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Director of Operations
1 week ago
Sunny Skies produce Rhodesdale, United States**Responsibilities of the Director of Operations**: · - Ensure crop plans are successfully executed on the farm level by proper utilization of agronomic inputs, equipment, and people resources. · - Drive the focus on yield by assisting the farms implement their yield projects. · ...
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director of operations
3 weeks ago
Amedisys Inc. Salisbury, MD, United StatesOverview Full-time - Salisbury, MD Are you a highly skilled and compassionate registered nurse (RN) looking for a rewarding career in homecare as a director of operations? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospi ...
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Director of Operations
1 week ago
Amedisys Inc. Salisbury, United StatesOverview $15K Bonus Full-time - Salisbury, MD Are you a highly skilled and compassionate registered nurse (RN) looking for a rewarding career in homecare as a director of operations? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home healt ...
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Director of Operations
1 week ago
Amedisys Salisbury, United StatesOverview$15K BonusFull-time - Salisbury, MDAre you a highly skilled and compassionate registered nurse (RN) looking for a rewarding career in homecare as a director of operations? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health a ...
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Director of Operations
1 week ago
Amedisys Salisbury, United StatesOverview · $15K Bonus · Full-time - Salisbury, MD · Are you a highly skilled and compassionate registered nurse (RN) looking for a rewarding career in homecare as a director of operations? If so, we invite you to join our team at Amedisys, one of the largest and most trusted h ...
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Director of Operations
2 weeks ago
Amedisys Salisbury, MD, United States Full timeOverview Full-time - Salisbury, MD Are you a highly skilled and compassionate registered nurse (RN) looking for a rewarding career in homecare as a director of operations? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hosp ...
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Director of Operations
3 weeks ago
Amedisys Salisbury, MD, United States Full timeFull-time - Salisbury, MD · Are you a highly skilled and compassionate registered nurse (RN) looking for a rewarding career in homecare as a director of operations? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice com ...
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Assistant Director of Business Operations
4 days ago
Salisbury Christian School Salisbury, United States: · Salisbury Christian School is seeking an Assistant Director of Business Operations whose strong fiscal management skills and accounting experience will further support the responsible operations of the school. A successful candidate must hold a bachelor's degree in accountin ...
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Omnicell Salisbury, United StatesSUMMARY · Responsible and accountable for all operational issues within a defined territory. Shall be readily accessible to pharmacy staff and participate in departmental long-range planning. Demonstrate leadership and commitment to total quality management, including customer sa ...
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Omnicell, Inc. Salisbury, United States**SUMMARY** · Responsible and accountable for all operational issues within a defined territory. Shall be readily accessible to pharmacy staff and participate in departmental long-range planning. Demonstrate leadership and commitment to total quality management, including custome ...
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Omnicell Salisbury, United StatesJob DescriptionSUMMARYResponsible and accountable for all operational issues within a defined territory. Shall be readily accessible to pharmacy staff and participate in departmental long-range planning. Demonstrate leadership and commitment to total quality management, including ...
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Executive Director Salisbury, Md
2 weeks ago
Altius Search Group Salisbury, United States**Executive Director | Salisbury, MD** · Altius Search Group is seeking a highly skilled and experienced Executive Director for one of our Senior Living Clients in Meridian, ID. The Executive Director leads and directs the facility's overall operation in accordance with residents ...
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Maintenance Director
3 days ago
The Laurels of Salisbury Salisbury, United States Full timeAre you an experienced maintenance director? As our Maintenance Director, you will act as a hands-on leader in maintaining the physical plant in our skilled nursing facility. · The Laurel Health Care Company offers one of the leading employee benefit packages in the industry. Thi ...
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Director of Giving and Engagement
1 week ago
Salisbury School Salisbury, United States**Position Summary** · The Director of Giving and Engagement, reporting directly to the Director of Development, is responsible for the design, strategy, and implementation of Salisbury School's annual fund and engagement programs. We are seeking a dynamic and strategic leader to ...
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Director of Public Works
2 weeks ago
Wicomico County Salisbury, United States**Salary is dependent upon qualifications.** · **About this position**: · Responsible for organizing, coordinating, and directing the activities and functions of the Public Works Department including both the Roads Division and Solid Waste Division. · **Qualifications**: · Compre ...
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Warehouse Associate
1 week ago
Canada Dry Potomac Corporation Salisbury, United StatesCompany Description · Canada Dry Delaware Valley is a dedicated soft drink bottler and distributor serving the Mid-Atlantic Region. For over 60 years, customers from southern New Jersey through northeastern Pennsylvania and into Delaware and Maryland have enjoyed brands such as C ...
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Construction Manager
1 week ago
Wicomico County Public Schools Salisbury, United States**Salary**: (Non-negotiable) · $63,024 - $80,724 **_Pending final budget approval_** · Paygrade 15 (Includes benefits package) · **Hours**: · 12 months, 40 hours, 260 days · Contract Unit: This position is part of the non-supervisory support services bargaining unit. · FLSA: Exem ...
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Warehouse Associate
1 week ago
Canada Dry Potomac Corporation Salisbury, United States**REPRESENTATIVE RESPONSIBILITIES**: · The following responsibilities are general duties that a particular employee in this position may or may not be required to perform. The actual duties required of this position will vary. · - Picks up the required cases of product and loads ...
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Director of Maintenance Reliability
2 weeks ago
Perdue Farms Salisbury, United StatesPerdue Foods is part of Perdue Farms, a family-owned company heading into its second century of growth and innovation. With a goal of becoming the most trusted name in premium proteins, we create products for consumers and for retail and foodservice customers around the globe, wh ...
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Titan Innovations Salisbury, United StatesKISSLING Personalberatung GmbH is one of the established personnel consulting firms in the south of Germany. For over 30 years, we have been successfully operating in the market and focus on executive search for the placement of managing directors, board members, executives, and ...
Medical Director, Operations - Salisbury, United States - Blue Shield
Description
Your Role
The Medical Director provides clinical leadership within the Office of the CMO for Blue Shield Promise Health Plan, which includes management of the physician processes in support of utilization management and transactional functions.
Moreover, the medical director leads or meaningfully contributes to the Office of the CMO priorities and transformative initiatives that continue to improve the health and wellbeing of Blue Shield of California Promise Health Plan members.
The medical director serves as a role model for other clinical staff and is a knowledgeable resource in Medi-Cal and Medicare regulatory requirements, NCQA guidelines, and measurement of health care quality (HEDIS and CAHPS).
The Blue Shield Promise Medical Director works collaboratively with Medical Care Services (MCS) and other appropriate departments across product lines to identify and address opportunities to improve service, reduce administrative cost and support department and organizational business goals.
The medical director will be responsible for engaging in organization wide quality improvement efforts and promoting a culture of continuous improvement throughout the organization, and contracted provider partners in each regional market.
In this role, you will:
Complete assigned clinical reviews (preservice requests, Appeals and Grievances, Provider Claims Disputes, pharmacy, or others) within compliance standards
Support clinical staff in maintaining high quality clinical reviews and work products
Support in process improvement and optimization efforts
Leads Concurrent Review and SNF/LTC rounds as assigned
Facilitates interdisciplinary Care Rounds as part of Care Management
Lead clinical initiatives as assigned
Serve as a clinical, regulatory and quality improvement resource and clinical thought leader within the organization and externally with provider group and community partners
Support Chief Medical Officer and VP, Medical Director – Medical Management, in strategic initiatives whether by proposing clinical initiatives, providing expert input, shaping the strategy, and/or serving as the initiative driver
Collaborate with teams in the implementation and operation of assigned initiatives
Knowledge of Medicare and Medi-Cal benefits and available resources
Understands and abides by all department policies and procedures as well as the organization's Standards of Conduct and Corporate Compliance Program
Knowledge of Medicare and Medi-Cal benefits and available resources
Attends mandatory Corporate Compliance Program education sessions, as required for this position, including the annual mandatory Standards of Conduct class
Actively participates in assigned committees
Abides by all applicable laws and regulations as mandated by state and federal laws
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