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.
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:
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:
Medical Director/Chief Medical Officer. The licensed physician designated by the Contractor to exercise general supervision over the provision of MCO covered services.
