Medical Director. CMO who is a physician with a current, unencumbered license through the Ohio State Medical Board. The Medical Director shall have at least three years of training in a medical specialty. The Medical Director shall devote full time (minimum 32 hours weekly) to the MCP’s operations to ensure timely medical decisions, including after-hours consultation as needed. The Medical Director shall be actively involved in all major clinical and quality management components of the MCP. At a minimum, the Medical Director shall be responsible for: i. Development, implementation, and medical interpretation of medical policies and procedures including, but not limited to, service authorization, claims review, discharge planning, credentialing and referral management, and medical review included in the MCP grievance system; ii. Administration of all medical management activities of the MCP; and iii. Xxxxx as director of the Utilization Management committee and chairman or co- chairman of the Quality Assessment and Performance Improvement committee.
Appears in 9 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
Medical Director. CMO who is a physician with a current, unencumbered license through the Ohio State Medical Board. The Medical Director shall have at least three years of training in a medical specialty. The Medical Director shall devote full time (minimum 32 hours weekly) to the MCP’s operations to ensure timely medical decisions, including after-hours consultation as needed. The Medical Director shall be actively involved in all major clinical and quality management components of the MCP. At a minimum, the Medical Director shall be responsible for:
i. Development, implementation, and medical interpretation of medical policies and procedures including, but not limited to, service authorization, claims review, discharge planning, credentialing and referral management, and medical review included in the MCP grievance system;
ii. Administration of all medical management activities of the MCP; and
iii. Xxxxx Serve as director of the Utilization Management committee and chairman or co- chairman of the Quality Assessment and Performance Improvement committee.
Appears in 7 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
Medical Director. CMO who is a physician with a current, unencumbered license through the Ohio State Medical Board. The Medical Director shall have at least three years of training in a medical specialty. The Medical Director shall devote full time (minimum 32 hours weekly) to the MCP’s operations to ensure timely medical decisions, including after-hours consultation as needed. The Medical Director shall be actively involved in all major clinical and quality management components of the MCP. At a minimum, the Medical Director shall be responsible for:
i. Development, implementation, implementation and medical interpretation of medical policies and procedures including, but not limited to, service authorization, claims review, discharge planning, credentialing and referral management, and medical review included in the MCP grievance system;
ii. Administration of all medical management activities of the MCP; and
iii. Xxxxx Serve as director of the Utilization Management committee and chairman or co- chairman of the Quality Assessment and Performance Improvement committee.
Appears in 3 contracts
Samples: Provider Agreement, Provider Agreement, Provider Agreement
Medical Director. CMO who is a physician with a current, unencumbered license through the Ohio State Medical Board. The Medical Director shall must have at least three (3) years of training in a medical specialty. The Medical Director shall devote full time (minimum 32 hours weekly) to the MCP’s operations to ensure timely medical decisions, including after-hours consultation as needed. The Medical Director shall be actively involved in all major clinical and quality management components of the MCP. At a minimum, the Medical Director shall be responsible for:
i. Development, implementation, implementation and medical interpretation of medical policies and procedures including, but not limited to, service authorization, claims review, discharge planning, credentialing and referral management, and medical review included in the MCP grievance system;
ii. Administration of all medical management activities of the MCP; and
iii. Xxxxx as director of the Utilization Management committee and chairman or co- co-chairman of the Quality Assessment and Performance Improvement committee.
Appears in 2 contracts
Samples: Provider Agreement, Provider Agreement
Medical Director. CMO who is a physician with a current, unencumbered license through the Ohio State Medical Board. The Medical Director shall have at least three years of training in a medical specialty. The Medical Director shall devote full time (minimum 32 hours weekly) to the MCP’s operations to ensure timely medical decisions, including after-hours consultation as needed. The Medical Director shall be actively involved in all major clinical and quality management components of the MCP. At a minimum, the Medical Director shall be responsible for:
i. Development, implementation, implementation and medical interpretation of medical policies and procedures including, but not limited to, service authorization, claims review, discharge planning, credentialing and referral management, and medical review included in the MCP grievance system;
ii. Administration of all medical management activities of the MCP; and
iii. Xxxxx as director of the Utilization Management committee and chairman or co- chairman of the Quality Assessment and Performance Improvement committee.
Appears in 2 contracts
Samples: Provider Agreement, Provider Agreement
Medical Director. CMO who is a physician with a current, unencumbered license through the Ohio State Medical Board. The Medical Director shall must have at least three (3) years of training in a medical specialty. The Medical Director shall devote full time (minimum 32 hours weekly) to the MCP’s operations to ensure timely medical decisions, including after-hours consultation as needed. The Medical Director shall be actively involved in all major clinical and quality management components of the MCP. At a minimum, the Medical Director shall be responsible for:
i. Development, implementation, implementation and medical interpretation of medical policies and procedures including, but not limited to, service authorization, claims review, discharge planning, credentialing and referral management, and medical review included in the MCP grievance systemGrievance System;
ii. Administration of all medical management activities of the MCP; and
iii. Xxxxx as director of the Utilization Management committee and chairman or co- co-chairman of the Quality Assessment and Performance Improvement committee.
Appears in 1 contract
Samples: Provider Agreement
Medical Director. CMO who is a physician with a current, unencumbered license through the Ohio State Medical Board. The Medical Director shall must have at least three (3) years of training in a medical specialty. The Medical Director shall devote full time (minimum 32 hours weekly) to the MCP’s operations to ensure timely medical decisions, including after-hours consultation as needed. The Medical Director shall be actively involved in all major clinical and quality management components of the MCP. At a minimum, the Medical Director shall be responsible for:
i. Development, implementation, implementation and medical interpretation of medical policies and procedures including, but not limited to, service authorization, claims review, discharge planning, credentialing and referral management, and medical review included in the MCP grievance system;
ii. Administration of all medical management activities of the MCP; and
iii. Xxxxx Serve as director of the Utilization Management committee and chairman or co- co-chairman of the Quality Assessment and Performance Improvement committee.
Appears in 1 contract
Samples: Provider Agreement
Medical Director. CMO who is a physician with a current, unencumbered license through the Ohio State Medical Board. The Medical Director shall must have at least three (3) years of training in a medical specialty. The Medical Director shall devote full time (minimum 32 hours weekly) to the MCP’s operations to ensure timely medical decisions, including after-hours consultation as needed. The Medical Director shall be actively involved in all major clinical and quality management components of the MCP. At a minimum, the Medical Director shall be responsible for:
i. Development, implementation, implementation and medical interpretation of medical policies and procedures including, but not limited to, service authorization, claims review, discharge planning, credentialing and referral management, and medical review included in the MCP grievance systemGrievance System;
ii. Administration of all medical management activities of the MCP; and
iii. Xxxxx Serve as director of the Utilization Management committee and chairman or co- co-chairman of the Quality Assessment and Performance Improvement committee.
Appears in 1 contract
Samples: Provider Agreement