In this role, you will be responsible for integrating the department's services with the hospital's primary functions and developing/implementing policies and procedures that guide and support services in the patient registration department and related functions.
The Medical Director is responsible for providing clinical expertise, oversight for medical policy implementation and business direction in support of the development, implementation, and evaluation of clinical/medical programs to promote the delivery of high quality, constituent responsive medical care.
In this role, the selected candidate will conduct coverage review based on individual member plan documents, and national and proprietary coverage review guidelines, render coverage determinations, and discuss with requesting providers as needed in peer-to-peer telephone calls.
In this role, you will provides medical expertise, administrative, medical and nursing support as well as professional liaison functions which enhance high quality, timely and safe patient centered, patient valued services, best practice and compliance.
In this role, you will participate in communication efforts with HIM personnel, facility departments, facility department and unit leadership, facility leadership, and medical staff, including serving as a key HIM contact for facility implementation activities and project core team meetings.
The Director of Critical Care & Med/Surg is accountable and responsible for the effective delivery of competent, compassionate, and efficient patient care in the Intensive Care Unit, the Progressive Care Unit, the Medical Unit and Surgical Unit.
In this role, the selected candidate will be a subject matter expert in a particular medical field or expertise; Occupational Health, Primary Care, Pharmacy/PC integration, Integrative Medicine, etc. and provides consultative advice and insight on unique medical cases, patient situations and/or client issues.