CrawlJobs Logo

Medical Director, At Home Program

https://www.cvshealth.com/ Logo

CVS Health

Location Icon

Location:
United States , St Louis, MO

Category Icon

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

174070.00 - 374920.00 USD / Year

Job Description:

The Medical Director will be joining Oak Street Health at a critical time in the history of our company and of primary care. The opportunity for impact is large and growing as Oak Street is leading the transition from fee-for-service to value based-based care. The Medical Director will be responsible for leading, as a dyad partner with the Mobile Practice Manager, the in-home primary care provider teams in the specified geography. The Oak Street Health At Home division is an interdisciplinary team that focuses on primary care and transitional care support for our highest-need patients in their homes. The primary responsibility for the Medical Director is direct management, oversight, and coaching of the local team, and is part of the At Home division's leadership team which helps develop programs (i.e., complex care coordination, chronic disease management, psychosocial support, etc.) throughout the division. This entails collaboration with the clinical teams in the center, medical directors, and other partners outside of Oak Street Health. The Medical Director will see patients in their homes up to 3 days a week alongside their provider colleagues. Additionally, we see this leader being a key thought partner in providing feedback on our clinical model especially as it pertains to the At Home Program.

Job Responsibility:

  • Leading At Home providers and ensuring their priorities and outcomes are in line with those of the organization
  • Providing timely and constructive feedback to providers so the medical group continues to improve performance for patients and colleagues
  • Helping providers master the data-driven tools and practices required to keep patients well and out of the hospital, when avoidable
  • Reviewing regular quality dashboards with providers, coaching on tools to improve quality outcomes
  • Coach providers on appropriate coding and documentation
  • Provide managed care experience/teaching to providers
  • Understanding and communicating provider performance/compensation plans and being able to answer questions and deliver results to direct reports
  • Serving as formal manager doing regular performance reviews and check-ins, approving paid-time-off requests, and managing miscellaneous human resource topics for providers in the market
  • Drive Culture: At Oak Street, we foster a culture of innovation and open dialogue, and we work with urgency. This requires passion and enthusiasm, active listening skills, and comfort with and commitment to regular change. Our Medical Directors are expected to support this culture and set an example for others to follow

Requirements:

  • A passion for the geriatric population and a motivation to be a part of a fast-growing organization
  • Geriatric certification and/or other professional degrees (e.g., M.B.A, J.D., M.P.H) welcome but certainly not required
  • Experience with managed care and/or value-based practice
  • Experience using a metrics-driven approach to analyze cost, quality, and satisfaction data to drive clinical strategy and program redesign
  • An excitement for developing and implementing new processes
  • An understanding of the basics of managed care and a recognition that population health and a focus on the smart allocation of scarce resources can lead to high-value care (better care, lower cost)
  • An ability to remain calm in stressful situations
  • A commitment to older adults and to low-income patients
  • Comfort with ambiguity and passion for problem-solving
  • US work authorization
  • Someone who embodies being 'Oaky'

Nice to have:

  • Geriatric certification and/or other professional degrees (e.g., M.B.A, J.D., M.P.H)
  • Experience with managed care and/or value-based practice
  • Experience using a metrics-driven approach to analyze cost, quality, and satisfaction data to drive clinical strategy and program redesign
What we offer:
  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility

Additional Information:

Job Posted:
June 12, 2025

Expiration:
May 14, 2026

Employment Type:
Fulltime
Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Medical Director, At Home Program

RN Administrator

The RN Administrator is responsible for all functions of the agency, including b...
Location
Location
United States , Fort Myers
Salary
Salary:
Not provided
angelscarehealth.com Logo
Angels Care Home Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Training/experience in health service administration
  • At least 1 year supervisory administrative experience in home health care or a related health care program
  • Must have, or be able to obtain, administrative hours and training as outlined in local, State and Federal regulatory guidance covering Medicare certified home health agencies
  • Bachelor’s degree in Healthcare, Law, Business, or related field
  • Master’s desired
  • Excellent organizational and interpersonal skills
  • Excellent written and verbal communication skills
  • Ability to prioritize and be flexible in a fast-paced and ever-changing environment
  • Ability to satisfactorily meet Company measured goals and objectives
  • Must have knowledge of home health rules and regulations
Job Responsibility
Job Responsibility
  • Responsible for all functions of the agency, including business development, financial management, strategic oversight, employee well-being and quality assurance
  • Identifies home health needs, resources and ensures the organization is in compliance with the rules and laws of regulatory agencies and that company policies and procedures are being followed
  • Identifies and provides counsel regarding the needs of the community, financial needs, professional practices, and health planning
  • Oversees and analyzes budgeting and agency fiscal activities
  • Maintains and updates agency policies/procedures and reporting activities
  • Employs, contracts, recruits, manages and directs qualified personnel to carry out agency policies and procedures
  • Ensures adequate staff education and evaluation
  • Organizes and directs the agency’s ongoing functions
  • Demonstrates in-depth knowledge of and ensures compliance with all local, state and federal laws relating to all the operations of the agency
  • Designates in writing who will provide entry into agency to State surveyors
What we offer
What we offer
  • Generous Paid Time Off
  • Full Health, Dental & Vision Benefits (Available 1st Month following 30 days of employment)
  • Company-Matched 401(k)
  • Career Advancement
  • Fulltime
Read More
Arrow Right

Rn administrator

The RN Administrator is responsible for all functions of the agency, including b...
Location
Location
United States , Fort Myers
Salary
Salary:
Not provided
angelscarehealth.com Logo
Angels Care Home Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Licensed Physician, Registered Nurse or someone with an undergraduate degree
  • Training/experience in health service administration
  • At least 1 year supervisory administrative experience in home health care or a related health care program
  • Must have, or be able to obtain, administrative hours and training as outlined in local, State and Federal regulatory guidance covering Medicare certified home health agencies
  • Bachelor’s degree in Healthcare, Law, Business, or related field
  • Master’s desired
  • Excellent organizational and interpersonal skills
  • Excellent written and verbal communication skills
  • Ability to prioritize and be flexible in a fast-paced and ever-changing environment
  • Ability to satisfactorily meet Company measured goals and objectives
Job Responsibility
Job Responsibility
  • Responsible for all functions of the agency, including business development, financial management, strategic oversight, employee well-being and quality assurance
  • Identifies home health needs, resources and ensures the organization is in compliance with the rules and laws of regulatory agencies and that company policies and procedures are being followed
  • Identifies and provides counsel regarding the needs of the community, financial needs, professional practices, and health planning
  • Oversees and analyzes budgeting and agency fiscal activities
  • Maintains and updates agency policies/procedures and reporting activities
  • Employs, contracts, recruits, manages and directs qualified personnel to carry out agency policies and procedures
  • Ensures adequate staff education and evaluation
  • Organizes and directs the agency’s ongoing functions
  • Demonstrates in-depth knowledge of and ensures compliance with all local, state and federal laws relating to all the operations of the agency
  • Designates in writing who will provide entry into agency to State surveyors
What we offer
What we offer
  • Generous Paid Time Off
  • Full Health, Dental & Vision Benefits (Available 1st Month following 30 days of employment)
  • Company-Matched 401(k)
  • Career Advancement
  • Fulltime
Read More
Arrow Right

Rn administrator

Registered Nurse (RN) – $10,000 Sign-On Bonus! Angels Care Home Health is differ...
Location
Location
United States , Topeka
Salary
Salary:
Not provided
angelscarehealth.com Logo
Angels Care Home Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Licensed Physician, Registered Nurse or someone with an undergraduate degree
  • Training/experience in health service administration
  • At least 1 year supervisory administrative experience in home health care or a related health care program
  • Must have, or be able to obtain, administrative hours and training as outlined in local, State and Federal regulatory guidance covering Medicare certified home health agencies
  • Bachelor’s degree in Healthcare, Law, Business, or related field
  • Excellent organizational and interpersonal skills
  • Excellent written and verbal communication skills
  • Ability to prioritize and be flexible in a fast-paced and ever-changing environment
  • Ability to satisfactorily meet Company measured goals and objectives
  • Must have knowledge of home health rules and regulations
Job Responsibility
Job Responsibility
  • Responsible for all functions of the agency, including business development, financial management, strategic oversight, employee well-being and quality assurance
  • Identifies home health needs, resources and ensures the organization is in compliance with the rules and laws of regulatory agencies and that company policies and procedures are being followed
  • Identifies and provides counsel regarding the needs of the community, financial needs, professional practices, and health planning
  • Oversees and analyzes budgeting and agency fiscal activities
  • Maintains and updates agency policies/procedures and reporting activities
  • Employs, contracts, recruits, manages and directs qualified personnel to carry out agency policies and procedures
  • Ensures adequate staff education and evaluation
  • Organizes and directs the agency’s ongoing functions
  • Demonstrates in-depth knowledge of and ensures compliance with all local, state and federal laws relating to all the operations of the agency
  • Designates in writing who will provide entry into agency to State surveyors
What we offer
What we offer
  • $10,000 Sign-On Bonus
  • Generous Paid Time Off
  • Full Health, Dental & Vision Benefits (Available 1st Month following 30 days of employment)
  • Company-Matched 401(k)
  • Career Advancement
  • Fulltime
Read More
Arrow Right

RN Administrator

The RN Administrator is responsible for all functions of the agency, including b...
Location
Location
United States , Flagstaff
Salary
Salary:
Not provided
angelscarehealth.com Logo
Angels Care Home Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Licensed Physician, Registered Nurse or someone with an undergraduate degree
  • Training/experience in health service administration
  • At least 1 year supervisory administrative experience in home health care or a related health care program
  • Must have, or be able to obtain, administrative hours and training as outlined in local, State and Federal regulatory guidance covering Medicare certified home health agencies
  • Bachelor’s degree in Healthcare, Law, Business, or related field
  • Master’s desired
  • Excellent organizational and interpersonal skills
  • Excellent written and verbal communication skills
  • Ability to prioritize and be flexible in a fast-paced and ever-changing environment
  • Ability to satisfactorily meet Company measured goals and objectives
Job Responsibility
Job Responsibility
  • Responsible for all functions of the agency, including business development, financial management, strategic oversight, employee well-being and quality assurance
  • Identifies home health needs, resources and ensures the organization is in compliance with the rules and laws of regulatory agencies and that company policies and procedures are being followed
  • Identifies and provides counsel regarding the needs of the community, financial needs, professional practices, and health planning
  • Oversees and analyzes budgeting and agency fiscal activities
  • Maintains and updates agency policies/procedures and reporting activities
  • Employs, contracts, recruits, manages and directs qualified personnel to carry out agency policies and procedures
  • Ensures adequate staff education and evaluation
  • Organizes and directs the agency’s ongoing functions
  • Demonstrates in-depth knowledge of and ensures compliance with all local, state and federal laws relating to all the operations of the agency
  • Designates in writing who will provide entry into agency to State surveyors
What we offer
What we offer
  • Generous Paid Time Off
  • Full Health, Dental & Vision Benefits (Available 1st Month following 30 days of employment)
  • Company-Matched 401(k)
  • Career Advancement
  • Fulltime
Read More
Arrow Right

Post Acute Clinical Program Manager

The Post Acute Clinical Program Manager provides clinical operational oversight,...
Location
Location
United States , Charlotte
Salary
Salary:
41.10 - 61.65 USD / Hour
advocatehealth.com Logo
Advocate Health Care
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor’s degree or equivalent in Nursing or related field and/or Masters in Social Work
  • Registered Nurse license issued by the state in which the team member practices, Or Licensed Clinical Social Worker (LCSW) or LCSW-A working towards full licensure with certification in Certified Case Management (CCM)
  • Typically requires 5 years of experience in in healthcare industry and 1 year of case management and quality improvement experience.
Job Responsibility
Job Responsibility
  • Serves as the liaison between the hospital and the post-acute network (PAN) skilled nursing facilities
  • Monitors, collects and analyzes data to evaluate the effectiveness, safety and quality of patient care in the post-acute care network programs
  • Addresses questions and concerns by providers, patients and families regarding post-acute programs in coordination with other care teams
  • Ensures accurate placement of patients into the Post Acute Network program based on established criteria
  • Interacts with hospital administrative teams and leaders., Director of Case Management, Home Care Directors, Hospice Directors, Care Managers, Social Workers, Medical Directors, Physicians, APN's and Nurses
  • Monitors which post-acute program is appropriate for patients, problem solving for unique situations, best methods of data collection and transfer of information across sites
  • Addresses issues of non-compliance with staff and MDs regarding referring patients to appropriate programs
  • Responsible for the relationships within their assigned territory and responsible for their assigned hospital, clinics and skilled nursing facilities within their territory
  • Provides support to the clinical team assigned to the facility, removing operational barriers that will allow the clinical team to function at the top of their license and focus on the medical management of their panel
  • Responsible for understanding and adhering to the organization's Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to the organization's business.
What we offer
What we offer
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program
  • Fulltime
Read More
Arrow Right

Hospice Admission Nurse

Responsible for the admission to hospice services. Leads the interdisciplinary c...
Location
Location
United States
Salary
Salary:
38.20 - 57.30 USD / Hour
advocatehealth.com Logo
Advocate Health Care
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Registered Nurse license issued by the state in which the team member practices
  • Basic Life Support (BLS) for Healthcare Providers certification issued by the American Heart Association (AHA) (May obtain within 6 months based on department discretion)
  • A valid driver’s license issued by the Division of Motor Vehicles
  • Associate's Degree in Nursing
  • Typically requires 2 years of direct patient care experience
  • Excellent awareness and perception skills
  • Excellent communication and interpersonal skills
  • Excellent decision making and critical thinking skills
  • Excellent prioritization and organizational skills
  • Excellent documentation, computer, and time management skills
Job Responsibility
Job Responsibility
  • Responsible for the admission to hospice services
  • Leads the interdisciplinary care team specific to each patient and family on their caseload
  • Obtains history and completes physical assessment
  • Utilizes data to assess and to evaluate appropriateness for hospice services and level of care, collaborates with the attending physician, medical director and hospice interdisciplinary team
  • Meets with patients and families to explain the hospice program of services and to obtain informed consent for hospice care
  • Obtain and verify the verbal certification of prognosis in conjunction with the medical director and IDT
  • Reviews insurance/Medicare eligibility and benefits and documenting data to support billing efforts
  • Assesses patient and family readiness, ability to understand hospice services and development of the plan of care
  • Involves them in planning and implementing care
  • Seeks consultation as needed
What we offer
What we offer
  • Paid Time Off programs
  • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
  • Flexible Spending Accounts for eligible health care and dependent care expenses
  • Family benefits such as adoption assistance and paid parental leave
  • Defined contribution retirement plans with employer match and other financial wellness programs
  • Educational Assistance Program
  • Parttime
Read More
Arrow Right

Embedded Transitional Care Manager RN

Oak Street Health takes a team-based approach to providing outstanding patient c...
Location
Location
United States , Rockford
Salary
Salary:
66575.00 - 142576.00 USD / Year
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • An active RN license within the state of practice in good standing
  • Willingness to obtain cross-state licensure, as needed
  • Certified Case Manager (CCM) or equivalent case management certification required, or willingness to obtain within 12 months of hire
  • 2+ years’ experience in transitional nursing, discharge planning, nursing case management, or home health
  • Experience in utilization management preferred
  • Knowledge of Medicare/Medicaid and NCQA regulatory transitions of care criteria
  • Exceptional communication skills and customer service orientation
  • Innovative and independent problem solving skills
  • Ability to monitor and evaluate opportunities for cost-effective care options with high-quality outcomes
  • Spanish-speaking preferred but not required
Job Responsibility
Job Responsibility
  • Manage patients through transitions of care
  • Advocate for the patient throughout the care continuum
  • Identify opportunities for improved program workflows
  • Maintain real-time and accurate records of patient status
  • Adhere to CMS, state specific and NCQA compliance criteria
  • Evaluate patient status post-ED visit or observation stay
  • Triage to determine appropriate follow up care
  • Engage directly with inpatient physicians, case managers, medical directors, and hospitalists
  • Coordinate with the Utilization Management team
  • Conduct structured clinical assessment to identify post-discharge needs
What we offer
What we offer
  • Paid vacation, sick time, and investment/retirement 401K match options
  • Health insurance, vision, and dental benefits
  • Affordable medical plan options
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access
  • Fulltime
Read More
Arrow Right

Behavioral Health Medical Director

The Behavioral Health (BH) Medical Director leverages clinical expertise to prov...
Location
Location
United States
Salary
Salary:
189600.00 - 237000.00 USD / Year
personifyhealth.com Logo
Personify Health
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • MD or DO degree and 5+ years of direct clinical patient care experience post residency or fellowship including behavioral health environments
  • Current and ongoing Board Certification in psychiatry by the American Board of Psychiatry and Neurology (ABPN) required
  • Additional Board Certification in Child and Adolescent Psychiatry or Addiction Medicine
  • A current and unrestricted license in the state of California and willing to obtain additional license(s)
  • No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements
  • Minimum 5 years of Utilization Review or Hospital experience required
  • Minimum 3 years of compliance related experience preferred
  • Managed Care experience preferred in utilization review and case management
  • Expertise in behavioral health case management, utilization review and telehealth delivery
  • Ability to design and evaluate behavioral health programs, integrating evidence-based practices and holistic wellbeing approaches
Job Responsibility
Job Responsibility
  • Oversee and participate in behavioral health case management, including utilization review, telephonic care, and urgent response coordination for behavioral health and substance use disorder needs
  • Conduct reviews for medical necessity for prior authorization, continued stay, and post-service claims, applying medical policy, guidelines, and current research
  • Integrate behavioral health screening and interventions within physical health case management programs, utilizing standardized tools (e.g., PHQ2, PHQ9) and ensuring appropriate referrals
  • Support and monitor virtual behavioral health services, ensuring access, privacy, and continuity of care for all age groups, including children, teens, and adults
  • Supervise and provide clinical oversight for residential and outpatient behavioral health programs, including partial hospitalization and intensive outpatient services, with an emphasis on family engagement and comprehensive discharge planning
  • Lead the development and implementation of comprehensive behavioral health strategies, including program design, staff education, and quality improvement initiatives
  • Maintain compliance with national guidelines (e.g., MCG, InterQual, specialty college recommendations) and regulatory requirements (federal, state, ERISA) specific to behavioral health
  • Oversee the negotiation and implementation of cost management strategies to affect quality outcomes, reflecting data in monthly case management reviews
  • Participate in grievance and appeals processes, including escalated behavioral health issues
  • Collaborate with the VP of Care Management to establish work procedures and processes that support company and departmental standards, procedures, and strategic directives
What we offer
What we offer
  • Comprehensive medical and dental coverage through our own health solutions
  • Mental health support and wellness programs designed by experts who get it
  • Flexible work arrangements that fit your life
  • Retirement planning support to help you build real wealth for the future
  • Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection
  • Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage
  • Professional development opportunities and clear career progression paths
  • Mentorship from industry leaders who want to see you succeed
  • Learning budget to invest in skills that matter to your future
  • Unlimited PTO policy
  • Parttime
Read More
Arrow Right