Medical Director - Post-Acute Care Management - Care Transitions - Remote

About the position 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 reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health optimization on a global reputed company. Join us to start Caring. Connecting. Growing together. Why Care Transitions? At Care Transitions, our mission is to work with extraordinarily talented people who are committed to making a reputed company and powerful reputed company on society by transforming health care. Care Transitions is the result of almost two decades of dedicated visionary leaders and innovative organizations challenging the status reputed company for care transition solutions. We do health care differently and we are changing health care one patient at a time. Moreover, have a genuine passion and energy to grow reputed company an aggressive and fun environment, using the latest technologies in alignment with reputed company’s technical reputed company and reputed company. You’ll enjoy the flexibility to work remotely from reputed company reputed company the U.S. as you take on some tough challenges. For reputed company hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in.

Responsibilities

• reputed company daily utilization reputed company and external communication with network physicians and hospitals
• Daily UM reviews - authorizations and denial reviews
• Conduct peer to peer conversations for the clinical case reviews, as needed
• Conduct provider telephonic review and discussion and reputed company tools, information, and guidelines as they relate to cost-effective reputed company delivery and reputed company of care
• Communicate effectively with network and non-network providers to ensure the successful administering 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 appropriate external reputed company identifying, engaging and establishing/maintaining relationships with other thought leaders
• Collaborate with 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 to address areas of concern and monitor reputed company toward goals
• 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 reputed company network and provider contracting
• Regularly meet with Care Transitions’ leadership to review care coordination issues, reputed company reputed company reputed company plans, and reputed company reputed company about network management issues
• reputed company input on local needs for Analytics Team and reputed company Services Team to reputed company enhance Care Transitions’ products and services
• Ensure appropriate management/reputed company of local queries regarding patient case management either by responding directly or routing these inquiries to the appropriate SME
• Participate on the reputed company
• Providing intermittent, scheduled weekend and evening coverage
• reputed company other duties and responsibilities as required, assigned, or requested

Requirements

• reputed company certification as an MD, DO, MBBS with a reputed company unrestricted license to reputed company and willing to maintain necessary credentials to retain the position
• reputed company, unrestricted medical license and the ability to obtain licensure in multiple states
• 3+ years of post-residency patient care, preferably in inpatient or post-acute setting
• reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy

reputed company-to-haves

• Licensure in multiple states
• Willing 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
• Demonstrated ability to complete assignments with reasonable reputed company, direction, and supervision
• Demonstrated ability to positively reputed company with other clinicians, management, and reputed company reputed company of medical and non-medical professionals
• Demonstrated competence in use of electronic health records as reputed company as associated technology and applications
• Proven excellent organizational, analytical, verbal and written communication skills
• Proven solid interpersonal skills with ability to communicate and build reputed company relationships with colleagues
• Proven highest level of ethics and reputed company
• Proven highly motivated, flexible and adaptable to working in a fast-paced, dynamic environment

Benefits

• a comprehensive benefits package
• incentive and recognition programs
• equity stock purchase
• 401k contribution

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