515 Medical Professionals jobs in Cleveland
Medical Director
Posted 4 days ago
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Job Description
**Job Summary**
Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support the provisions of medical staff services. Maintains a working knowledge of applicable national, state, and local laws and regulatory requirements affecting the medical and clinical staff.
**Job Duties**
+ Provides medical oversight and expertise in appropriateness and medical necessity of healthcare services provided to members, targeting improvements in efficiency and satisfaction for patients and providers, as well as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management.
+ Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality of patient care, ensuring that patients receive the most appropriate care at the most effective setting. Evaluates the effectiveness of UM practices. Actively monitors for over and under-utilization. Assumes a leadership position 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 the investigation of adverse incidents and quality of care concerns. Participates in preparation for NCQA and URAC certifications. Develops and provides leadership for NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead, the medical director, and quality improvement staff.
+ 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.
+ Attends or chairs committees as required such as Credentialing, P&T and others as directed by the Chief Medical Officer.
+ Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review, and manages the denial process.
+ Monitors appropriate care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost-efficiency, and continuity of care.
+ Ensures that medical decisions are rendered by qualified medical personnel, not influenced by fiscal or administrative management considerations, and that the care provided meets the standards for acceptable medical care.
+ Ensures that medical protocols and rules of conduct for plan medical personnel are followed.
+ Develops and implements plan medical policies.
+ Provides implementation support for Quality Improvement activities.
+ Stabilizes, improves and educates the Primary Care Physician and Specialty networks. Monitors practitioner practice patterns and recommends corrective actions if needed.
+ Fosters Clinical Practice Guideline implementation and evidence-based medical practice.
+ Utilizes IT and data analysts to produce tools to report, monitor and improve Utilization Management.
+ Actively participates in regulatory, professional and community activities.
**JOB QUALIFICATIONS**
**REQU** **I** **RED ED** **U** **C** **A** **TI** **O** **N** **:**
+ Doctorate Degree in Medicine
+ Board Certified or eligible in a primary care specialty
**REQU** **I** **RED E** **X** **PE** **R** **I** **E** **N** **C** **E/KNOWLEDGE, SKILLS & ABILITIES:**
+ 3+ years relevant experience, including:
+ 2 years previous experience as a Medical Director in a clinical practice.
+ Current clinical knowledge.
+ Experience demonstrating strong management and communication skills, consensus building and collaborative ability, and financial acumen.
+ Knowledge of applicable state, federal and third party regulations
**REQU** **I** **RED L** **I** **C** **E** **N** **S** **E,** **C** **E** **R** **TI** **FI** **C** **A** **T** **I** **O** **N** **, AS** **S** **O** **C** **I** **A** **TI** **O** **N** **:**
Current state Medical license without restrictions to practice and free of sanctions from Medicaid or Medicare.
**PR** **E** **FE** **R** **RED ED** **U** **C** **A** **TI** **O** **N** **:**
Master's in Business Administration, Public Health, Healthcare Administration, etc.
**PR** **E** **FE** **R** **RED E** **X** **PE** **R** **I** **E** **N** **C** **E:**
+ Peer Review, medical policy/procedure development, provider contracting experience.
+ Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines.
+ Experience in Utilization/Quality Program management
+ HMO/Managed care experience
**PR** **E** **FE** **R** **RED L** **I** **C** **E** **N** **S** **E,** **C** **E** **R** **TI** **FI** **C** **A** **T** **I** **O** **N** **, AS** **S** **O** **C** **I** **A** **TI** **O** **N** **:**
Board Certification (Primary Care preferred).
**PHY** **S** **I** **C** **AL DEM** **A** **N** **D** **S** **:**
Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $161,914.25 - $315,733 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Medical Technologist
Posted 1 day ago
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Job Description
Join Cleveland Clinic Fairview Hospital and experience world-class healthcare at its best. Cleveland Clinic Fairview Hospital is a proud Magnet Hospital awarded by the American Nurses Credentialing Center, the highest honor an organization can receive for professional nursing practice. On our team, you will provide stellar care at one of the top healthcare organizations in the nation.
A caregiver in this position performs and interprets tests at all complexity levels. To be successful in this role, you must demonstrate an understanding of the theory and scientific principles of laboratory testing, as well as the technical, procedural and problem-solving aspects. A caregiver in this role maintains a questioning attitude, searching to find results to best determine patient care. This is a rewarding opportunity for those looking to make an impact in patient care at one of the world's top-ranked healthcare organizations.
We will hire our clinical laboratory testing personnel in three different job titles, based on educational background:
+ Medical Technologist
+ Med Lab Technician
+ Lab Technician
**A caregiver in this position nights from 6:00 p.m. - 6:30 a.m. with every other weekend, holiday rotation requirements.**
A caregiver who excels in this role will:
+ Follow laboratory procedures for specimen handling and processing, test analyses, reporting and maintaining records of patient test results.
+ Maintain regulatory knowledge and awareness as it pertains to specific job duties.
+ Adhere to the laboratory's quality control policies, document all quality control activities, instrument and procedural calibrations and maintenance performed.
+ Assume responsibility for and take action regarding any quality control or quality assurance issues as it pertains to specific job duties.
+ Maintain instruments and equipment in accordance with manufacturer's specifications.
+ Assume responsibility for good documentation practices and maintain clear and legible records.
+ Perform proficiency testing in compliance with Clinical Laboratory Improvement Amendments (CLIA) regulations i.e. analyze proficiency survey sample in the same manner as a patient specimens, no communication with other CLIA laboratories, complete record retention and accurate documentation and result reporting.
+ Assume responsibility for participation in continuing education, professional development and required annual competency assessment.
+ Follow the laboratory's established policies and procedures whenever test systems are not within the laboratory's established acceptable levels of performance.
+ Identify problems that may adversely affect test performance or reporting of test results and either must correct the problems or immediately notify the General Supervisor, Technical Supervisor, Clinical Consultant, or Laboratory Director.
+ May function as an educator and provides instruction and training in theory, technical skills, safety protocols, and the application of laboratory test protocols to students, employees, residents, etc.
Minimum qualifications for the ideal future caregiver include:
+ Bachelor's degree in a chemical or biological science from an accredited institution OR meets the CLIA qualifications for high complexity testing personnel
+ Education outside of the United States requires diploma/transcripts translated into English and proof of foreign equivalency from an HHS approved agency or nationally recognized organization such as NACES (National Association Credential Evaluation Services, Inc.) or AICE (Association of International Credential Evaluators, Inc.)
+ Must provide Diploma and/or transcripts
Preferred qualifications for the ideal future caregiver include:
+ Previous experience in a lab setting
+ Certification as a Medical Technologist (MT) or certification eligible preferred, from the American Society of Clinical Pathology (ASCP) or American Medical Technologists (AMT).
Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you: Requirements:**
+ Physical demands include: Visual acuity to study specimens under a microscope.
+ Ability to differentiate color, hue, saturation and tones.
+ Fine motor skills and manual dexterity to handle specimens and lab equipment required to process specimens and repair equipment.
+ May be required to stand for long periods of time.
+ Light lifting may be required.
+ May be exposed to hazardous chemicals, biohazards, radioactive materials, etc.
**Personal Protective Equipment:**
+ Follows standard precautions using personal protective equipment as required.
**Pay Range**
Minimum hourly: $4.00
Maximum hourly: 45.65
The pay range displayed on this job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set and education. The pay range displayed does not include any applicable pay practices (e.g., shift differentials, overtime, etc.). The pay range does not include the value of Cleveland Clinic's benefits package (e.g., healthcare, dental and vision benefits, retirement savings account contributions, etc.).
Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities
Medical Assistant
Posted 15 days ago
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Job Description
We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?
We're different than most primary care providers. We're rapidly expanding and we need great people to join our team.
The Care Promoter 1 is an unlicensed medical professional cross-trained to perform routine administrative and clinical tasks to keep the medical centers running smoothly. The duties of Care Promoter 1 vary from setting to setting, depending on the size, location and type. In addition to administrative duties, Care Promoters perform clinical duties under direct physician supervision in accordance with state medical practice acts. The Care Promoter 1 is an integral member of a Physician-lead Care Team that is focused on providing excellent and comprehensive primary care for a specific population of patients.
ESSENTIAL JOB DUTIES/RESPONSIBILITIES:
+ Measures and records patient vital signs; records patient interview and medical history.
+ Catalogs and communicates patient needs to the PCP, Clinician, Specialist and/or other clinical personnel.
+ Prepares patients for examinations and performs routine screening tests; assists physician with exams; explains treatment procedures and physicians' instructions to patient.
+ Observes patients and reports any changes in patient conditions to the PCP, Clinician, Specialist and/or other clinical personnel.
+ Perform non-critical medical and therapeutic procedures based on medical instructions. Collects phlebotomy and other lab specimens; performs basic waived lab tests.
+ Prepares and administers medications; changes dressings, applies bandages, removes sutures and other first aid procedures; uses CPR skills when necessary, all under physician supervision.
+ Maintains supplies, equipment, stocks and sterilizes instruments; practices OSHA safety standards; performs accurate, legal, and ethical documentation at all times.
+ Processes patient phone messages, returning calls and routing them to other team members as appropriate; calls patients to obtain and relay pertinent information for the physician.
+ Upon physician approval and authorization, calls in prescriptions to the pharmacy. Uses communication skills with appropriate medical terminology; and follows appropriate legal and ethical professional conduct; authorized individuals will use the ChenMed Rx system to support physician medication dispensing.
+ Provides health coaching to a defined group of patients to support healthy lifestyle choices. Follows up with coached patients via weekly calls.
+ Performs other duties as assigned and modified at manager's discretion.
KNOWLEDGE, SKILLS & ABILITIES:
+ Excellent interpersonal and customer service skills with a heart of compassion and empathy towards our patients and families
+ Exceptional oral and written communication skills, time management skills and organizational skills
+ Ability to effectively collaborate and partner with team members, including physicians and other clinicians, market leaders, center managers, nurses, case managers, front desk staff, center managers, and market leaders
+ Mindset focused on resolving problems for patients and achieving team goals
+ Knowledge of medical products, terminology, services, standards, policies and procedures
+ Skilled in basic phone and computer operation
+ Must be detail-oriented to ensure accuracy of reports and data
+ Ability to maintain effective and organized systems to ensure timely patient flow
+ Ability to act calmly in busy or stressful situations
+ Proficient skills in Microsoft Office Suite products including Word, PowerPoint, Outlook and Excel plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software
+ Ability and willingness to travel locally and/or regionally up to 10% of the time to assist in covering other centers, as needed
+ Spoken and written fluency in English
We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care.
ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day.
Current Employee apply HERE ( Contingent Worker please see job aid HERE to apply
#LI-Onsite
Medical Librarian III
Posted 1 day ago
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Job Description
As Medical Librarian III, you will manage and provide advanced library services, including orienting, educating and training users in the effective use of library resources. In this role, you will oversee the selection, acquisition and maintenance of the Cleveland Clinic Health System (CCHS) Library's collection of over 200 electronic resources, including journals, eBooks and databases used in patient care and biomedical research. You will collaborate with Main Campus and regional library staff, IT, resource vendors and proxy server administrators to provide, coordinate and troubleshoot access to online resources. Additionally, you will serve as the primary liaison with the Supply Chain department, managing more than 30 contracts to ensure seamless access to high-quality digital content across the enterprise.
**A caregiver in this role works days from 7:30 a.m. -- 3:30 p.m. or 10:30 a.m. - 6:30 p.m. with Saturday requirements.**
**_This is a hybrid position, with the opportunity to work from home one day per week and on campus four days per week after the 90-day hiring period._**
A caregiver who excels in this role will:
+ Provide advanced professional library services including the orientation, education and training of library users in effective use of appropriate library resources and services.
+ Provide direct supervision of non-exempt library employees and/or have significant involvement in library budgeting and planning.
+ Handle library operations in absence of the Manager.
+ Prepare library budgets, strategic plans, policies and the planning/leading of various Library projects and partnerships.
+ Participate in the organization and selection of library resources appropriate for the support of the CCF mission.
+ Assist with coordination of the delivery of needed/requested materials to patrons.
Minimum qualifications for the ideal future caregiver include:
+ Master's degree in library/information science
+ Seven years of professional experience (post-MSLS) including 4 years in medical/life sciences-related activities (reference/instruction, collection development, cataloging, e-resources)
+ _Any level is acceptable:_ Provisional, Member Level, Senior Member Level, Distinguished Member Level or Emeritus Member Level
Preferred qualifications for the ideal future caregiver include:
+ Credentialing by the Medical Library Association's (MLA) Academy of Health Information Professionals (AHIP) certification
+ Librarian with Experience with the library's software system- ExLibris Alma and Primo
+ Technical proficiency and library science resources knowledge
+ Strong analytical thinking for evaluating usage data and making collection decisions
+ Project management abilities to oversee implementation and integration of electronic resources into the library system
Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you: Requirements:**
+ Ability to perform work in a stationary position for extended periods
+ Ability to operate a computer and other office equipment
+ Ability to communicate and exchange accurate information
+ Ability to lift library materials up to 15 pounds
+ Ability to move library materials on a cart weighing up to 75 pounds.
**Personal Protective Equipment:**
+ Follows standard precautions using personal protective equipment as required.
**Pay Range**
Minimum Annual Salary: $57,510.00
Maximum Annual Salary: $87,697.50
The pay range displayed on this job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set and education. The pay range displayed does not include any applicable pay practices (e.g., shift differentials, overtime, etc.). The pay range does not include the value of Cleveland Clinic's benefits package (e.g., healthcare, dental and vision benefits, retirement savings account contributions, etc.).
Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities
RN -- Medical ICU
Posted 1 day ago
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Job Description
Fairview Hospital's Medical Intensive Care Unit (MICU) provides treatment to patients suffering from various medical problems and diagnoses, such as sepsis, respiratory problems, DKA, suicide monitoring, overdose monitoring, post-cardiac arrest hypothermia, altered mental status, and stroke. Some of the most common procedures performed by the nursing staff in the MICU include bronchoscopy, endoscopy, emergent intubations, and central line placement.
As an RN on this team, you will assist fellow caregivers with providing exceptional care to patients from initial introduction to discharge. In this role, you will interact directly with patients, families and visitors, offering the opportunity to enhance their experience and supply healthcare education as needed. Additionally, the Cleveland Clinic system provides nurses with many professional development resources, including furthering education and online/in-person courses to enhance your skills.
**A caregiver in this position works rotating day/night shifts from 7:00 a.m. - 7:30 p.m. and 7:00 p.m. - 7:30 a.m. with weekend and holiday rotation requirements.**
A caregiver who excels in this role will:
+ Participate in a residency core curriculum based on individual learning needs.
+ Provide direct nursing care alongside a success coach.
+ Establish and/or revise priorities for patient care (acuity of need, patient preference and resource availability).
+ Respond to data indicating risk to patients' health and initiate action to correct, reduce or prevent risk.
+ Seek supervision, consultation and assistance when unable to perform safely and independently.
+ Document in patients' medical records
Minimum qualifications for the ideal future caregiver include:
+ Graduate from an accredited School of Professional Nursing
+ Current state licensure as a Registered Nurse (RN)
+ Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certification through the American Heart Association (AHA)
+ New graduate RN OR less than one year of RN work experience
Preferred qualifications for the ideal future caregiver include:
+ Bachelor of science in nursing (BSN).
Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you: Requirements:**
+ Requires full range of body motion including handling and lifting patient, manual and finger dexterity, and eye-hand coordination.
+ Requires standing and walking for extended periods of time.
+ Requires corrected vision and hearing to normal range.
+ Requires working under stressful conditions and irregular hours.
+ Exposure to communicable diseases and/or body fluids.
+ Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects.
+ Physical Demand requirements are in excess of those for Light Work.
**Personal Protective Equipment:**
+ Follows Standard Precautions using personal protective equipment as required for procedures.
**Pay Range**
Minimum hourly: $33.50
Maximum hourly: $53.60
The pay range displayed on this job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set and education. The pay range displayed does not include any applicable pay practices (e.g., shift differentials, overtime, etc.). The pay range does not include the value of Cleveland Clinic's benefits package (e.g., healthcare, dental and vision benefits, retirement savings account contributions, etc.).
Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities
Medical Assistant -- Pediatrics
Posted 1 day ago
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Job Description
Our newly renovated state-of-the-art facility brings expanded care under one roof and enhances the patient and family experience. Most outpatient services are provided in the new Center to offer a full complement of outpatient and inpatient pediatric care services available on the Cleveland Clinic Main Campus.
As a Medical Assistant, you will collaborate with fellow staff to create a welcoming, comfortable environment for patients, families and visitors. In our dermatology department, you will assist with procedures under the supervision of a physician or nurse and will scribe for the medical providers. You will also assist with medication management, patient monitoring, administrative tasks and more. This position also provides the rewarding opportunity to gain hands-on experience and the ability to learn from some of the best caregivers in the world.
**A caregiver in this role works days from 8:00 a.m. - 5:00 p.m. or 7:30 a.m. - 6:00 p.m.**
A caregiver who excels in this role will:
+ Assist with performing screenings and treatments by gathering and updating information related to health maintenance, identifying medication changes, updating allergy information, collecting specimens, performing tests and documenting patient care.
+ Monitor and communicate changes in patient condition.
+ Maintain equipment, medical supplies and examination areas.
+ Perform administrative/clerical duties, such as filing, reception, scheduling, data entry and patient registration.
Minimum qualifications for the ideal future caregiver include:
+ Graduate from an approved Medical Assisting Program OR military training as a Hospital Corpsman (HM), Combat Medic (68W) or Medical Service Technician (4N0X1)
+ Completion of a clinical externship OR extensive clinical experience
+ Basic Life Support (BLS) Certification through the American Heart Association (AHA) upon or within new hire period
Preferred qualifications for the ideal future caregiver include:
+ Medical Assisting Certification
+ Successful completion of a Cleveland Clinic externship
Our caregivers continue to create the best outcomes for our patients across each of our facilities. Click the link and see how we're dedicated to providing what matters most to you: Requirements:**
+ Manual dexterity to operate office equipment.
+ May require extended periods of standing, walking or sitting.
+ Good visual acuity through normal or corrected vision.
+ Light Work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly (Constantly: activity or condition exists 2/3 or more of the time) to move objects.
+ Even though the weight lifted may be only a negligible amount, a job should be rated Light Work: (1) when it requires walking or standing to a significant degree; or (2) when it requires sitting most of the time but entails pushing and/or pulling of arm or leg controls; and/or (3) when the job requires working at a production rate pace entailing the constant pushing and/or pulling of materials even though the weight of those materials is negligible.
+ Note: The constant stress and strain of maintaining a production rate pace, especially in an industrial setting, can be and is physically demanding of a worker even though the amount of force exerted is negligible.
**Personal Protective Equipment:**
+ Follows standard precautions using personal protective equipment as required.
**Pay Range**
Minimum hourly: $19.75
Maximum hourly: $27.75
The pay range displayed on this job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set and education. The pay range displayed does not include any applicable pay practices (e.g., shift differentials, overtime, etc.). The pay range does not include the value of Cleveland Clinic's benefits package (e.g., healthcare, dental and vision benefits, retirement savings account contributions, etc.).
Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities
Medical Breast Specialist
Posted 2 days ago
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Job Description
The Cleveland Clinic Breast Center is currently seeking applicants for a Medical Breast Specialist to join our growing team. We welcome applications from board-certified physicians who have outpatient experience in medical breast and a strong interest in women's health. This can include physicians from specialties such as Breast Surgery, General Surgery, Internal Medicine, Family Medicine or Gynecology.
The ideal candidate has experience in primary or ambulatory care and a strong interest in breast and women's health. They should demonstrate a commitment to collaborative, patient-centered care. The clinical practice for this role will encompass the evaluation and management of benign breast disease, comprehensive risk assessment, care of patients at elevated or hereditary risk, and survivorship care.
The physician's clinical practice will be a hybrid of academic and community at our multidisciplinary Breast Center locations in the Cleveland Clinic Breast Program. No call is required. Medical students, residents and fellows rotate on our service and our medical breast physicians are integral members of the teaching rotation. The physician will obtain an academic appointment as Assistant, Associate or Professor at Cleveland Clinic Lerner College of Medicine of Case Western University School of Medicine. The selected candidate will be encouraged to participate in clinical research.
The Cleveland Clinic Breast Center is comprised of surgical and medical breast specialists, as well as breast psychology. A full array of services ranges from initial screening and diagnosis to innovative breast cancer treatment and management of high-risk patients for breast cancer. The Breast Center is an integral component of the Comprehensive Breast Program which includes multidisciplinary disciplines caring for Breast Health from prevention, screening, breast cancer management and to survivorship. The Breast Program maintains full accreditation from the American College of Surgeons' National Accreditation Program for Breast Centers (NAPBC).
The Cleveland Clinic Breast Center is renowned for multidisciplinary cancer care and is a national referral center. Dedicated research coordinators support our team's clinical trials and research protocols. Within the Breast Center, Breast Surgery and Medical Breast Services collaborate closely, allowing the medical breast physician to lead the evaluation and management of non-surgical breast conditions while surgeons focus on operative care.
Interested candidates should apply online at: also include a CV and cover letter with your application. Your cover letter can be addressed to:
Zahraa AlHilli, MD
Interim Director of Breast Center
**Learn more about Cleveland Clinic**
About Cleveland ClinicLiving in ClevelandTake a Tour ( Us**
Cleveland Clinic's vision is to become the best place for care and the best place to work in healthcare. We are committed to providing a safe, stable, and financially fulfilling work environment. Cleveland Clinic is ambitiously investing in growth. Being a physician-led organization means doing what is best for the patients, every day.
Cleveland Clinic is one of the world's largest and busiest health centers. Patients come to Cleveland Clinic from all over the world. We offer advanced treatment for all illnesses and disorders of the body.
Cleveland Clinic is a nonprofit, multispecialty academic medical center that's recognized in the U.S. and throughout the world for its expertise and care. Cleveland Clinic integrates clinical and hospital care with research and education. Located in Cleveland, Ohio, it was founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation. Cleveland Clinic has pioneered many medical breakthroughs, including coronary artery bypass surgery and the first face transplant in the United States. U.S. News & World Report consistently names Cleveland Clinic as one of the nation's best hospitals in its annual America's Best Hospitals survey. Among Cleveland Clinic's 80,642 employees worldwide are more than 5,743 salaried physicians and researchers, and 20,166 registered nurses and advanced practice providers, representing 140 medical specialties and subspecialties. Cleveland Clinic is a 6,690-bed health system that includes a 173-acre main campus near downtown Cleveland, 23 hospitals, more than 270 outpatient facilities, including locations in northeast Ohio; southeast Florida; Las Vegas, Nevada; Toronto, Canada; Abu Dhabi, UAE; and London, England. In 2023, there were 13.7 million total outpatient visits, 323,000 hospital admissions and observations, and 301,000 surgical cases throughout Cleveland Clinic's health system. Patients came for treatment from every state and 185 countries.
**Our Culture**
_Cleveland Clinic is pleased to be an equal employment opportunity employer. Smoke/drug free environment._
Any application submitted without a CV will delay the review process
Please be advised that all information entered in your application will only be shared with Cleveland Clinic and will not be distributed to third parties.
_The pay range displayed on this job posting reflects the anticipated range for new hires_ _and is for a 100%, full-time employment (FTE)._ _A successful candidate's actual compensation will be consistent with fair market value and determined after taking various factors into consideration such as the candidate's work history, experience, skill set,_ _% of FTE_ _and board certification. This is not inclusive of the value of Cleveland Clinic's benefits package, which includes among other benefits, healthcare/dental/vision, and retirement._
**About the Community**
Cleveland is part of Northeast Ohio which is composed of six metropolitan areas. Each of them provides affordable real estate, excellent schools, safe communities as well as an abundance of outdoor activities. Find out here ( how great it is to live in Cleveland!
**Information for Candidates**
Candidates will only be asked to provide personal documents once an offer of employment has been made and accepted. Recruitment scams are becoming increasingly common online, with false advertisements and requests for payment or personal details claiming to come from reputable organizations. Please be assured that our physician recruiters will never ask for payment from candidates at any stage of the recruitment or offer process.
**Disclaimer**
_Cleveland Clinic Health System administers an influenza prevention program. You will be required to comply with the program, which will include obtaining an influenza vaccination or an exemption._
Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities
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Certified Medical Assistant
Posted 22 days ago
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Job Description
We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?
We're different than most primary care providers. We're rapidly expanding and we need great people to join our team.
The Care Promoter 1, Early Embrace is an unlicensed medical professional cross-trained to perform routine administrative and clinical tasks to keep the medical centers running smoothly. The duties of Care Promoter 1 vary from setting to setting, depending on the size, location and type. In addition to administrative duties, the incumbent in this role perform clinical duties under direct physician supervision and in accordance with state medical practice acts. The Care Promoter 1, Early Embrace is an integral member of a Physician-lead Care Team that is focused on providing excellent and comprehensive primary care for a specific population of patients.
**ESSENTIAL JOB DUTIES/RESPONSIBILITIES:**
+ Measures and records patient vital signs; records patient interview and medical history.
+ Catalogs and communicates patient needs to the PCP, Clinician, Specialist and/or other clinical personnel.
+ Prepares patients for examinations and performs routine screening tests; assists physician with exams; explains treatment procedures and physicians' instructions to patient.
+ Observes patients and reports any changes in patient conditions to the PCP, Clinician, Specialist and/or other clinical personnel.
+ Perform non-critical medical and therapeutic procedures based on medical instructions. Collects phlebotomy and other lab specimens; performs basic waived lab tests.
+ Prepares and administers medications; changes dressings, applies bandages, removes sutures and other first aid procedures; uses CPR skills when necessary, all under physician supervision.
+ Maintains supplies, equipment, stocks and sterilizes instruments; practices OSHA safety standards; performs accurate, legal, and ethical documentation at all times.
+ Processes patient phone messages, returning calls and routing them to other team members as appropriate; calls patients to obtain and relay pertinent information for the physician.
+ Upon physician approval and authorization, calls in prescriptions to the pharmacy. Uses communication skills with appropriate medical terminology; and follows appropriate legal and ethical professional conduct; authorized individuals will use the ChenMed Rx system to support physician medication dispensing.
+ Provides health coaching to a defined group of patients to support healthy lifestyle choices. Follows up with coached patients via weekly calls.
+ Performs other duties as assigned and modified at manager's discretion.
**KNOWLEDGE, SKILLS AND ABILITIES:**
+ Good business acumen and acuity
+ Sound knowledge and understanding of general medical assistant functions, practices, processes, procedures, techniques and methods
+ Knowledge of medical products, terminology, services, standards, policies and procedures
+ Excellent interpersonal and customer service skills with a heart of compassion and empathy towards our patients and families
+ Exceptional oral and written communication skills, time management skills and organizational skills
+ Skilled in basic phone and computer operation
+ Ability to effectively collaborate and partner with team members, including physicians and other clinicians, market leaders, center managers, nurses, case managers, front desk staff, center managers, and market leaders
+ Mindset focused on resolving problems for patients and achieving team goals
+ Must be detail-oriented to ensure accuracy of reports and data
+ Ability to maintain effective and organized systems to ensure timely patient flow
+ Ability to act calmly in busy or stressful situations
+ Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, database, and presentation software
+ Ability and willingness to travel locally, regionally and nationwide up to 100% of the time; flexible to work weekends as needed
+ Spoken and written fluency in English; bilingual (Spanish/Creole) a plus
We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care.
ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day.
Current Employee apply HERE ( Contingent Worker please see job aid HERE to apply
#LI-Onsite
Medical Director (AZ)
Posted 24 days ago
Job Viewed
Job Description
**Job Summary**
Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and procedures that guide and support the provisions of medical staff services. Maintains a working knowledge of applicable national, state, and local laws and regulatory requirements affecting the medical and clinical staff.
+ Marketplace UM reviews
+ MD licenses required for the following states: WA FL, MI, MS, NM, KY, TX, IL, OH, ID, SC, UT, WI, AZ, NV, IA, GA
**Job Duties**
+ Provides medical oversight and expertise in appropriateness and medical necessity of healthcare services provided to members, targeting improvements in efficiency and satisfaction for patients and providers, as well as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, guideline usage, pharmacy utilization and effective resource management.
+ Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality of patient care, ensuring that patients receive the most appropriate care at the most effective setting. Evaluates the effectiveness of UM practices. Actively monitors for over and under-utilization. Assumes a leadership position 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 the investigation of adverse incidents and quality of care concerns. Participates in preparation for NCQA and URAC certifications. Develops and provides leadership for NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead, the medical director, and quality improvement staff.
+ 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.
+ Attends or chairs committees as required such as Credentialing, P&T and others as directed by the Chief Medical Officer.
+ Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review, and manages the denial process.
+ Monitors appropriate care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost-efficiency, and continuity of care.
+ Ensures that medical decisions are rendered by qualified medical personnel, not influenced by fiscal or administrative management considerations, and that the care provided meets the standards for acceptable medical care.
+ Ensures that medical protocols and rules of conduct for plan medical personnel are followed.
+ Develops and implements plan medical policies.
+ Provides implementation support for Quality Improvement activities.
+ Stabilizes, improves and educates the Primary Care Physician and Specialty networks. Monitors practitioner practice patterns and recommends corrective actions if needed.
+ Fosters Clinical Practice Guideline implementation and evidence-based medical practice.
+ Utilizes IT and data analysts to produce tools to report, monitor and improve Utilization Management.
+ Actively participates in regulatory, professional and community activities.
**JOB QUALIFICATIONS**
**REQUIRED EDUCATION:**
+ Doctorate Degree in Medicine
+ Board Certified or eligible in a primary care specialty
**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:**
+ 3+ years relevant experience, including:
+ 2 years previous experience as a Medical Director in a clinical practice.
+ Current clinical knowledge.
+ Experience demonstrating strong management and communication skills, consensus building and collaborative ability, and financial acumen.
+ Knowledge of applicable state, federal and third party regulations
**REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:**
Current state Medical license without restrictions to practice and free of sanctions from Medicaid or Medicare.
**PREFERRED EDUCATION:**
Master's in Business Administration, Public Health, Healthcare Administration, etc.
**PREFERRED EXPERIENCE:**
+ Peer Review, medical policy/procedure development, provider contracting experience.
+ Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines.
+ Experience in Utilization/Quality Program management
+ HMO/Managed care experience
**PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:**
Board Certification (Primary Care preferred).
**PHYSICAL DEMANDS:**
Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJHS
#LI-AC1
Pay Range: $161,914.25 - $315,733 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
RN - Medical/Surgical
Posted 1 day ago
Job Viewed
Job Description
Hillcrest Hospital's 5 Seidman Renal Unit is a 24 private bed unit that provides care and treatment to acutely ill adult and geriatric patients who require inpatient or observation care. Patients in this unit have renal diseases, respiratory diseases, cardiac diseases, diabetes and other chronic diseases. This unit also specializes in peritoneal dialysis while also providing treatments such as cardiac monitoring, IV therapy, nutritional support, diagnostic testing and spiritual support.
How You'll Benefit
+ Take advantage of industry leading benefits, including our RN Loan Repayment program, which helps pay off student debt, and our Tuition Reimbursement program to reinvest in your career. And if you're relocating to join us, you could be eligible for relocation assistance. For a full list of benefits, click here ( .
+ Our Center for Workplace Violence Prevention and Caregiver Well-Being sets caregiver safety as a priority, identifying, reporting and responding to incidents and providing safety resources.
**A caregiver in this position works rotating day/night from 7:00 p.m. - 7:30 a.m. and 7:00 a.m. - 7:30 p.m. with every other weekend and holiday rotation requirements.**
A caregiver who excels in this role will:
+ Provide direct nursing care.
+ Implement, monitor, evaluate, update, and revise patient care plans.
+ Monitor, record, document and communicate patients' conditions.
+ Administer prescribed medications and treatments.
+ Note and carry out physician and nursing orders.
+ Assess and coordinate patients' discharge needs.
+ Educate patients and their families.
Minimum qualifications for the ideal future caregiver include:
+ Graduate from an accredited School of Professional Nursing (ADN or BSN program)
+ Current state licensure as a Registered Nurse (RN)
+ One year of current acute care RN experience OR military RN experience
+ Basic Life Support (BLS) certification through the American Heart Association (AHA) OR the American Red Cross
Preferred qualifications for the ideal future caregiver include:
+ Bachelor of science in nursing (BSN)
**Physical Requirements:**
+ Requires full range of body motion including handling and lifting patient, manual and finger dexterity, and eye-hand coordination.
+ Requires standing and walking for extended periods of time.
+ Requires corrected vision and hearing to normal range.
+ Requires working under stressful conditions and irregular hours.
+ Exposure to communicable diseases and/or body fluids.
+ Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects.
+ Physical Demand requirements are in excess of those for Light Work.
**Personal Protective Equipment:**
+ Follows standard precautions using personal protective equipment as required.
**Pay Range**
Minimum hourly: $33.50
Maximum hourly: $53.60
The pay range displayed on this job posting reflects the anticipated range for new hires. A successful candidate's actual compensation will be determined after taking factors into consideration such as the candidate's work history, experience, skill set and education. The pay range displayed does not include any applicable pay practices (e.g., shift differentials, overtime, etc.). The pay range does not include the value of Cleveland Clinic's benefits package (e.g., healthcare, dental and vision benefits, retirement savings account contributions, etc.).
Cleveland Clinic Health System is pleased to be an equal employment employer: Women / Minorities / Veterans / Individuals with Disabilities