Medical Director - Medicaid (IL)
CVS HealthSalary not specified
Full Time
Senior (5 to 8 years)
$176,657 – $312,034Compensation
Senior (5 to 8 years)Experience Level
Part TimeJob Type
UnknownVisa
Healthcare, Mental HealthIndustries
Requirements
- PMHNP/DNP or MD/DO credential
- Ability to work part-time schedule: Monday, Wednesday, Thursday, 8:30 a.m. to 5:00 p.m. at Hope Center in SE Portland, OR
- Understanding, appreciation, and respect for differences within the Cascadia community
- Promotion of integrated care, trauma-informed, and person-first approaches
- Compliance with all relevant laws, regulations, policies, procedures, contracts, MOUs, grants, HIPAA, mandatory abuse reporting, and safety requirements
- Completion of assigned employee training
Responsibilities
- Oversee planning, implementation, and evaluation of medical programs to ensure high-quality client care and effective medical services
- Coordinate on agency issues focused on whole health care with other Program Medical Directors, including regular meetings with the Lead Program Medical Director
- Provide high-quality mental health care consistent with community standards, including psychiatric assessments, medication consultation/education, medical necessity determination, and outcomes monitoring
- Work cooperatively with treatment team members, external care providers, and support systems in service of clients
- Provide case consultation to Cascadia clinicians
- Manage and oversee LMP coverage when needed
- Determine medical necessity and appropriateness of mental health services for clients across programs
- Maintain accurate, up-to-date documentation compliant with agency policies, local/state/federal regulations, and billing requirements
- Adhere to professional boundaries, ethics, and client rights/responsibilities
- Participate in safety drills, staff meetings, supervision sessions, departmental/company meetings, and Quality Improvement (QI) using best practices like Trauma Informed Care and Motivational Interviewing
- Provide guidance, support, and training to staff aligned with company mission and values
- In collaboration with program leadership, determine staffing requirements, recruit, hire, and train staff to support mission and strategic growth
- Facilitate multidisciplinary staff meetings and training to discuss safety concerns
- May provide additional one-on-one support to clients served
Skills
Mental Health Care
Medical Program Management
Integrated Care
Trauma-Informed Care
Forensic Medicine
PMHNP
MD/DO
Client Care
Program Evaluation
Whole Health Care
Circadia Health
Health monitoring solutions for nursing facilities
About Circadia Health
Circadia Health offers health monitoring solutions for nursing facilities, using technology to detect vital biosignals like respiration from up to 8 feet away. This early warning system alerts healthcare providers in advance, allowing for timely interventions that can reduce hospitalizations. The company provides automated daily reports and integrates with Electronic Medical Records (EMR) to enhance patient care. Circadia Health's subscription-based model ensures continuous monitoring and reporting, helping clients improve health outcomes and operational efficiency.
London, United KingdomHeadquarters
2016Year Founded
$97.5MTotal Funding
CONVERTIBLECompany Stage
Biotechnology, HealthcareIndustries
51-200Employees
Benefits
Health Insurance
Dental Insurance
Vision Insurance
Mental Health Support
Wellness Program
401(k) Retirement Plan
Paid Vacation
Hybrid Work Options
Conference Attendance Budget
Professional Development Budget
Gym Membership
Risks
Emerging startups with similar solutions may increase competition.
Privacy concerns and regulatory scrutiny could impact operations.
Integration challenges with diverse EMR systems may cause inefficiencies.
Differentiation
Circadia offers FDA-approved contactless monitoring, unique in the healthcare market.
Their system predicts medical events days in advance, enhancing patient care.
Integration with EMR provides detailed trend analysis, improving healthcare quality.
Upsides
Growing demand for remote monitoring boosts Circadia's market potential.
AI integration enhances predictive analytics, offering timely health alerts.
Aging U.S. population increases need for advanced elder care solutions.
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