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Medical Director

Posted on Nov 12, 2018 by William W. Professional Staffing

Brentwood, TN 37024
Health Care
Immediate Start
Annual Salary
Full-Time
overview
Medical Director

Brentwood, Tennessee

Full-time

This is a full time position working in our Brentwood, Tennessee office. The incumbent will perform utilization review for medical necessity determinations for home health care benefits and will work with nursing and therapy reviewers in making determinations. The Medical Director performs case review and peer to peer consultation, provides consultative services to the UM review staff, oversees selection of education for providers, and provides input into the Utilization Management and Quality Improvement programs when requested, This position interfaces with the internal staff, network providers, and ordering physicians as required.

Top reasons to love this job:

- Full benefits available

- Competitive salary offered

- Opportunity to lead a team at one of the best companies in the state

Top "must haves" for this job:

- The Medical Director must be an MD or DO with appropriate current and unexpired specialty board certification in Physical Medicine and Rehabilitation, or other field beneficial to Home Health reviews.

- He/she must have an active and unencumbered medical license in the states specific to the client payer account rules, which may require multiple state licenses to be held concurrently.

- A minimum of 3 years' experience in clinical practice and preferably at least 2 years' experience with managed care programs or care delivery networks is required.

- Prior experience using evidence-based clinical guidelines (e.g., Milliman, InterQual) is preferred.

- The ideal physician would be board certified as an 1. Physician medicine and rehab doc; 2. Internal medicine; 3. Pulmonologist; 4. Cardiologist; 5. Neurologist; 6. Any other physician that would treat elderly patients.

Reference: 569491692

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