Jefferson City, MO
Industry: Hospitality & Recreation•
Less than 5 years
Posted 81 days ago
Corizon Health has an opening for an Associate Regional Medical Director (Missouri) to join our executive leadership team at our Regional Office in Jefferson City, MO.
Qualifications of the Corizon Health Missouri Associate Regional Medical Director
M.D. or D.O. degree; Completed residency in primary care specialty (Family Practice, InternalMedicine, Emergency Medicine, or Obstetrics and Gynecology)
Minimum of two (2) years clinical experience required. Preferred experience includes: Managed care experience or experience with a large physician group in a managerial role; two (2) yearsexperience in correctional medicine; Formal management/leadership training; Formal training in CQI or similar (Lean, Six Sigma, etc.); Demonstrated ability to meet financial targets by implementing appropriate clinical quality improvement initiatives
Under the guidance of the Regional Medical Director, has shared accountability for quality and cost of medical care provided to inmates throughout the assigned region. Collaborates with theRMD and Vice President of Operations (VPO) to develop long lasting client partnerships bydelivering quality cost effective care.
Responsibilities of the Corizon Health Missouri Associate Regional Medical Director
Sets and maintains clinical standards in the region by driving decisions that are patient centered, collaborative, evidence based, and focused on both quality and utilization.
Provides clinical leadership for statewide care management: monitors site results through data review and care management calls which decrease negative variances and promote the sharing ofbest practices.
Conducts medical leadership meetings to educate team and oversee clinical quality processes, at least quarterly.
Oversees quality of care delivered by offsite and onsite specialists within the region.
Interprets trends and takes action at the regional level for improving health status of thepopulation, partnering with the client to implement appropriate interventions.
Develops and leads a team of physicians in UM decision making, compliance with clinical quality and UM programs specific to contract requirements, and adherence to corporate UM and clinical quality policies and procedures.
Takes action on Doctor sick call grievance trends and implements region wide process improvement.
Identifies opportunities for enhancements and works with regional team to design and implement changes to improve efficiency in clinical operations and workflow.
Mentors, monitors, and utilizes regional staff in the appropriate use of medications (formulary and non formulary) and in medication administration (e.g. side effect profile, adherence, drug/drug interactions).
Assist with educating hospital providers as to our capabilities at the site level to ensure lengths of stay are appropriate
Participate in Continuous Quality and Safety Improvement functions, including clinical quality indicators, patient safety and chart audits.
Participate in Performance Measure discussions that are provider driven, such as timely review oflabs, ER discharge recommendations and IPC rounding to help ensure compliance.
Monitor referrals to outside health care facilities and continued inpatient care for appropriateness, quality and continuity of care. Adherence to UM programs specific to the contract requirements and adherence to the Corporate UM and Clinical Policies and Procedures.
Assist with new initiatives such as expanded HCV Treatment, Troponin utilization and other projects.
Consult with medical providers in the community to timely resolve issues involving delivering ofhealth services to inmates with visits to associated community and regional hospitals to ensure appropriate care is provided to correctional patients.
Builds and maintains productive relationship with client leaders (including client CMO when applicable) through regular communication and face to face meetings, including one on one meetings.
Collaborates with the contract administration team in the preparation, review and presentation of the annual client report. Actively participates in Clients for Life client activities.
Confirms new provider onboarding processes are completed timely and accurately for all new providers either personally and/or with Regional Medical Director (RMD). On-boards, supervises and mentors Site Medical Directors in UM and QI tools, techniques and processes within the corrections environment.
Provide medical and correctional staff training and education regarding aspects of continuing care to inmate population, when requested. Participate and oversee peer reviews to ensure done on a timely basis. Serve as discussion leader for selected in-service training classes. Serve as a professional resource for all physicians working at the facility(s).
Improves regional results by analyzing data, developing strategies, and establishing enhanced expectations for Site Medical Directors. Defines and analyzes monthly utilization and cost trends for the area using corporate data.
Other duties as assigned.
Benefits offered to the Corizon Health Arizona Associate Regional Medical Director
Paid Time Off
Medical, Dental and Vision Insurance
401(k) with company match
Free online Continuing Education program
Apply online at Corizonjobs.com or send CV to Randy.Bullington@CorizonHealth.com
Corizon Health provides patients with high quality healthcare and reentry services that will reduce recidivism and better the communities where we live and work. We are dedicated to meeting theneeds of the growing number of incarcerated persons with physical and mental illness and theprofessionals who care for them. More healthcare professionals are finding the stability and advancement they desire at Corizon Health.
This position may require a background check, security clearance, and/or drug screening.
Corizon Health is an Equal Opportunity Employer. In compliance with federal and state employment opportunity laws, qualified applicants are considered for all positions without regard to race, gender, national origin, religion, age, sexual orientation, disability, Vietnam era veteran, or disabled Veteran status.
Job ID: 13914
Job ID : 13914