Addiction Medicine
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The Chief Medical Officer (CMO) provides oversight for medical policy implementation, and participates in the development, implementation, and evaluation of clinical/medical programs.
The CMO shall devote a minimum of 32 hours per week to the OhioRISE Plan's operations to ensure clinical oversight and consultation and is a member of the OhioRISE Plan's executive team.
Fundamental Job Components:
- Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality, cost and outcomes.
- Direct the utilization review process and oversee the quality of utilization determinations.
- Ensure compliance with clinical goals through monitoring care management performance.
- Responsible for overall medical policies of the unit to ensure the appropriate and most cost-effective medical care is received, and for the day-to-day management of medical management staff.
- Responsible for recommending changes and enhancements to current managed care review guidelines and clinical criteria based on extensive knowledge of health care delivery systems, utilization methods, reimbursement methods, and treatment protocols.
- Develops, implements, and interprets medical policy including medical necessity criteria, clinical practice guidelines, and new technology assessments.
- Leads clinical staff in the coordination of quality care.
- Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities.
- Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams.
- Expands Aetna's medical management programs to address member needs across the continuum of care.
- Provides thought leadership for quality initiatives for the plan
Required Qualifications:
- At least 5 years' experience in the health care delivery system e.g., clinical practice and health care industry.
- At least five years of experience with children's behavioral health services.
- Must be a physician with a current, unencumbered license through the Ohio State Medical Board and Board Certification in a recognized specialty including post-graduate direct patient care experience.
Education:
MD or DO Required Board Certification required in an ABMS or AOA recognized specialty.
Board Certification in Child & Adolescent Psychiatry preferred.
Physicians who are Board-certified in Pediatrics or Adolescent Medicine with significant Behavioral Health or Addiction Medicine experience/specialization will be considered.
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Columbus, Ohio, United States DOCTORS CHOICE PLACEMENT SERVICES, INC. Full timeChief Medical Officer/Addiction Medicine Opportunity in Columbus, Ohio Unique opportunity to join Central Ohio s largest and most comprehensive behavioral services provider specializing in addiction recovery. We are looking for skilled, talented, and compassionate people to join our team Company was founded on the principles of Diversity, Equity, and...
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Columbus, Ohio, United States DOCTORS CHOICE PLACEMENT SERVICES, INC. Full timeChief Medical Officer/Addiction Medicine Opportunity in Columbus, Ohio Unique opportunity to join Central Ohio s largest and most comprehensive behavioral services provider specializing in addiction recovery. We are looking for skilled, talented, and compassionate people to join our team Company was founded on the principles of Diversity, Equity, and...
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Columbus, Ohio, United States DOCTORS CHOICE PLACEMENT SERVICES, INC. Full timeWe are seeking two physicians with a current Suboxone Waiver for part-time Addiction Medicine opportunities in the Metro/Suburban Columbus area, Ohio.Flexible schedule with the option of working 1 full day per week or 2 half days per week.Physicians should be capable of managing a maximum patient load of 100 per month.Payment is based on the number of...
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Columbus, Ohio, United States GO Staffing Full timeA great group just south of Columbus, OH is seeking a BC Family Practice or Internal Medicine physician to help provide services and oversee medical services related to Medication for Opioid Use Disorder (MOUD).Basic duties include conducting examinations, evaluations, diagnosis and treatment of patients as well as provide leadership, guidance and direction...
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Columbus, United States CVS Health Full timeThe Chief Medical Officer (CMO) provides oversight for medical policy implementation, and participates in the development, implementation, and evaluation of clinical/medical programs. The CMO shall devote a minimum of 32 hours per week to the OhioRISE Plan’s operations to ensure clinical oversight and consultation and is a member of the OhioRISE...
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Columbus, United States GO Staffing Full timeA great group just south of Columbus, OH is seeking a BC Family Practice or Internal Medicine physician to help provide services and oversee medical services related to Medication for Opioid Use Disorder (MOUD).Basic duties include conducting examinations, evaluations, diagnosis and treatment of patients as well as provide leadership, guidance and direction...
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