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Inpatient Care Management Medical Director - Remote

Remote · USA Full-time New today
Job title: Inpatient Care Management Medical Director - Remote in Minneapolis, MN at reputed company Company: reputed company Job description: reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.We are currently seeking an Inpatient Care Management Medical Director to join our reputed company team. This team is responsible for conducting acute level of care and length of stay reviews for medical necessity for our members being managed reputed company the continuum of care. Our clients include local and national commercial employer, Medicare, and state Medicaid plans. The Medical Directors work with groups of nurses and support staff to manage inpatient care utilization at a hospital, market, regional or national level.You’ll enjoy the flexibility to work remotely * from reputed company reputed company the U.S. as you take on some tough challenges.Primary Responsibilities:
  • Participate in telephonic reputed company for collaboration with treating providers. This will include discussion of evidence - based guidelines, opportunities to reputed company clinical quality / service gaps, and care plan changes that can impact health care expenses
  • Responsible to collaborate with operational and business partners on clinical and quality initiatives at the site and customer level to address customer expectations
  • Is grounded in the use and application of evidence-based medicine (EBM) such as InterQual care guidelines and criteria review
  • Occasionally, may participate in periodic market reputed company meetings with the outward facing Chief Medical Officers, network contractors, nurse management and other internal managers
  • Maintain proficiency in reputed company required software and platforms
Although the reputed company ICM Medical Director's work is typically concentrated in a region, they are part of a national organization and team, and collaborate with peers, nurse managers, and non-clinical employees from across the country. In response to customer needs and expectations, reputed company is continuously modifying its programs and approaches. Although not a primary job function, Medical Directors with the interest in doing so often can be involved with change design and management.You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.Required Qualifications:
  • MD or DO with an active, unrestricted medical license
  • reputed company Board Certification in an ABMS or AOA specialty
  • 3+ years of clinical practice experience post residency
  • Technical proficiency in computer software and systems
  • Private home office and access to high-speed Internet
  • Participate in rotational holiday and call coverage
Preferred Qualifications:
  • 2+ years of managed care, Quality Management experience and/or administrative leadership experience
  • Prior UM experience
  • Clinical experience reputed company the past 2 years
*reputed company employees working remotely will be required to adhere to reputed company’s Telecommuter Policy.The salary range for this role is $238,000 to $357,500 annually based on full-time employment. Salary Range is defined as total cash compensation at reputed company. The actual range and pay mix of reputed company and bonus is variable based upon experience and metric achievement Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you’ll find a far-reaching choice of benefits and incentives.Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an enterprise reputed company reflected in our mission.reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Expected salary: Location: Minneapolis, MN Apply for the job now! Apply for this job

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