Associate Medical Director - Outpatient Rehab
Location
United States
Posted
5 days ago
Salary
$188.1K - $294.9K / year
Seniority
Lead
No structured requirement data.
Job Description
Associate Medical Director - Outpatient Rehab
Elevance Health
Role Description The Clinical Operations Associate Medical Director is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and providers. - Ensures timely completion of clinical case reviews for their board-certified specialty. - Makes physician to physician calls to gather medically appropriate information in order to make medical necessity determinations for services requested. - Makes medical necessity determinations for grievance and appeals appropriate for their specialty. - Ensures consistent use of medical policies when making medical necessity decisions. - Brings to their supervisor's attention any case review decisions that require Medical Director review or policy interpretation. Qualifications - Requires MD or DO and Board certification approved by one of the following certifying boards: American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). - Must possess an active unrestricted medical license to practice medicine or a health profession. Requirements - PM&R Board Certification preferred. - Experience in Inpatient or outpatient rehab. - Experience with Microsoft Office Suite. Benefits - Comprehensive benefits package. - Incentive and recognition programs. - Equity stock purchase and 401k contribution (subject to eligibility requirements). - Merit increases, paid holidays, and Paid Time Off. - Medical, dental, and vision benefits. - Short and long term disability benefits. - Life insurance. - Wellness programs and financial education resources.
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