Responsible to implement behavioral Health medical policy, technology assessment and clinical practice standards developed by Magellan corporate and participates in management of the inter-rater reliability process to ensure consistency between reviewers. Provides input regarding the need for modifications and additions to medical policy. May participate on corporate medical policy and clinical guideline committees.
The Clinic Medical Director provides accountable leadership for all of the PNBC goals and priorities, including the People, Experience, Health and Stewardship (Four Dimensions) goals. The Clinic Medical Director participates in medical group and organizational improvement activities based on the strategic goals.
In this role, the selected candidate will drive process improvements and innovations, especially within digital channels and media; collaborate with internal stakeholders, especially compliance and legal.
Responsible for the supervision of all clinical provider personnel within the clinic which will include supervising and evaluating Nurse Practitioners and Physician Assistants working in collaborative practice, including chart review.