Dental Director Sample Clauses

Dental Director. The MCO must have a Dental Director who is not required to be full time, but must be sufficiently dedicated to meet the roles and responsibilities of the position. The MCO's Dental Director must be a dentist with a current, unencumbered license with the Ohio State Dental Board. The primary roles and responsibilities of the Dental Director include: Developing and leading the MCO's dental strategy to meet ODM requirements, incorporating oral health prevention and treatment into the MCO's population health efforts and the delivery of holistic, person- centered, integrated care; Developing and implementing strategies to expand member access to dental services, including recruiting and expanding the service delivery capacity of dental providers; Overseeing MCO performance on dental performance measures as specified in Appendix I, Quality Measures; Implementing an ODM-developed, unified dentist manual and prior authorization requirements; and Overseeing utilization management of dental benefits to ensure members receive timely, appropriate, and medically necessary dental care.
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Dental Director. The MCO must have a Dental Director who is not required to be full time, but must be sufficiently dedicated to meet the roles and responsibilities of the position. The MCO's Dental Director must be a dentist with a current, unencumbered license with the Ohio State Dental Board. The primary roles and responsibilities of the Dental Director include:
Sample 1
Dental Director. (a) Dental Contractor must have a qualified full-time individual to serve as the Dental Director for the Dental Program. The Dental Director must be currently licensed in Texas as a Doctor of Dentistry with no restrictions or other licensure limitations. The Dental Director must comply with applicable federal and state statutes and regulations.
Sample 1
Dental Director. 1. The MCO must have a Dental Director who is not required to be full time, but must be sufficiently dedicated to meet the roles and responsibilities of the position.
Sample 1
Dental Director. The term "Dental Director" shall mean that director of the Association designated by the Association as the director responsible for the overall management of the Association, who shall be a dentist duly licensed and in good standing in the State of New Jersey.
Sample 1
Dental Director. The Dental Director of Delta Dental serves as Delta Dental’s corporate liaison for professional matters within the dental community, including resolution of conflicts and professional review of utilization of benefits. Dentists shall promptly respond to all reasonable requests from the Dental Director (and/or from any committee impaneled or consultant employed by Delta Dental to assist the Dental Director) relating to treatment of Delta Dental subscribers and their dependents.
Sample 1
Dental Director. A licensed Kentucky dentist who is in good standing with the Commonwealth of Kentucky and who is appointed by HMO to coordinate and monitor the Quality Management and Utilization Management Programs of HMO.
Sample 1
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Dental Director. The MCO must have a qualified licensed dentist to serve as the Dental Director for the dental benefit. The Dental Director, or his or her designee meeting the qualifications described above, must be available for dental utilization review decisions and must be authorized and empowered to respond to dental clinical issues, utilization review, and dental quality of care inquiries.
Sample 1

Related to Dental Director

  • Medical Director The Contractor shall employ the services of a Medical Director who is a licensed Indiana Health Care Provider (IHCP) provider board certified in family medicine or internal medicine. If the Medical Director is not board certified in family medicine, they shall be supported by a clinical team with experience in pediatrics, behavioral health, adult medicine and obstetrics/gynecology. The Medical Director shall be dedicated full-time to the Contractor’s Indiana Medicaid product lines. The Medical Director shall oversee the development and implementation of the Contractor’s disease management, case management and care management programs; oversee the development of the Contractor’s clinical practice guidelines; review any potential quality of care problems; oversee the Contractor’s clinical management program and programs that address special needs populations; oversee health screenings; serve as the Contractor’s medical professional interface with the Contractor’s primary medical providers (PMPs) and specialty providers; and direct the Quality Management and Utilization Management programs, including, but not limited to, monitoring, corrective actions and other quality management, utilization management or program integrity activities. The Medical Director, in close coordination with other key staff, is responsible for ensuring that the medical management and quality management components of the Contractor’s operations are in compliance with the terms of the Contract. The Medical Director shall work closely with the Pharmacy Director to ensure compliance with pharmacy-related responsibilities set forth in Section 3.4. The Medical Director shall attend all OMPP quality meetings, including the Quality Strategy Committee meetings. If the Medical Director is unable to attend an OMPP quality meeting, the Medical Director shall designate a representative to take his or her place. Notwithstanding the Medical Director ‘s sending of a representative, the Medical Director shall be responsible for knowing and taking appropriate action on all agenda and action items from all OMPP quality meetings.

  • Director An Approved User who is generally a senior IT official of the Requester with the necessary expertise and authority to affirm the IT capacities at the Requester. The IT Director is expected to have the authority and capacity to ensure that the NIH Security Best Practices for Controlled-Access Data Subject to the NIH GDS Policy and the Requester’s IT security requirements and policies are followed by all of the Requester’s Approved Users.

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