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Associate Medical Director in Scarborough at KEPRO

Date Posted: 8/23/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    Scarborough
  • Job Type:
  • Experience:
    At least 10 year(s)
  • Date Posted:
    8/23/2018

Job Description

KEPRO

JOB DESCRIPTION

JOB TITLE:            Associate Medical Director                                                                                          

REPORTS TO:      Medical Director

FLSA STATUS:     Exempt

Summary Description

Assists as directed by the Medical Director and in the Medical Director’s absence assumes clinically related duties.

Accountabilities

  • Responsible for the day to day clinical oversight of the Case Management Program.
  • Collaborates with senior management in the further development and execution of the Case Management Program specific to the needs of the contract.
  • Participates in Case Conferences on individuals enrolled in Case Management programs-Provides medical insight and direction
  • Available to Case Managers for individual consultation of a case by case basis
  • Conducts periodic audits of Case manager work plans and progress toward goals to identify opportunities for improvement.
  • Provides education on relevant clinical topics of interest to Case Managers by means of regularly scheduled educational conferences. (anticipate monthly)
  • Completes Medical Director reviews and determinations on UM pre-cert and appeals requests as may be assigned during the Medical Director’s absence
  • Participate in activities specific to contractual arrangements as may be assigned
  • Minimal travel may be required to participate in KEPRO and Client Field Health Collaboration meetings

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time

Qualifications

  • M.D. or D.O. with current non-restricted license to practice medicine by the Board of Medical Examiners.  License must be in same state as contractually required.  Board certification in a clinical specialty is required.  

Knowledge, Skills,Abilities (KSA)

  • Working knowledge of quality assurance, utilization review, and case management is required.
  • Ability to work effectively with a diversity of personalities. Must be  approachable; show respect for others, and a consensus builder. 
  • Adaptable with strong collaborative management style, a creative thinker with high energy and enthusiasm, and a team player who promotes the concepts of people working together.
  • Able to adapt to frequently changing work parameters.

Experience

  • 10+ years of clinical practice.
  • Prior review or case management experience or quality assurance committee responsibility in a hospital setting preferred.

Mental and Physical Requirements        

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations will be made as required by law in an attempt to enable an individual with a disability to perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for prolonged periods of time; key and/or control objects; interact extensively with internal and external customers; occasionally lift and/or move objects weighing up to 10 pounds; and occasionally travel within the state.

Equal Opportunity Employer