VA)
- …members. Quality Assurance and Regulatory Compliance: + Tracks, trends, and reports clinical quality data to identify risk. + Participates actively as a ... the community Quality Assurance and Performance Improvement committee. + Leads clinical quality and process improvement initiatives within the community to… more
- HCA Healthcare (Dulles, VA)
- …leadership in developing a strong Behavioral Health team and partnership with Medical Director and medical staff to ensure the clinical excellence and ... Improvement Plan and measures effectiveness of that plan to demonstrate clinical excellence; coordinate Behavioral Health Service Division quality initiatives… more
- Humana (Richmond, VA)
- …analytic and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... decisions to internal associates, and possible participation in care management . The clinical scenarios predominantly arise from...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- Humana (Richmond, VA)
- …care, quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may develop procedures, processes, ... analytic and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management ,… more
- Humana (Richmond, VA)
- …analytic and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , ... hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management… more
- Humana (Richmond, VA)
- …and interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , and acute inpatient ... is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical ...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
- HealthEdge Software Inc (Richmond, VA)
- **Overview** ** Director , Product Management ** **Position Overview:** We are seeking a highly skilled and experienced Director of Product Management to ... to deliver exceptional value for their stakeholders. As a Director , Product Management , you will lead one...fuel a digital transformation, reduce costs, and improve both clinical outcomes and the member experience. **Your Impact:** +… more
- University of Virginia (Charlottesville, VA)
- …is essential to UVA Health's goal of preparing future medical leaders to provide quality clinical care, advance medical research, and foster an environment of ... be tenure-eligible depending on the candidate's credentials. The Division Director will lead the faculty in all clinical...Office (CTO) in the SOM, as well as a clinical trials management system (CTMS, OnCore) and… more