Enterprise Medical Director - Behavioral Health

Job description

Job Summary: Enterprise Medical Director, Behavioral Health is responsible for the overall safety of patients with a BH diagnosis, with a special focus on safe prescribing. Essential Functions: - Support Ohio Behavioral Health Market team program design and development and strengthening community collaboration - Supervise part time Behavioral Health Medical Directors - Serve as the clinical lead in developing and implementing evidenced based clinical policies and practices - Assume key role in quality improvement initiatives, case management activities and member safety activities (i.e. incident management) - Support of regulatory and accreditation functions (eg. CMS, State, NCQA and URAC) and compliance for all programs - Provide provider education, training, data sharing, performance evaluations and orientation to the plan - Participate in the development, implementation and revision of the clinical care standards and practice guidelines ensuring compliance with nationally accepted quality standards - Participate in the development, implementation and revision of the Quality Improvement Plan and corporate level quality initiatives - Collaborate with market/product leaders to help...