4 jobs found in John Day, OR

Quantum Health seeks a Medical Director Utilization Management to lead clinical strategy for its healthcare navigation and care coordination programs. In this role, you'll design and oversee evidence-based utilization management policies, guide complex case review, and ensure appropriate, cost effective care. You'll partner with analytics, tech, and clinical teams to interpret data, improve outcomes, and support regulatory compliance. Working in a collaborative, mission driven culture, you'll mentor clinicians, influence product innovation, and help transform the consumer healthcare experience. Responsibilities Lead clinical strategy for utilization management across Quantum Health programs Develop, implement, and oversee evidence-based medical necessity and utilization policies Review complex or escalated clinical cases and make coverage determinations Partner with data and analytics teams to monitor trends, costs, and quality outcomes Collaborate with provider networks,...

Olympus Health coordinates and performs disability determination physicals for various local and governmental agencies such as Medicare and the Social Security Administration in Oregon and multiple other states around the country. We provide this service in the area 1-2 days per month, on Saturdays, so you don t need to be concerned about conflicts to your personal or professional time elsewhere! Generally, each clinic (depending on the number of patients scheduled) will be scheduled from 9:00 am to 5:00 pm. PERTINENT INFORMATION As the provider, you will provide disability examinations and evaluations that primarily test the claimant s function and range of motion. The evaluation you will perform will be solely in connection with the determination of the patient s entitlement to Social Security disability or Medicaid benefits. You will not be establishing a doctor-patient relationship nor be providing any diagnosis, advice, or treatment to the claimants, nor will you...

Medical Director Opportunity in Springfield, OR Your Healing Mission Matters As a Medical Director with Lifepoint Rehabilitation, you will be inspired by the community you serve as a valuable member of the Lifepoint Health team, a nationally recognized healthcare organization centered on caring with a local heart for the communities we serve. You'll contribute to our positive, collaborative work environment as a culture champion while having access to the staff, resources and technologies you need to impact patient care. You'll find yourself in a work environment where what truly matters is achievable - from your career goals to your own well-being. This position will collaborate with the CEO and the entire clinical team to provide medical direction in conformance with the facility's policies and procedures, state and federal laws and regulations, including the Centers for Medicare and Medicaid Services (CMS) and The Joint Commission. Why partner with us as the...

Olympus Health coordinates and performs physical evaluations for state agencies supporting individuals applying for government services in Oregon and multiple other states around the country. We provide this service one or two Saturdays per month, ensuring there is no conflict with your current professional schedule. Each clinic day typically runs from 9:00 am to 5:00 pm, depending on the number of scheduled evaluations. PERTINENT INFORMATION As the provider, you will provide disability examinations and evaluations that primarily test the claimant s function and range of motion. Conduct basic physical evaluations using a structured, easy to follow template Perform assessments solely for the purpose of assisting the State of Oregon in determining eligibility for government programs Document findings clearly and professionally Not establish a doctor patient relationship Not provide diagnosis, treatment, or medical advice Not determine whether a...