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We are actively expanding technologically-advanced infrastructure to keep pace with our world-class research to meet the needs of students, patients, and researchers. We are an inclusive and engaged community and recognize the added value that students, faculty, and staff from different backgrounds bring to the educational experience.

Medicine, Reno - University of Nevada School of Medicine The University of Nevada, Reno (UNR) appreciates your interest in employment at our growing institution. We want your application process to go smoothly and quickly. Final applications must be submitted prior to the close of the recruitment. If you need assistance or have questions regarding the application process, please contact our recruitment helpline at (775) 784-1495 or jobs@unr.edu. For UNR Med professional job postings, please contact the Office of Professional Recruitment at (775) 784-6778. Job Description The University of Nevada, Reno School of Medicine invites applications for a Staff Physician providing clinical care in the Student Health Center. Under the supervision of the Student Health Center Medical Director, the Staff Physician will perform the duties of a clinical physician. Responsibilities of this position include clinical care of students, collaboration with Physician Assistants and Nurse Practitioners, and utilization review/ quality assurance. The Student Health Center Staff Physician will perform administrative/ program management duties as assigned. This position does not require taking call. Required Qualifications  M.D. or D.O.  Two years of managerial and/or related professional work experience  Eligible for Nevada medical license  Eligible for Nevada State Board of Pharmacy license  Eligible for DEA certification  Eligible for group malpractice coverage Related experience: providing medical care to patients in an out-patient setting. Compensation Grade E <a href="https://url.usb.m.mimecastprotect.com/s/ONm8COJpJ5HZwDwjhBtQIGqwcJ?domain=unr.edu" rel="noopener nofollow noreferrer" target="_blank">https://www.unr.edu/hr/compensation-evaluation/compensation/salary-schedules</a> Perks of Working at UNR  Health insurance options including dental and vision - <a href="https://url.usb.m.mimecastprotect.com/s/THwWCP6q65SNZBZRskuJIx87G9?domain=unr.edu" rel="noopener nofollow noreferrer" target="_blank">https://www.unr.edu/bcn-nshe/benefits/insurance</a> Generous annual and sick leave and life insurance - <a href="https://url.usb.m.mimecastprotect.com/s/5O9oCQArA5Hl9n9pH0CLIGq7kn?domain=unr.edu" rel="noopener nofollow noreferrer" target="_blank">https://www.unr.edu/hr/benefits/leave-and-time-off/faculty</a> Generous retirement match of 19.25% No state income tax! Grants-in-aid for faculty and qualifying dependents - <a href="https://url.usb.m.mimecastprotect.com/s/vR5MCR8v85f0QwQ1h2FvI1XoVP?domain=unr.edu" rel="noopener nofollow noreferrer" target="_blank">https://www.unr.edu/hr/benefits/educational-benefits/faculty</a> Faculty Daul-Career Assistance Program offers assistance connecting your spouse to job opportunities on and off campus - <a href="https://url.usb.m.mimecastprotect.com/s/SWEXCVJzJ0HkXVX6i1HwIEvjzl?domain=unr.edu" rel="noopener nofollow noreferrer" target="_blank">https://www.unr.edu/hr/jobs/dual-career-program</a> Faculty Senate is the principal representing body for faculty. Its membership includes representatives from each academic and administrative major unit of the University. <a href="https://url.usb.m.mimecastprotect.com/s/_qp4CWWAWjSXx1xKiXI6Io_ccG?domain=unr.edu" rel="noopener nofollow noreferrer" target="_blank">https://www.unr.edu/faculty-senate</a> E. L. Wiegand Fitness Center offers annual or semester memberships and spouse/domestic partner membership options. <a href="https://url.usb.m.mimecastprotect.com/s/kfIRCXYBYkSDGlGRUpSKIWKfY3?domain=unr.edu" rel="noopener nofollow noreferrer" target="_blank">https://www.unr.edu/fitness/memberships</a> Reno is proud to be a University town! Many local businesses offer discounts to WolfCard holders<a href="https://url.usb.m.mimecastprotect.com/s/o2brCYVDVlUpgKgqsgT9Ix2LOG?domain=mountaineap.com" rel="noopener nofollow noreferrer" target="_blank">http://www.mountaineap.com/</a> supports employees (and eligible dependents) through life's difficult moments. Mountain EAP is located in Reno and specializes in counseling and advising services for personal or interpersonal issues. Search Contact Julee DeMello Search Coordinator jdemello@unr.edu ExemptYes Full-Time Equivalent100.0% Required Attachment(s) 1) Resume/CV 2) Letters of Application (Cover letter) 3) Three professional references (include name, title, company/organization, email address, phone number) University of Nevada, Reno School of Medicine (UNR Med) For over 50 years the University of Nevada, Reno School of Medicine (UNR Med) has trained physicians who are leading the way to 'A Healthy Nevada', nation, and world. Community-based and research-intensive, UNR Med is committed to our mission. We show this commitment through our demonstrated core values: people are our strength, we innovate and improve, we serve with integrity, and we success with trust and respect. The University of Nevada, Reno School of Medicine seeks applications from candidates with all backgrounds and experiences who will contribute to our mission and uphold our core values. Our mission has guided our growth in graduating the next generation of primary and specialty care physicians and medical researchers while maintaining personalized instruction. The School of Medicine has statewide outreach with a local touch providing patient care, health services, and training physicians in Reno, Nevada and in the state's rural communities. We are expanding provider education to train medical specialists as Medical Doctors as well as Speech Pathologists and Physician Assistants. We are actively expanding technologically-advanced infrastructure to keep pace with our world-class research to meet the needs of students, patients, and researchers. We seek to create an environment that serves all who enter our doors, from the physicians who teach our learners to our employees, patients, and students. This posting is open until filled Qualified individuals are encouraged to apply immediately. This search will close without notice when a sufficient number of applications are received or a hiring decision has been made. Posting Close Date Note to Applicant A background check will be conducted on the candidate(s) selected for hire. HR will attempt to verify academic credentials upon receipt of hiring documents. If the academic credentials cannot be verified, HR will notify the faculty member that an official transcript of their highest degree must be submitted within thirty days of the faculty member's first day of employment. References will be contacted at the appropriate phase of the recruitment process. Applicants hired on a federal contract may be subject to E-Verify. As part of the hiring process, applicants for positions in the Nevada System of Higher Education may be required to demonstrate the ability to perform job-related tasks. For positions that require driving, evidence of a valid driver's license will be required at the time of employment and as a condition of continued employment. Schedules are subject to change based on organizational needs. University of Nevada, Reno School of Medicine To apply, visit <a href="https://url.usb.m.mimecastprotect.com/s/TDW2CZZEZmt8x1xLTrUrIBcC_r?domain=apptrkr.com" rel="noopener nofollow noreferrer" target="_blank">https://apptrkr.com/6914564</a> Founded in 1874, the University of Nevada, Reno is the State of Nevadas land grant institution with a statewide mission and presence. The University of Nevada, Reno is a Carnegie I Research Institution and has been recognized as a Top Tier Best National University by U.S. News & World Report. With an enrollment of nearly 21,000 students we offer 145 Tier 1 accredited degree programs. Located in the picturesque Truckee Meadows the University of Nevada, Reno is surrounded by numerous state and national parks, is 45 minutes from beautiful Lake Tahoe, and four hours from San Francisco. The University of Nevada, Reno recognizes that diversity promotes excellence in education and research. We are an inclusive and engaged community and recognize the added value that students, faculty, and staff from different backgrounds bring to the educational experience. The Nevada System of Higher Education (NSHE) is committed to providing a place of work and learning free of discrimination on the basis of a persons age, disability, whether actual or perceived by others (including service-connected disabilities), gender (including pregnancy related conditions), military status or military obligations, sexual orientation, gender identity or expression, genetic information, national origin, race, or religion.

University of Nevada Reno School of Medicine Physi

Staff Physician, Student Health Center

Practice Match

In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy._. + Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards.

Company : Highmark Inc. Job Description : JOB SUMMARY This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases, particularly high-risk cases, through the team structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members ESSENTIAL RESPONSIBILITIES + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + Participate as a member of the CMDM multidisciplinary team. Attend huddles and grand rounds. Advise multidisciplinary team on cases that require physician expertise. + Participate in protocol and guidelines development to ensure consistency in the review process. + Actively manage projects and/or participate on project teams that require a physician subject matter expert. + Other duties as assigned. EDUCATION Required + Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) Substitutions + None Preferred + Master's Degree in Business Administration/Management or Public Health EXPERIENCE Required + 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice) Preferred + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry LICENSES AND CERTIFICATION Required + Medical Doctor or Doctor of Osteopathic Medicine (DO) + Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards + Active medical state licensure required. Additional specific state licensure(s) may be required based on business need. Preferred + None SKILLS + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + Collaboration + Listening + Telephone Skills + General Computer Skills + Clinical Software + Managed Care Language (Other than English) None Travel Required 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-Based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Rarely Lifting: 25 to 50 pounds Rarely _Disclaimer:_ _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ _Compliance Requirement_ _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ Pay Range Minimum: $170,000.00 Pay Range Maximum: $352,500.00 _Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J266916

Highmark Health

Medical Director

Company : Highmark Inc. Job Description : JOB SUMMARY This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases, particularly high-risk cases, through the team structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members ESSENTIAL RESPONSIBILITIES + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + Participate as a member of the CMDM multidisciplinary team. Attend huddles and grand rounds. Advise multidisciplinary team on cases that require physician expertise. + Participate in protocol and guidelines development to ensure consistency in the review process. + Actively manage projects and/or participate on project teams that require a physician subject matter expert. + Other duties as assigned. EDUCATION Required + Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) Substitutions + None Preferred + Master's Degree in Business Administration/Management or Public Health EXPERIENCE Required + 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice) Preferred + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry LICENSES AND CERTIFICATION Required + Medical Doctor or Doctor of Osteopathic Medicine (DO) + Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards + Active medical state licensure required. Additional specific state licensure(s) may be required based on business need. Preferred + None SKILLS + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + Collaboration + Listening + Telephone Skills + General Computer Skills + Clinical Software + Managed Care Language (Other than English) None Travel Required 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office-Based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Rarely Lifting: 25 to 50 pounds Rarely _Disclaimer:_ _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ _Compliance Requirement_ _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ Pay Range Minimum: $170,000.00 Pay Range Maximum: $352,500.00 _Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J267780

Medical Director, Clinical Services

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Staff Physician, Student Health CenterUniversity of Nevada Reno School of Medicine Physi

Medical DirectorHighmark Health

Medical Director, Clinical ServicesHighmark Health

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