MelbourneFLRecruiter
the smart solution for Melbourne jobs

Associate Medical Director, Internal Medicine (100% Remote)

Company: eviCore Healthcare
Location: Melbourne
Posted on: April 16, 2019

Job Description:

Internal Medicine opening in Melbourne, Florida. This and other physician jobs brought to you by DocCafe.com Associate Medical Director Information

Minimum Requirements:

  • The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in a clinical specialty recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).
  • Have at least 5 years of clinical experience (post residency/fellowship.
  • Knowledge of applicable state and federal laws, URAC and NCQA standards a plus, and familiarity with automated processes and computer applications and systems is requiredResponsibilities:
    • Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.
    • Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.
    • Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.
    • Documents all actions related to clinical review sessions and attests to appeal review qualifications as required.
    • Maintains files of all reviews as required by law and Health Plans to retrieve reportable data.
    • Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.
    • Supports the annual review of utilization review criteria.
    • Supports and communicates eviCore policy and procedures to the provider community.
    • Participates in strategic planning for and evaluation of the Care Management process/unit.
    • Assists with staff educational training and in-service programs and serves as a clinical resource for eviCore staff.
      eviCore is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation 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, Internal Medicine (100% Remote), Executive , Melbourne, Florida

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Associate Medical Director - Neurology (100% Remote) (Physician #)
Description: Associate Medical Director Information Minimum Requirements: ul li The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in a clinical (more...)
Company: eviCore Healthcare
Location: Melbourne
Posted on: 04/24/2019

Route Sales Manager
Description: Join Ecolab's sales team as a Route Sales Manager in the Orlando, FL market. Within our industry leading Institutional division, this role offers comprehensive chemical products and solutions to meet (more...)
Company: Ecolab
Location: Orlando
Posted on: 04/24/2019

LPN Nurse Manager
Description: Florida Community Health Centers, Inc. is a private, non-profit, consumer directed corporation which is designated as
Company: Florida Community Health Centers, Inc.
Location: Port Saint Lucie
Posted on: 04/24/2019


Project Director, Design Management, Construction, Hospitality
Description: ul br li Work with company executive leadership to evaluate and enhance company standards for project acceptance and delivery li Assure that comprehensive evaluation of project complexity, challenges, (more...)
Company: Job Juncture
Location: Orlando
Posted on: 04/24/2019

Pediatric EM Medical Director (Physician #)
Description: TeamHealth is seeking a Medical Director to join our pediatric emergency department team at AdventHealth for Children in Orlando, Florida. Our flagship Pediatric ED opened in 2008. We now staff two dedicated (more...)
Company: TeamHealth
Location: Orlando
Posted on: 04/24/2019

Department Manager
Description: Department Manager Essendant is a pure wholesale distributor of a broad range of business products including office, janitorial, break room and industrial supplies. We win from the middle of the supply (more...)
Company: Essendant
Location: Orlando
Posted on: 04/24/2019

Current College Students - In-Store Management Executive Internship (Nebraska)
Description: One of the world's leading and most recognized brands comes to life in our stores, where guests are still captivated by everything that made them fall in love with Target. Our approximately 1800 locations (more...)
Company: Target
Location: Orlando
Posted on: 04/24/2019

Nurse Manager (RN) - Bellingham, WA Relo
Description: Employer is now hiring Registered Nurses for incredible opportunities in Oregon, Washington, and Alaska We are a non-profit health care system with hospitals and clinics in Washington,
Company: PeaceHealth
Location: Lakeland
Posted on: 04/24/2019

Current College Students - In-Store Management Executive Internship (Kansas)
Description: One of the world's leading and most recognized brands comes to life in our stores, where guests are still captivated by everything that made them fall in love with Target. Our approximately 1800 locations (more...)
Company: Target
Location: Orlando
Posted on: 04/24/2019

Pain Management/Weight Loss Opportunity - Near Orlando Florida
Description: We have office Visits only Pain Management and Weight Loss Position. No Call/No Weekends, 2 or
Company: Medical On Demand
Location: Deltona
Posted on: 04/24/2019

Log In or Create An Account

Get the latest Florida jobs by following @recnetFL on Twitter!

Melbourne RSS job feeds