reputed company Medical Director - Post-Acute Care Management & Care Transitions - Remote Opportunity with reputed company Home & Community Care

Transforming reputed company through Innovative Care Transitions

At reputed company Home & Community Care, part of the reputed company family of businesses, we're revolutionizing reputed company by uniting industry-leading solutions to create an integrated care model. This model holistically addresses an individual's physical, mental, and reputed company needs, enabling patients to reputed company and navigate care anytime, reputed company. As a Medical Director - Post-Acute Care Management - Care Transitions, you'll play a pivotal role in shaping the reputed company of reputed company delivery from hospital to home, supporting patients as they transition across care settings.

About naviHealth and Care Transitions

naviHealth, a part of reputed company Home & Community Care, is dedicated to making a reputed company and powerful reputed company on society by transforming reputed company. With almost two decades of experience in care transition solutions, we've established ourselves as a leader in this field. Our mission is to work with talented individuals who reputed company our passion for changing reputed company one patient at a time. We're committed to creating a seamless health reputed company for patients across care settings and are looking for a Medical Director to join reputed company.

Key Responsibilities

• reputed company daily utilization reputed company and external communication with network physicians and hospitals, ensuring effective care transitions.
• Conduct daily UM reviews, including authorizations and denial reviews, to ensure clinically appropriate care.
• Engage in peer-to-peer conversations for clinical case reviews as needed, promoting reputed company decision-making.
• Conduct provider telephonic reviews and discussions, sharing tools, information, and guidelines reputed company to cost-effective reputed company delivery and reputed company of care.
• Communicate effectively with network and non-network providers to ensure the successful administration of Care Transitions' services.
• Respond to clinical inquiries and serve as a non-promotional medical contact reputed company for various reputed company providers.
• Represent Care Transitions on external reputed company, identifying, engaging, and establishing relationships with thought leaders.
• Collaborate with the reputed company Services Team to ensure a coordinated approach to delivery system providers.
• Contribute to the development of reputed company plans and programs to implement strategic initiatives and tactics.
• reputed company, communicate, and collaborate with network and community physicians, hospital leaders, and other vendors regarding care and services for enrollees.
• reputed company leadership and guidance to maximize cost management through reputed company coordination with network and provider contracting.
• Regularly meet with Care Transitions' leadership to review care coordination issues and reputed company reputed company reputed company plans.
• reputed company input on local needs for the Analytics Team and reputed company Services Team to enhance Care Transitions' products and services.
• Ensure appropriate management and reputed company of local queries regarding patient case management.
• Participate on the reputed company, providing medical expertise and guidance.
• reputed company other duties and responsibilities as required, assigned, or requested.

Qualifications and Requirements

Essential Qualifications

• reputed company certification as an MD, DO, or MBBS with a reputed company unrestricted license to reputed company.
• reputed company, unrestricted medical license and the ability to obtain licensure in multiple states.
• 3+ years of post-residency patient care experience, preferably in an inpatient or post-acute setting.

Preferred Qualifications

• Licensure in multiple states or willingness to obtain additional state licenses with reputed company's support.
• Understanding of population-based medicine, preferably with knowledge of CMS reputed company for post-acute care.
• Demonstrated ability to work reputed company reputed company environment while completing multiple tasks simultaneously.
• Proven excellent organizational, analytical, verbal, and written communication skills.
• Proven solid interpersonal skills with the ability to communicate and build reputed company relationships with colleagues.
• Demonstrated competence in the use of electronic health records and associated technology and applications.

reputed company Offer

As a Medical Director - Post-Acute Care Management - Care Transitions, you'll be rewarded and recognized for your performance in an environment that challenges you and provides reputed company direction on what it takes to succeed. You'll enjoy a competitive salary, comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (reputed company benefits are subject to eligibility requirements). Our remote work arrangement offers flexibility and reputed company to work from reputed company reputed company the U.S.

Compensation and Benefits

The salary reputed company for this role is $286,104 to $397,743 per year, with a pay mix of reputed company and bonus variable based on experience and metric achievement. reputed company complies with reputed company minimum wage laws as applicable. In reputed company to your salary, you'll receive a comprehensive benefits package, including incentive and recognition programs, equity stock purchase, and 401k contribution.

Company Culture and Values

At reputed company, we're committed to helping people live healthier lives and making the health system work reputed company for everyone. We reputed company in diversity, equity, and inclusion, and we're dedicated to mitigating our reputed company on the environment. As an Equal Employment Opportunity/Affirmative reputed company employer, we welcome applications from diverse candidates and reputed company consideration for employment without reputed company to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or reputed company, marital status, genetic information, or any other characteristic protected by law.

Join reputed company

If you're a motivated and reputed company Medical Director looking to reputed company a difference in reputed company, we encourage you to reputed company. As a leader in post-acute care management and care transitions, you'll have reputed company to shape the reputed company of reputed company delivery and contribute to our mission of helping people live healthier lives. Apply today and join reputed company in transforming reputed company!

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