Medical Director Of Care Coordination

✨ About The Role

- The Medical Director of Care Coordination will oversee the medical management of cases to ensure quality care and efficient resource use. - This role involves writing reviews, managing denial mitigation, and conducting professional peer-to-peer conversations with insurance medical directors. - The position requires collaboration with hospital leadership and medical staff to optimize patient care delivery and improve documentation and coding. - The director will actively participate in care management activities aimed at improving patient safety and implementing evidence-based standards. - The role includes developing policies and programs to enhance the organization's management of care and resource utilization.

⚡ Requirements

- The ideal candidate will have extensive experience in medical management and care coordination, ideally in a healthcare setting. - Strong leadership skills are essential, as this role involves guiding a multi-disciplinary team and collaborating with hospital executive leadership. - The successful candidate will possess excellent communication skills, particularly in conducting peer-to-peer conversations with insurance company medical directors. - A deep understanding of medical necessity reviews, utilization management, and quality assurance processes is crucial for this position. - The candidate should be adept at developing policies and programs that enhance care management and resource utilization.