Are you an experienced Registered Nurse or Allied Health Professional (AHP) looking to work in a friendly, committed and established Learning Disability and Autism service, where your knowledge and skills will be valued? If you are experienced with working with people with learning disabilities, autism and managing teams, then why not join an experienced specialist Learning Disability and Autism service.   As a Deputy Hospital Director, you will have previous experience as a Registered Nurse from the NHS and/or private sector with a background in supporting people with learning disabilities and/or autism, you will lead, manage and influence both the clinical and non-clinical teams to deliver great healthcare.  Responsibilities Job Overview.  When you are not on the apartments providing on-hand guidance, you will be required to deputise for the Hospital Director. This will see you attend internal and external meetings with key stakeholders.  Your responsibilities  Provide strong and robust leadership in the hospital environment.  Responsibility for budgetary oversight with the Hospital Director.   Promote and safeguard the well-being and interests of all service users, employees and visitors.  Ensuring the site is compliant with all Regulatory guidelines and statutory requirements.  Complete regulatory notifications.  Complete SUI’s and investigations  Job Benefits What our client is offering the successful candidate  Annual salary of £48,000   The equivalent of 33 days annual leave – plus your birthday off! Free meals and on-site parking  Wellbeing support and activities  Career development and training  Pension contribution  Life Assurance  Enhanced Maternity Package 

The PCBH Medical Director will be responsible for the oversight of River Hospitalsbehavioral health and primary care integration effort, informed by SAMSHA sBi-Directional Integration Model. This position will be responsible for clinical supervision and mentorship of Physician Assistants, Nurse Practitioners, Social Workers, and other health care personnel within the River Family Health Center (RFHC) and River Community Wellness Programs (RCWP).

This position is responsible for the coordination and supervision of the daily activities of the surgical area.Maintains confidentiality of patients, department and hospital.Has a clear understanding of the Health Insurance Portability and Accountability Act (HIPAA) regulations and develops and follows department policies and procedures to maintain compliance.Develops annual department budget, marketing plan, and monthly stats.Works effectively as a team member within the facility to provide quality service to hospital departments through communication, cooperation, and collaboration.Interviews, evaluates and hires employees using established guidelines and hospital policies and procedures.Orients employees to department and facility.Trains, develops, supervises and evaluates staff to meet requirements set forth in department plan.

The Medical Director is responsible for collaborating with the management team in organizing and directing the provision of physical medicine and rehabilitation services in the inpatient unit for the Hospital in agreement with all applicable federal, state and local laws and standards, rules and regulations. Responsible for providing medical services to the patients in the hospital, and will provide professional and administrative services for the hospital.

The DPO directs the completion of the Case Management evaluation, length of stay management and discharge planning for each LTACH inpatient. Provides clinical support in ensuring patient meets medical necessity for LTACH level of care and monitors diagnosis and treatment plan throughout the length of stay. Responsible for the operation and management of the Case Management Department. Supports the transition of care post discharge to help prevent readmission to the hospital. Member of the Senior Leadership Team who integrates the hospital’s mission and “Guiding Principles” into daily practice..

Lead and Manage all aspects of quality programs and projects that enable Aetna to measure, monitor, and improve the quality of its products, services, and processes. Responsible for coordinating, leading, and managing multiple functional areas/units including full accountability for business/financial results.Oversees the implementation and managing of effective processes to achieve goals of the organization relating to performance for multiple functional areasDrives or guides development of holistic solutions and/or key strategic plansProactively identifies opportunities for improvement and influences business leader(s) including the most senior level, to implement recommendations through complex negotiations and/or expert consultation that promote issue resolutionProvide direction setting and leadership, with accountability for quality program(s), specialized audits, special reviews, projects and initiatives. Manage complex projects, people, and business priorities to achieve customer satisfactionDrive compliance, legislative, and regulatory issues to resolutionMonitor and manage compliance risks on business processes, systems and productsInfluences all stakeholders to support key quality projects/programs to ensure positive solutions that deliver results. Consults with internal/external customers on solutions that impact QualityProvides input on business plan to achieve business goalsIndentifies gaps and influences change/enhancements to business processes, policies, workflows, and system infrastructure in order to improve performance results, organization effectiveness and/or systems/quality/services based on broad view of the organizationAnalyzes and forecasts key financial drivers and make recommendations for adjustments to budgets and business plans (*)

Job Title:Medical DirectorJob ID:74023BRLocation:VA-Danville|VA-Fairfax|VA-McLean|VA-NorfolkStreet Address:Work At HomeCategory:Aetna|Medical DirectorJob DescriptionReady to take your Medical Director skills to the next level with a Fortune 5 company? Aetna, a CVS Health Company has an outstanding opportunity for a Medical Director.This role is remote based (work from home).Aetna Medicaid is looking for a Medical Director to be part of a centralized team that supports the Medical Management staff ensuring timely and consistent responses to members and providers related to precertification, concurrent review, and appeal request. Aetna operates Medicaid managed care plans in sixteen states: Arizona, California, Florida, Illinois, Kansas, Kentucky, Louisiana, Maryland, Michigan, New Jersey, New York, Ohio, Pennsylvania, Texas, Virginia and West Virginia. The Medical Director is a work-at-home position supporting the Aetna Medicaid line of business in these sixteen states, offering a variety of physical and behavioral health programs and services to its membership.In this role you will primarily support utilization management transactional reviews such as medical and pharmacy prior authorization, including weekend coverage when assigned, as well as appeals and quality of care case reviews.

Location:NY-New York|NY-Albany|NJ-Jersey City|NJ-Piscataway|MD-Baltimore|PA-Philadelphia|DE-Wimington|CT-StamfordSummary: Senior Medical Director for Medicare Serious Illness Program (SIP) ActiveHealth ManagementThe dedication of talented and caring health care professionals drives the delivery of patient focused, high quality, and cost-effective health programs and services. They make it possible for members to get the right health care treatment and services for their advanced care needs – and for ActiveHealth Management (AHM) to keep its competitive edge.Develop, implement, support, and promote health services strategies, tactics, policies, and programs that drive the delivery of quality healthcare to establish competitive business advantage for ActiveHealth Management (AHM). Work at Home Position - NY or NJ location highly preferred The position is for a Senior Medical Director at ActiveHealth Management and reports directly to the SVP for Clinical Programs. The Senior Medical Director (SMD) is responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high quality, constituent responsive and cost-effective medical care and work collaboratively with provider partners.SMD is a critical medical and business leader and contact for external providers, government program provider partners, and regulatory agencies and participates in the strategic medical management of ActiveHealth Management’s government entity related clinical programs.SMD has primary responsibility and ownership of all clinically related inquiries and activities within the sales and strategic provider relations managers supporting ActiveHealth Management government clients.Functions as the clinical subject matter expert and clinical leader on the government team and supports the development and implementation of Serious Illness and alternative payment mechanism related care management programs and policies

Position Summary:Aetna Medicaid is looking for a Medical Director to be part of a centralized team that supports the Medical Management staff ensuring timely and consistent responses to members and providers related to precertification, concurrent review, and appeal request.Aetna operates Medicaid managed care plans in sixteen states: Arizona, California, Florida, Illinois, Kansas, Kentucky, Louisiana, Maryland, Michigan, New Jersey, New York, Ohio, Pennsylvania, Texas, Virginia and West Virginia.The Medical Director is a work-at-home position primarily supporting the Aetna Medicaid line of business in Texas, offering a variety of physical and behavioral health programs and services to its membership.Requirements:This position will primarily support the Texas STAR Kids line of business. The primary responsibilities of this position as as follows: Performing utilization management medical and pharmacy concurrent and prior authorization reviews.Supporting service coordinators/care managers.Attending multi-disciplinary case rounds to ensure optimal care for our members according to their benefits.Performing peer to peer calls, appeals and quality of care case reviews, and rotating weekend coverage (one in four-five weekends).The medical director will also be part of a regional team supporting other plans as needed.

POSITION SUMMARYThe Medical Director (MD) is responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high quality, constituent responsive medical care. The MD is a critical medical and business leader and contact for external providers, plan sponsor, and regulatory agencies and participates in the strategic medical management for our plan sponsors. The Medical Director will partner with medical management to increase effectiveness of medical management programs and promote integration of other Aetna medical programsThe Medical Director is part of a team of Medical Directors supporting the New York Market which consists of Commercial and Medicare members. New York location Highly Preferred but not Required.