679 Yale jobs in the United States
Yale Affiliate
Posted 2 days ago
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Job Description
Client Name
Unified Women's Healthcare - Hamden
Job Type
Permanent
Offering
Physician
Profession
OBGYN
Specialty
General
Job ID
15211055
Job Title
Yale Affiliate
Shift Details
Shift
Full Time Days
Scheduled Hours
40
Job Order Details
Start Date
08/06/2025
Duration
0
Job Description
You will be contacted directly by the facility after applying to this position.
Physician for Women's Health (PWH), a proud affiliate of Women's Health Connecticut, is comprised of Physicians who demonstrate the knowledge and skills necessary to provide obstetrical and gynecological care, appropriate to the age of the patients served.
Comprehensive Gynecology of CT, of Physicians for Women's Health, located in Hamden, CT, is seeking a full-time Physician to support our OB/GYN practice. Current MD staffing within the practice includes three MD's/Physicians, two Certified Nurse Midwifes, and one APRN. All Full-time, Physicians take call, which is split equally. The practice is affiliated with Yale New Haven Hospital.
Candidates must have the ability to diagnose patient conditions and provide appropriate treatment recommendations. Candidates must demonstrate knowledge of the principles of fetal growth and development and have the ability to identify and categorize each patient's age specific grouping of needs.
Position Highlights:
• Perform comprehensive physical examination, and compile patient medical data including health history and results of physical examination.
• Orders or performs therapeutic procedures such as injections, immunizations, and basic wound care.
• Instructs and counsels patients regarding compliance with prescribed therapeutic regimens, normal growth and development, family planning, emotional problems of daily living, and health maintenance.
• Develops and implements patient management plans, follows hospitalized patients as appropriate, records progress notes, and assists in provision of continuity of care.
• Gain competence in Electronic Medical Record System.
• Billing submission at time of office visit.
Compensation/Benefits Highlights:
• Competitive compensation
• CME reimbursement
• Comprehensive health, dental, and vision
• 401k
• Short- and long-term disability, company paid life insurance
• Flexibility & Balance
• Supportive and appreciative culture
Requirements:
• Experience in OB/GYN or Women's Health
• MD or DO from accredited medical school
• Board certified or board eligible
• Connecticut License
• Federal and State controlled substance licenses
• BLS certification
• Eligible for hospital privileges
• Effective communication (verbal and written), listening, and customer service skills
Client Details
City
Hamden
State
CT
Zip Code
06518
Unit Details
Unit Description
Unified Women's Healthcare is affiliated with the largest, physician-owned Ob-Gyn practice network in the nation, with more than 900 affiliated practices and 2,500 providers in 19 states and Washington DC. Choose an opportunity from dozens of cities; urban to rural. The national footprint of our medical affiliates provides candidates with a variety of practice settings and career opportunities to fit their professional practice goals.
As a provider practicing with a medical affiliate in the Unified network, you will see the benefit of being affiliated with a large, national women's healthcare company while knowing that governance and clinical decision-making remains the exclusive domain of providers.
We are advocates for the Ob-Gyn medical affiliates in our network, advancing the business of medicine so they can focus solely on the practice of medicine. We help our medical affiliates both innovate and expand while providing tools, training, support, and additional practice resources.
Sonographer, Yale Health
Posted today
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Job Description
Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community-eligible for opportunities through the New Haven Hiring Initiative or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale!
Hourly Range: 34.77
Overview: In 1971, Yale University established Yale Health to provide health services to its facility, staff and students through a multidisciplinary health maintenance organization located on campus. Yale Health has approximately 50,000 members including students, staff, faculty and their families who come from every state in the country and almost every country in the world and is committed to an inclusive workplace. We are celebrating over 50 years of service to the Yale community. Our state-of-the-art facility at 55 Lock Street, is where our members receive most of their care from our 150+ providers. It is a 144,000 square foot medical facility with over 90 exam rooms, an Acute Care Department, a 15-bed inpatient facility with two negative pressure rooms, a diagnostic imaging suite including MR and CT scan, x-ray and ultrasound and a full-service retail pharmacy.
As a member of the Diagnostic Imaging Department Team, assist in providing coordinated and compassionate care at every patient encounter at Yale Health. Responsibilities include perform specialized testing procedures appropriate to specialty (ultrasonography) in Diagnostic Imaging. Review patient's chart, patient's condition and physician's orders to plan and determine method of testing. Position patients. Set up, operate and maintain equipment to conduct tests and procedures. Provide information to patients concerning specific tests and procedures. Perform high level disinfection of u/s probes at the department level. Instruct and act as a source of information on testing techniques, procedures and equipment operation. Assist patients when necessary to dress/undress for exams, or in transfers to/from wheelchair, stretcher, exam tables, etc. Assist in Diagnostic Imaging/ultrasound exams as directed by the radiologist. Maintain strict patient confidentiality. Act as a liaison with repair personnel. Order and maintain inventory of supplies. Maintain disposable inventory per department protocol regarding date of use/disposal. Perform additional functions related to clinical as needed.
Required Skills and Abilities:
- Certification as a Diagnostic Medical Sonographer
- Demonstrated skill with ultrasound in a safe and reliable manner
- Proficient in OB-GYN (Level 1), vascular and general
- Proven ability as a medical ultra sonographer in a clinical setting such as a hospital or large medical practice
- Demonstrated experience in an urgent care setting or fast paced medical environment
- Well-developed interpersonal skills and the ability to develop positive relationships with patients and co-workers
- Excellent attendance, punctuality and reliability
Principal Responsibilities:
- Performs specialized testing procedures appropriate to specialty ultrasonography in radiology
- Reviews patient's chart, patient's condition and physician's orders to plan and determine method of testing
- Positions patients; Sets up, operates and maintains equipment to conduct tests and procedures. Provides information to patients concerning specific tests and procedures
- Processes films and duplicate films
- Instructs and acts as a source of information on testing techniques, procedures and equipment operation
- Assists in radiology/ultrasound exams as directed by the radiologist
- Assists management in upgrading equipment. Orders and maintains inventory of supplies. Maintains disposable inventory per department protocol regarding date of use/disposal
- Acts as a liaison with repair personnel
- Assists in budget development as requested
- May perform other duties as assigned
Required Education and Experience:
- Six years of related experience; four of them in the same job family at the next lower level and a high school level education; or four years of related work experience and an Associate's Degree; or little or no work experience and a Bachelor's Degree in a related field; or an equivalent combination of experience and education
Background Check Requirements: All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check.
Health Requirements: This role is a healthcare worker position. Healthcare workers (HCW) are defined as university employees working a healthcare setting who have the potential for direct or indirect exposure to patients, human research subjects or infectious materials including body substance, contaminated medical supplies, devices and equipment, surfaces, or air. HCW have specific health requirements that must be met prior to starting work, including MMR vaccine or immunity, varicella (chickenpox) vaccine or immunity, TB screening, COVID vaccine according to University policy, hepatitis B vaccine or immunity, and annual flu vaccination.
Posting Disclaimer: The hiring rate of a role is determined in accordance with the provisions outlined in the respective collective bargaining agreement. The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties through their hiring department.
The University is committed to basing judgments concerning the admission, education, and employment of individuals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. In accordance with this policy and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any individual on account of that individual's sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran.
Inquiries concerning Yale's Policy Against Discrimination and Harassment may be referred to the Office of Institutional Equity and Accessibility (OIEA).
Yale University is a tobacco-free campus.
Admissions RN-Yale

Posted 5 days ago
Job Viewed
Job Description
The Admissions RN is a registered nurse and an Interdisciplinary Team member whose primary responsibility is to present services and philosophy to patients and families in a manner that results in the admission of appropriate patients.
Participation in the information gathering, analysis, education and form completion aspects of the admissions process
Evaluate patients for hospice appropriateness, e.g. medical records review as requested.
Obtain agreement for admission of referred patients and families who meet admission criteria.
Analyze data collected by the LPN to facilitate/obtain admission orders
Build effective referral source relationships to support the high quality and responsiveness expectations associated with .
Maintain clinical and professional competence.
Take the initiative in developing effective relationships internally with the appropriate admissions and patient care resource persons.
Utilize interpersonal skills to help appropriately educate and address any questions the patient and/or patients family has concerning hospice and palliative care.
We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to Human Resources Request Form ( . The EEOC "Know Your Rights" Poster is available here ( .
To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: .
Skills and Requirements
RN Licensee null
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to
Pediatric Anesthesiology Physician, Yale
Posted today
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Job Description
Job Details
The Department of Anesthesiology at Yale University School of Medicine is recruiting full time, fellow trained Pediatric Anesthesiologist at the Assistant and Associate Professor rank.The Division of Pediatric Anesthesiology provides care for over 8,500 children in a variety of clinical settings: including Children's Hospital OR's, MRI, CT scan, interventional cardiology/radiology, radiation oncology and pain management.
Pediatric Opportunity Highlights:
- There is an established Pediatric Fellowship Training Program as well as an opportunity to work with anesthesia residents.
- There are robust clinical/translational research programs within the Department including opportunities for T-32 and National Clinical Scholar Physicians.
- Candidates with interest/expertise in pediatric regional anesthesia are encouraged to apply.
- Opportunities for J-1 visa candidates are available.
Located alongside the Long Island Sound in a beautiful region of New England, New Haven, Connecticut, offers a variety of opportunities for everyone.Whether you are basking in the remarkable nature and its scenic views, exploring the various orchards and vineyards, visiting historical sites, or attending one of the many festivals and cultural events, you will appreciate the pleasant quality of life that New Haven residents experience.
Community Highlights:
- Enjoy four distinct seasons and endless opportunities for outdoor recreation, including swimming, sailing, skating, hiking, biking, and golfing.
- Exceptional private schools, including the #2 best private high school in the state (Niche).
- Located less than two hours from New York City, New Haven is only a short drive from the Big Apple and its many amenities, including top-notch restaurants, Broadway shows, and professional sporting events.
About Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.
Pediatric Anesthesiology Physician, Yale
Posted today
Job Viewed
Job Description
Pediatric Anesthesiology Physician, Yale
StartDate: ASAP Pay Rate: $446000.00 - $88000.00
The Department of Anesthesiology at Yale University School of Medicine is recruiting full time, fellow trained Pediatric Anesthesiologist at the Assistant and Associate Professor rank. The Division of Pediatric Anesthesiology provides care for over 8,500 children in a variety of clinical settings: including Children's Hospital OR's, MRI, CT scan, interventional cardiology/radiology, radiation oncology and pain management.
Pediatric Opportunity Highlights:
- There is an established Pediatric Fellowship Training Program as well as an opportunity to work with anesthesia residents.
- There are robust clinical/translational research programs within the Department including opportunities for T-32 and National Clinical Scholar Physicians.
- Candidates with interest/expertise in pediatric regional anesthesia are encouraged to apply.
- Opportunities for J-1 visa candidates are available.
Located alongside the Long Island Sound in a beautiful region of New England, New Haven, Connecticut, offers a variety of opportunities for everyone. Whether you are basking in the remarkable nature and its scenic views, exploring the various orchards and vineyards, visiting historical sites, or attending one of the many festivals and cultural events, you will appreciate the pleasant quality of life that New Haven residents experience.
Community Highlights:
- Enjoy four distinct seasons and endless opportunities for outdoor recreation, including swimming, sailing, skating, hiking, biking, and golfing.
- Exceptional private schools, including the best private high school in the state (Niche).
- Located less than two hours from New York City, New Haven is only a short drive from the Big Apple and its many amenities, including top-notch restaurants, Broadway shows, and professional sporting events.
Interested candidates should apply through AMN Healthcare/Yale University using the links provided
Facility LocationThere's no place like New Haven to capture the splendor of each new season. Aside from working at top-rate facilities and earning great pay, traveling health care professionals who come to New Haven enjoy escaping to the quiet, rolling countryside, exploring neighboring villages and enjoying nature's endless panorama.
Job Benefits
About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.
Pediatric Anesthesiologist, Anesthesiologist, Pediatric Anesthesiology, Anesthesia, Physician, Healthcare, Health Care, Patient Care, Hospital, Medical, Doctor, Perioperative Medicine, Perioperative, Md, ANES
Compensation Information:
446000.00 / Annually - 488000.00 / Annually
barista - Store# 21ST & YALE
Posted 1 day ago
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Job Description
At Starbucks, it's all about connection. People are at the heart of who we are, especially the people that are a part of our store team. We connect with each other, our customers and our communities to make a positive impact every day. We believe in working together to make a difference and in celebrating our shared success, which is why we call ourselves Starbucks "partners." Starbucks is a place of warmth and belonging, where everyone is welcome, and we value the unique experiences that each partner brings to our team! As a Starbucks barista, you'll create the Starbucks Experience for our customers through excellent service and expertly-crafted products. You'll be in an energetic store environment where you'll have the ability to master your food & beverage craft, work alongside friends and meet new people every day. A cup of coffee and smile can go a long way, and we believe our baristas have the power to be the best moment in each customer's day.
You'd make a great barista if you:
- Consider yourself a "people person," and enjoy meeting others.
- Love working as a team and appreciate the chance to collaborate.
- Understand how to create a great customer service experience.
- Have a focus on quality and take pride in your work.
- Are open to learning new things (especially the latest beverage recipe!)
- Can keep cool and calm in a fast-paced, energetic work environment.
- Can maintain a clean and organized workspace.
- Have excellent communications skills.
From free coffee to competitive pay, Starbucks is proud to offer a comprehensive compensation and benefits package to our eligible part-time and full-time partners. Benefits include 100% tuition coverage through our Starbucks College Achievement Plan, health coverage with a variety of plans to choose from, and stock & savings programs like our equity reward program, Bean Stock. What's more, Starbucks offers flexible scheduling and opportunities for paid time off. Visit starbucksbenefits.com for details.
Summary of Experience:
No previous experience required
Basic Qualifications:
- Maintain regular and consistent attendance and punctuality, with or without reasonable accommodation
- Available to work flexible hours that may include early mornings, evenings, weekends, nights and/or holidays
- Meet store operating policies and standards, including providing quality beverages and food products, cash handling and store safety and security, with or without reasonable accommodation
- Engage with and understand our customers, including discovering and responding to customer needs through clear and pleasant communication
- Prepare food and beverages to standard recipes or customized for customers, including recipe changes such as temperature, quantity of ingredients or substituted ingredients
- Available to perform many different tasks within the store during each shift
Required Knowledge, Skills and Abilities:
- Ability to learn quickly
- Ability to understand and carry out oral and written instructions and request clarification when needed
- Strong interpersonal skills
- Ability to work as part of a team
- Ability to build relationships
As a Starbucks partner, you (and your family) will have access to medical, dental, vision, basic and supplemental life insurance, and other voluntary insurance benefits. Partners have access to short-term and long-term disability, paid parental leave, family expansion reimbursement, paid vacation that accrues starting at .01961 hours based on a 40 hour week up to 40 hours annually (64 hours in California) after an introductory period, sick time (accrued at 1 hour for every 25 or 30 hours worked, depending on work location), and additional pay if working on one of eight observed holidays. Starbucks also offers eligible partners participation in a 401(k)-retirement plan with employer match, a discounted company stock program (S.I.P.), Starbucks equity program (Bean Stock), incentivized emergency savings, and financial well-being tools. Additionally, Starbucks offers 100% upfront tuition coverage for a first-time bachelor's degree through Arizona State University's online program via the Starbucks College Achievement Plan, student loan management resources, and access to other educational opportunities. You will also have access to backup care and DACA reimbursement. Starbucks will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act, in accordance with its plans and policies. This list is subject to change depending on collective bargaining in locations where partners have a certified bargaining representative. For additional information regarding partner perks and more detailed information regarding benefits, go to starbucksbenefits.com.
Starbucks Coffee Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, or protected veteran status, or any other characteristic protected by law. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. Starbucks Coffee Company is committed to offering reasonable accommodations to job applicants with disabilities. If you need assistance or an accommodation due to a disability, please contact us at or 1 .
Sunrise Store Associate - Yale
Posted 7 days ago
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Job Description
If you consider yourself a team player who enjoys working with other reliable, motivated individuals like yourself in a positive work environment.Sunrise Stores may be a good fit for you.
Sunrise Stores is seeking Full and Part-Time Sunrise Store Associates for our Yale location. As a Sunrise Store Associate, you have the opportunity each day to leave a positive impression on the customers you interact with, whether a helping hand or a simple Hello.
Benefits:
Part-Time, Full-Time, and Management Positions Available
- $14 to Start
- 90-day Performance Raise Review
- Competitive Pay
- Premium Holiday Pay
- Paid Vacation*
- Plus Selling Competitions to Earn Extra Money
- Advancement Opportunities
- Flexible Scheduling
- Medical Insurance*
- 401k with up to 4% Company Match*
Every career path is different. We will provide you with the tools necessary to start your Sunrise Stores Journey.
Apply today at
(*eligible employees only)
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Site Coordinator - MAS Yale
Posted 10 days ago
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Under the direction of the Program Director and in accordance with the purpose, policies, and principles of the YMCA of Central New Mexico, the Site Coordinator is responsible for the direct supervision of activities for children ages 5 to 12 years old. The incumbent will be responsible for meeting regulations as set by the Child Care Licensing & Certification Bureau of the State of New Mexico, staffing, curriculum development & implementation, and will oversee the day to day activities in the Afterschool/Summer Day Camp program. The incumbent will also serve as liaison between the YMCA and participants' parents in order to develop a positive relationship for both. The incumbent will be qualified to hold a site license and meet all state requirements for such license.
Responsibilities
- Assist the Program Director in the development & implementation of the daily program and curriculum.
- Responsible for the day to day activities in the Summer Day Camp/Afterschool program including daily curriculum and staffing.
- Ensure proper participation/staff ratios as per state minimum standards.
- Assist in the planning and preparation of a creative learning environment, establishing centers of interest, and preparing needed materials and supplies.
- Interact with children, treating them with respect and dignity at all times.
- Maintains program site and equipment.
- Maintains required program records.
- Attends and participates in family nights, program activities, staff meetings, and staff trainings.
- Follow the chain of command as established by the Program Director, and assist accordingly.
- Help with general housekeeping duties.
- Maintain proper staff to child ratios at all the times and never leave children unattended.
- Maintain a professional attitude in working with participants, parents, volunteers and co-workers.
- At least 18 years of age (The minimum may be higher depending on state law).
- Meets educational and experience qualifications established by state law (if the state sets requirements. The YMCA should establish minimum qualification standards if the state has no requirements).
- Knowledge in the area of school age curriculum development, lesson planning, and age appropriate activities.
- Be able to develop and implement curriculums to include Character Development.
- CPR, First Aid, AED certifications and Child Abuse prevention training within 30 days of hire date.
- 3 years' experience working with children in a developmental setting.
- Ability to plan, organize, and implement age-appropriate/developmentally appropriate program activities.
- Previous experience with diverse populations.
- Must have 45 hour certificate or a minimum of an Associate's Degree in Child Development or related field.
- Attend Higher Education Classes to keep knowledge current.
- Employee discounts
Posted Salary Range
USD $16.50 - USD $16.50 /Hr.
LPN II - ER - Yale
Posted 12 days ago
Job Viewed
Job Description
Full Time
Nights
7p - 7a
Job Summary: Administers nursing care to an assigned group of patients based on physician's orders, nursing care plan and the Oklahoma Board of Nursing Scope of Practice. Consults with registered nurse to plan patient care. Performs a variety of direct and indirect patient care duties including data collection.
Minimum Education: Has completed the prescribed curricula of a practical nursing program or has completed equivalent coursework as approved and verified by a state board of nursing and holds or is entitled to hold a diploma or certificate therefrom.
Licensure, Registration and/or Certification: Valid multi-state or State of Oklahoma Licensed Practical Nurse License.
Work Experience: 0 - 6 months related experience.
Knowledge, Skills and Abilities: Working knowledge of general disease state management processes, bio- psychosocial model, and clinical pathways. Effective interpersonal, written and oral communication skills. Ability to organize and prioritize work in an effective and efficient manner. Ability to be detail oriented as required in the examination of clinical and numerical data. IV therapy medication administration as guided by hospital policy.
Essential Functions and Responsibilities: Performs nursing skills appropriate for the patient population. Demonstrates sound knowledge base appropriate to specialty area with consideration for patient's age and bio-psychosocial needs. Gathers data, implements and evaluates care for an assigned group of patients based on physician's orders and Nursing Care Plan. Takes and notes physician's orders accurately. Consults with Registered Nurse to plan patient care. Documents data on the appropriate record. Documents nursing process/care clearly, consistently, and accurately. Addresses patient problems and progress toward outcomes. Facilitates patient teaching -- implements discharge planning. Makes appropriate referrals. Follows plan of care per policy in presenting patient age and cultural/psychosocial factors. Supports unit/hospital goals through PI and educational activities. Attends mandatory in-services and meets unit education standards. Accurately completes variance reports. Modifies behaviors or performance to comply with care standards and unit requirements.
Decision Making: The carrying out of non-routine procedures under constantly changing conditions, in conformance with general instructions from supervisor.
Working Relationships: Leads others in same work performed (does not supervise). Works directly with patients and/or customers. Works with internal and external customers via telephone or face to face interaction. Works with other healthcare professionals and staff.
Special Job Dimensions: None.
Supplemental Information: This document generally describes the essential functions of the job, and the physical demands required to perform the job. This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.
#LPNIND
Trauma Emergency Center - Yale Campus
Location:
Tulsa, Oklahoma 74136
Under the Oklahoma Medical Marijuana Use and Patient Protection Act (OMMA), a safety sensitive position is defined as any job that includes tasks or duties that the employer believes could affect the safety and health of the employee performing the task or others. This position has been identified as a safety sensitive position. This statute allows employers to lawfully refuse to hire applicants for safety-sensitive jobs or to discipline or discharge employees who work in safety-sensitive jobs if they test positive for marijuana, even if they have a valid license to use medical marijuana.
**EOE Protected Veterans/Disability**
Medical Director - Illinois (Yale)
Posted today
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You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit. This position is REMOTE!
- Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.
- Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.
- Supports effective implementation of performance improvement initiatives for capitated providers.
- Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members
- Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.
- Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.
- Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.
- Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.
- Participates in provider network development and new market expansion as appropriates
- Assists in the development and implementation of physician education with respect to clinical issues and policies.
- Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.
- Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.
- Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.
- Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.
- Develops alliances with the provider community through the development and implementation of the medical management programs.
- As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues
- Represents the business unit at appropriate state committees and other ad hoc committees.
- May be required to work weekends and holidays in support of business operations, as needed.
- Consult's on MCO clinical policy related to Substance Use Disorders and the cases of individual members for the MCM program on a routine basis.
- Performs other duties as assigned
- Complies with all policies and standards
License/Certifications: Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Associations Department of Certifying Board Services. Current Illinois state license as a MD or DO without restrictions, limitations, or sanctions from government programs.
For Illinois plan only: Must reside in Illinois. Must have a minimum of eight (8) years of experience in mental health, substance abuse, or children health services.
Pay Range: $221,300.00 - $20,500.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act Seniority level
- Seniority level Director
- Employment type Full-time
- Job function Health Care Provider
- Industries Staffing and Recruiting
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