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Associate Medical Director, Post Acute Care (100% Remote)

Company: eviCore Healthcare
Location: Melbourne
Posted on: October 12, 2018

Job Description:

Internal Medicine opening in Melbourne, Florida. This and other physician jobs brought to you by Responsibilities:

  • Perform the full range of post-acute program medical necessity reviews utilizing nationally accepted medical necessity criteria for Skilled Nursing Facility (SNF), Inpatient Rehabilitation Facility (IRF), Long Term Acute Care Facility (LTAC) for admissions, length of stay appropriateness and Durable Medical Equipment (DME).
  • Utilize CMS guidelines, NCDs, LCDs, and appropriate guidelines (InterQual, Milliman and Robbins) in medical necessity determinations.
  • Available for Peer to Peer consultations.
  • Available to attending physicians and/or ordering providers to conduct peer to peer discussions concerning utilization management issues.
  • Serve as an advisor on other clinical matters within area(s) of expertise.
  • Support the Clinical Services Staff as needed.
  • Participate in calls and meetings with clients as needed.
  • Participate in special projects as needed.
  • Assist in the Guidelines/Criteria updates as needed.
  • Perform other duties as required by the Chief Medical Officer of Post-Acute Care.
    Minimum Requirements:
      • Board Certification from an approved, pertinent ABMS Board with a current, valid and unrestricted license in the United States.
      • Internal Medicine, Family Practice with or without subspecialty preferred, Physical Medicine and Rehabilitation Preferred
      • Knowledge of applicable state and federal laws, URAC and NCQA standards.
      • At least 5 years of experience in direct patient care.
      • Medical Management Experience is desired.
      • Managed Care Experience is desired.
      • Communication and presentation skills strongly preferred. Keyphrases: internal medicine jobs, internal emergency medicine jobs, internal medicine specialist jobs, internal medicine critical care jobs, internal medicine geriatrics jobs, internal medicine pediatrics jobs, pediatric internal medicine jobs

        Keywords: eviCore Healthcare, Melbourne , Associate Medical Director, Post Acute Care (100% Remote), Executive , Melbourne, Florida

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