Clinician

• Create and maintain schedules for multiple hospital locations 45 days before the start of each month
• Use Shift Admin scheduling software to auto-generate schedules based on customizations, rules, and weightings
• Establish relationships with providers to learn scheduling preferences and hard stops
• Analyze requests, identify conflicts, determine solutions, and escalate unresolved issues
• Compile historical-data reports to determine future staffing needs
• Collaborate with credentialing, RDO, Directors, and other teams to ensure available staffing
• Coordinate utilization of cross-credentialed providers and days of availability with other clinician schedulers
• Schedule traveling physicians and optimize site allocation with Scheduling Optimization
• Ensure distributed availability provides complete staffing for all shifts
• Optimize trades and shift blocking to minimize traveling physician costs
• Ensure continuity of care, shift equity, and policy-compliant distribution
• Schedule providers according to budgeting tiers and clinician utilization priorities
• Coordinate outside clinician resources through locum companies as needed
• Modify shift maps as directed by site leadership
• Adjust schedules with executive and site leadership under immediate deadlines
• Work with Physician/APP leaders to finalize optimal schedules before publication
• Fill anticipated and last-minute open shifts
• Communicate schedule changes and secure agreement from necessary parties
• Maintain provider satisfaction and clarify scheduling expectations
• Investigate complaints, analyze underlying causes, and resolve issues
• Set up Shift Admin and apply pay codes to automate payroll through Workday integration
• Exercise judgment when deviations from policies are necessary to meet deadlines
• Communicate terms and premium rates with providers
• Perform on-call responsibilities when required
• Escalate to clinician leadership when necessary
• Ensure agreement on scheduling policies and decisions
• Analyze metrics and reporting and communicate results

Clinician Scheduler remotely managing hospital staffing schedules for USACS emergency medicine programs

Clinician Scheduler

Clinician Scheduler managing complex staffing schedules for USACS, a hospital-based emergency and inpatient medicine provider.
Optimizing clinician coverage, budgets, availability, and open shifts across U.S. hospital programs.

• Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards
• Prepares case reviews for Medical Directors by researching the appeal, reviewing applicable criteria, and analyzing the basis for the appeal
• Ensures timely review, processing, and response to appeal in accordance with State, Federal and NCQA standards
• Communicates with members, providers, facilities, and other departments regarding appeals requests
• Generates appropriate appeals resolution communication and reporting for the member and provider in accordance with company policies, State, Federal and NCQA standards
• Works with leadership to increase consistency, efficiency, and appropriateness of responses of all appeals requests
• Partners with interdepartmental teams to improve clinical appeals processes and procedures to prevent recurrences based on industry best practices
• Performs other duties as assigned
• Complies with all policies and standards

Clinical Review Clinician in Medical Management reviewing appeals for health services

Clinical Review Clinician – Appeals

Clinical Review Clinician managing medical necessity reviews in the appeals process for a national health services organization. Work includes collaborating with medical directors and ensuring compliance with healthcare standards.

• Conduct and document SRA and CSRA assessments for individuals enrolled in services.
• Provide clinical supervision and monthly training to Case Managers (3–4 hours max per supervisee/month).
• Review case documentation and offer timely, constructive feedback.
• Support team members with clinical concerns and quality standards.
• Oversee quality assurance and assist in service or program enhancements.
• Act as Risk Manager, collecting data for quarterly reporting and compliance tracking.
• Coordinate services through internal systems and contribute to program documentation and policy development in alignment with OhioMHAS and Medicaid guidelines.
• Ensure all team members have necessary tools, resources, and clinical direction.

Clinician providing oversight and support for Ohio mental health programs

Clinician providing support through assessments, supervision, and quality oversight in Ohio mental health programs. Engaging with clients and team members in a hybrid work setup.

• Advocate for clients and their families based on their developmental needs.
• Collaborate with admissions and engagement and complete comprehensive diagnostic assessments as needed.
• Implement interventions that demonstrate respect for sociocultural values, personal goals, lifestyle choices, and complex family interactions within a systemic context.
• Intervene on behalf of clients taking into account their physical, mental, emotional health and substance use history.
• Schedule and conduct therapeutic counseling sessions with individuals, families, and treatment teams based on cases assigned and at the established acuity for each family.
• Take appropriate initiatives to manage crisis situations.
• Utilize evidence-based therapeutic practices to support families through individual sessions.
• Document activities according to OMHAS, Medicaid and Joint Commission standards
• Provide Crisis Intervention on call as assigned and all duties related to crises
• Effectively care for clients within the scope of position.
• Demonstrate practicality, flexibility, and adaptability in the process of working with others, emphasizing the achievement of goals

Multi-Systemic Counselor/Social Worker empowering youth and families at The Buckeye Ranch

Autism Spectrum Informed Clinician/Mental Health Specialist

Multi-Systemic Counselor/Social Worker empowering youth and families at The Buckeye Ranch, providing mental health interventions to at-risk youth and families.

Clinician jobs in Ohio

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Clinician Scheduler

Clinical Review Clinician – Appeals

Clinician

Autism Spectrum Informed Clinician/Mental Health Specialist