Medical Director/Chief Medical Officer Sample Clauses

Medical Director/Chief Medical Officer. The Medical Director/Chief Medical Officer (CMO) must be a physician with a current, unencumbered license through the Ohio State Medical Board. The Medical Director must have at least three years of training in a medical specialty. The responsibilities of the Medical Director/CMO include but are not limited to: Ensuring that the MCO makes timely medical decisions, including after-hours consultation as needed; Leading all major clinical, population health management, and quality improvement components of the MCO; Developing, implementing, and interpreting medical policies and procedures, including service authorization, claims review, discharge planning, and medical reviews performed through the MCO's grievance and appeal system; Leading the administration of all medical management activities of the MCO; and Serving as the director of the Utilization Management (UM) committee and chairperson or co-chair of the Quality Assessment and Performance Improvement (QAPI) committee.
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Medical Director/Chief Medical Officer. The Medical Director/Chief Medical Officer (CMO) must be a physician with a current, unencumbered license through the Ohio State Medical Board. The Medical Director must have at least three years of training in a medical specialty. The responsibilities of the Medical Director/CMO include but are not limited to:
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Medical Director/Chief Medical Officer. The Medical Director/Chief Medical Officer shall be selected by, directed by, and shall serve at the pleasure of the Medical Control Board. The Medical Director shall be Board Certified in EMS Medicine by the American Board of Emergency Medicine or American Osteopathic Board of Emergency Medicine. The Medical Director shall have the following duties and authority: A. To develop, recommend, and oversee implementation of an appropriate System Standard of Care to be adopted as provided in this Agreement and to make temporary amendments to the System Standard of Care when deemed medically appropriate and seek approval at any subsequent meetings of the Medical Control Board; B. To administer the credentialing of EMS personnel, and to establish and promulgate written regulations in connection therewith, subject to approval by the Medical C. To develop and administer standards applicable to vehicles and on-board equipment used in the delivery of emergency medical responder services and ambulances services within the Regulated Service Area, as defined in the Uniform Ordinance for Emergency Medical Services (Exhibit A), in accordance with procedures approved by the Medical Control Board; D. To initiate the suspension or revocation of any credentialed EMS personnel or entity within the Regulated Service Area or any entity under contract with the EPF; E. To cause to be established and maintained an on-line version of protocols and regulations established by the Medical Control Board which are available to any facilities who have on-line medical control physician or base station physicians; F. To report monthly on the clinical aspects of the quality of care by all credentialed agencies within the EMS System to the EMSA Board of Trustees, and the City Manager for the City of Oklahoma City and the Mayor of The City of Tulsa, such report to be relied upon by EMSA in carrying out its role as defined in the Seconded Amended and Restated Trust Indenture (Exhibit B); G. To report semi-annually to the governing body of each Beneficiary member jurisdiction of this Agreement, in writing, on the quality of care being provided by all credentialed agencies within the EMS System in each Beneficiary and Non- beneficiary member jurisdiction; H. To monitor all aspects of system performance, including clinical quality of care and response time performance reported by emergency medical first responders and ambulance service providers; I. To attend meetings of the Board of Trustees of EM...
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Medical Director/Chief Medical Officer. The licensed physician designated by the Contractor to exercise general supervision over the provision of MCO covered services.
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Related to Medical Director/Chief Medical Officer

  • 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.

  • Chief Operating Officer The Chief Operating Officer shall be responsible for managing the day to day operations of the Company and shall see to it that all orders of the Chief Executive Officer are carried into effect.

  • President Unless the Trustees otherwise provide, the President shall preside at all meetings of the shareholders and of the Trustees. Unless the Trustees otherwise provide, the President shall be the chief executive officer.

  • President and Chief Executive Officer The president shall be the chief executive officer of the Trust, unless the Board of Trustees designates the chairman as chief executive officer. The chief executive officer shall see that all orders and resolutions of the Board of Trustees are carried into effect. The chief executive officer shall also be the chief administrative officer of the Trust and shall perform such other duties and have such other powers as the Board of Trustees may from time to time prescribe.

  • Xxxxxx, President s/ Xxxxx Xxxx ---------------------------------- Xxxxx Xxxx

  • Executive Director (a) The HMO must employ a qualified individual to serve as the Executive Director for its HHSC HMO Program(s). Such Executive Director must be employed full-time by the HMO, be primarily dedicated to HHSC HMO Program(s), and must hold a Senior Executive or Management position in the HMO’s organization, except that the HMO may propose an alternate structure for the Executive Director position, subject to HHSC’s prior review and written approval. (b) The Executive Director must be authorized and empowered to represent the HMO regarding all matters pertaining to the Contract prior to such representation. The Executive Director must act as liaison between the HMO and the HHSC and must have responsibilities that include, but are not limited to, the following: (1) ensuring the HMO’s compliance with the terms of the Contract, including securing and coordinating resources necessary for such compliance; (2) receiving and responding to all inquiries and requests made by HHSC related to the Contract, in the time frames and formats specified by HHSC. Where practicable, HHSC must consult with the HMO to establish time frames and formats reasonably acceptable to the Parties; (3) attending and participating in regular HHSC HMO Executive Director meetings or conference calls; (4) attending and participating in regular HHSC Regional Advisory Committees (RACs) for managed care (the Executive Director may designate key personnel to attend a RAC if the Executive Director is unable to attend); (5) making best efforts to promptly resolve any issues identified either by the HMO or HHSC that may arise and are related to the Contract; (6) meeting with HHSC representative(s) on a periodic or as needed basis to review the HMO’s performance and resolve issues, and (7) meeting with HHSC at the time and place requested by HHSC, if HHSC determines that the HMO is not in compliance with the requirements of the Contract.

  • President and Vice Presidents The president shall be the chief executive officer of the Trust. The president shall, subject to the control of the Trustees, have general charge and supervision of the business of the Trust. Any vice president shall have such duties and powers as shall be designated from time to time by the Trustees.

  • Xxxxxxx, President Xxxxx X.

  • Vice Chairman In the absence of the Chairman of the Board, the Vice Chairman shall preside at all meetings of the Board of Directors and of the unitholders of the MLP; and he shall have such other powers and duties as from time to time may be assigned to him by the Board of Directors.

  • Chief Compliance Officer The Chief Compliance Officer of the Trust will be responsible for administering its compliance policies and procedures, shall have sufficient authority and independence within the organization to compel others to adhere to the compliance policies and procedures, shall report directly to the Board of Trustees, shall annually furnish a written report on the operation of the compliance policies and procedures to the Board of Trustees and shall perform such other duties as prescribed by the Board of Trustees.

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