Medical Director Job Description
Job summary 1
The Medical Director manages the daily clinical operation and administration of a Medical Management Department or function to support improved utilization results across the spectrum of medical specialties. Provides clinical leadership both internally and externally. Serves as an essential liaison among Senior Management, Plan staff, contracted providers, vendors, and members to promote and improve communication and operations areas of medicine including Internal Medicine, OB/GYN, Psychiatry, Ambulatory Medicine, Emergency Medicine, and Radiology. The Medical Director carries out assigned programs to assure the delivery of quality medical care to the membership, ensuring compliance with contractual obligations and standards, and assisting in the development and implementation of new policies and programs as needed. Ensures operational effectiveness and oversight of assigned functions, assuring regulatory compliance and accreditation with the Department of Health, Department of Insurance, CMS, NCQA, and URAC standards.
Duties & Responsibilities 1
Requirements & Skills 1
Job summary 2
The Medical Director is responsible for the clinical elements of the entire system, including professional duties; provides services to inmates and consults with professional staff. Supervises all mid-level practitioners.
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Job summary 3
The Medical Director provides 24-hour management of the Medical and Psychiatric Services of the facility. Reporting to the Chief Medical Director, the Medical Director provides effective leadership to staff and directs all medical activities within the facility by standards of State and Federal regulations and other indicated regulatory and accrediting organizations and agencies.
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Job summary 4
The Medical Director provides organizational leadership in the operational areas of utilization review, case management, quality improvement, and related policy and practice initiatives. The Incumbent will serve as the physician liaison for the Plan working closely with other medical management team members.
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Job summary 5
We are looking for a Medical Director. A Medical Director will oversee Managed Long Term Care program (MLTC), Institutional Special Needs Program (I-SNP), Fully Integrated Dual Advantage (FIDA) program, and Medicare Advantage Plus program (MAP). Will work with an interdisciplinary team of administrative and clinical staff.
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Job summary 6
The Medical Director provides physician coverage for medical care and consultation to all patients of the facility in an organized and professional manner at all times. Assists the Executive Director, Administrators, and the Directors of Health Services to achieve consistent, optimal patient care and help ensure the adequacy and appropriateness of medical care provided to the patients.
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Job summary 7
The Medical Director is responsible for leadership, quality assurance, oversight, and overall medical management of the clinic within the boundaries of state and federal regulations and accreditation standards. Responsibilities include planning and organizing medical and clinical practices; providing direct patient care, and assisting other departments with direct interactions with physicians or medical staff.
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Job summary 8
The Medical Director is responsible for all functions of the Medical Department and provides primary health care services consistently. This involves the delivery of family-oriented medical care services as well as provides general professional guidance to primary care staff. The Medical Director is responsible for assuring the highest standard of medical care and compliance with all regulatory and professional guidelines. The Medical Director oversees medical staff policies and procedures and health care delivery to assure quality patient care.
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Job summary 9
We are searching for a Medical Director to join our healthcare team. This individual will be responsible for the healthcare program for the organization on all clinical issues involving clinical policies and procedures. This includes quality of service, development/maintenance of the quality assurance process, supervision of the other medical providers including contract medical providers, and serving as a physician providing primary care services at clinics by approved standardized procedures and protocols for the medical care of the patient population.
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Job summary 10
We are looking for a dedicated Medical Director to plan and carry out medical care programs and services for our patients.
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Frequently asked questions
What does a medical director do?
A medical director is a physician who provides guidance, leadership, oversight, and overall management for a healthcare organization. The specific responsibilities of a medical director can vary widely based on the organization's size and type, but they often include:
Clinical Oversight: Medical directors provide oversight to all clinical activities within the organization, ensuring that the highest standards of patient care are maintained. They may develop and implement clinical policies and procedures, review and evaluate patient care, and lead efforts to improve quality and safety.
Leadership and Management: Medical directors typically serve on the organization's leadership team, contributing to strategic planning, setting goals and objectives, and making decisions about the organization's direction. They may also directly manage physicians and other clinical staff, handling tasks such as hiring, training, evaluation, and development.
Regulatory Compliance: Medical directors ensure that the organization complies with all applicable laws and regulations. This can involve staying up-to-date with changes in healthcare regulations, developing policies and procedures to ensure compliance, and responding to any regulatory inquiries or audits.
Communication: Medical directors often serve as a liaison between the organization's clinical staff and its administration, helping to communicate and resolve any issues that arise. They may also represent the organization to external stakeholders, such as other healthcare providers, patients, and the community.
Medical Ethics: Medical directors guide ethical considerations within the organization. They ensure that patient care is delivered in a manner that upholds fundamental ethical standards, such as respecting patient autonomy, promoting patient well-being, and ensuring justice in the distribution of healthcare resources.
Education and Research: In academic or research-based organizations, a medical director may also play a role in education, such as teaching medical students or residents, or in conducting or overseeing clinical research.
Overall, a medical director's role is to ensure that a healthcare organization delivers the highest quality care in a safe, efficient, and ethical manner.
What are the skills of a medical director?
Being a medical director requires a diverse set of skills spanning clinical expertise, leadership, management, and communication. Here are some of the key skills that a medical director typically needs:
Clinical Expertise: A medical director must have strong clinical skills and knowledge to provide oversight and guidance in patient care. This includes staying updated on the latest medical research, treatments, and practices.
Leadership: As a leader within the organization, a medical director must be able to inspire and motivate others, set and communicate a vision, make difficult decisions, and drive change when necessary.
Management Skills: Medical directors often manage a team or a department, which requires skills in areas such as personnel management, budgeting, and strategic planning.
Communication Skills: Effective communication is crucial in a medical director role. They must be able to clearly and effectively communicate with a wide range of stakeholders, including other physicians, nurses, administrative staff, patients, and external partners.
Problem-Solving Skills: Medical directors are often called upon to resolve issues that arise in the course of patient care or within the organization. This requires strong problem-solving skills and the ability to make sound decisions under pressure.
Organizational Skills: Given the scope of their responsibilities, medical directors need to be able to manage their time effectively, prioritize tasks, and keep track of a wide range of information.
Interpersonal Skills: A medical director must be able to build strong relationships with others in the organization. This includes being able to work effectively in a team, handle conflicts in a constructive manner, and foster a positive and collaborative work environment.
Ethical Judgment: Medical directors are often involved in making decisions that involve ethical considerations. They must be able to navigate these issues effectively and ensure that the organization's practices are in line with the highest ethical standards.
Regulatory Knowledge: Healthcare organizations operate in a highly regulated environment. A medical director needs to understand the laws and regulations that apply to their organization and ensure compliance.
Adaptability: The healthcare field is constantly evolving. As such, a medical director needs to be adaptable, open to change, and willing to continually learn and grow in their role.
Overall, the role of a medical director requires a combination of clinical, leadership, management, and interpersonal skills.