Medical Director For Private Family Practice

Company: PHealthcare Search, Inc.
Location: Sacramento
Posted on: November 23, 2020

Job Description:

(Physician/MD qualifications required) Medical Director - We are looking for a Physician to serve as a full time Medical Director
This is a purely administrative role and you will not work in a clinic. The work primarily involves Utilization Review and serving as a leader in our Utilization Management Department.

Location: Sacramento, CA


Duties include:
Develop, maintain and assure compliance with physician review policies and procedures (including timeliness) for utilization management and support case management.
Support collaborative relationships with physicians, large provider groups, hospitals, other facilities and ancillary providers.
Work closely with market medical directors to assure members are at the right level of care
Identify potentially unnecessary services and care delivery settings, and recommend alternatives if appropriate by analyzing clinical protocols.
Examine clinical programs information to identify members for specific case management and-or disease management activities or interventions by utilizing established screening criteria.
Conduct medical necessity reviews for acute and post-acute initial admission reviews, DME, Home Health continued stay, Skilled Nursing continued stay reviews and post-discharge and discharge planning with clinical staff and peers
Lead Clinical Round Discussion and educate nursing staff on specific conditions and disease processes
Support the roll out of clinical initiatives in the local markets through work with the local market physician teams and care coaches

Qualifications:
Must have a California MD or DO Degree
Must have California MD or DO licenses
Must be board certified or board eligible

Perks And Benefits:
Competitive salary of $220,000 to $250,000 annually
Full Benefits package
No nights or weekends

Hours Of Operation:
Monday through Friday Clinics are 8am to 5pm. Medical Director position has more flexibility with hours. Can start earlier or later and ending time will
follow accordingly.
Please send resume or CV for immediate consideration.

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