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Associate Medical Director - Post Acute Care
Ensure timely and accurate medical necessity determinations for post-acute care services.
ChicagoMiami
Expert
$179,082 - 268,634 USD / year
4 weeks ago
Elevance Health
Elevance Health is a health insurance provider offering a range of healthcare services and insurance plans.
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✨ About The Role
- The Associate Medical Director will support the medical management staff in making timely clinical case reviews.
- Responsibilities include making medical necessity determinations for services requested and for grievances and appeals.
- The role requires consistent use of medical policies when making medical necessity decisions.
- The candidate will need to bring any case review decisions requiring Medical Director review to their supervisor's attention.
- The position operates in a hybrid model, allowing for both remote and office work.
âš¡ Requirements
- The ideal candidate will have an MD and board certification in a medical specialty.
- A minimum of three years of clinical experience post-residency is required, preferably in inpatient post-acute care.
- Strong preference is given to candidates who are board certified in Physical Medicine and Rehabilitation.
- The candidate should possess excellent communication skills for making physician-to-physician calls.
- A commitment to ensuring timely and consistent medical decisions is essential for success in this role.
Associate Medical Director - Post Acute Care
ChicagoMiami
$179,082 - 268,634 USD / year
Healthcare Administration
About Elevance Health
Elevance Health is a health insurance provider offering a range of healthcare services and insurance plans.