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 membership 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 policy and programs as needed. Ensures operational effectiveness and oversight of assigned functions, assuring regulatory compliance and accreditation with Department of Health, Department of Insurance, CMS, NCQA, and URAC standards.
Medical Director Duties & Responsibilities 1
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Medical Director Job summary 2
The Medical Director is responsible for the clinical elements of the entire system, including professional duties; provides services to inmates and consultation to professional staff. Supervises all mid-level practitioners.
Medical Director Duties & Responsibilities 2
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Medical Director Requirements & Skills 2
Medical Director 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 in accordance with standards of State and Federal regulations and other indicated regulatory and accrediting organizations and agencies.
Medical Director Duties & Responsibilities 3
Medical Director Requirements & Skills 3
Medical Director 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. Incumbent will serve as the physician liason for the Plan working closely with other medical management team members.
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Medical Director 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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Medical Director 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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Medical Director 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, organizing medical and clinical practices; providing direct patient care and assisting other departments with direct interactions with physicians or medical staff.
Medical Director Duties & Responsibilities 7
Medical Director Requirements & Skills 7
Medical Director Job summary 8
The Medical Director is responsible for all functions of the Medical Department and provides primary health care services consistent. This involves the delivery of family oriented medical care services as well as provides general professional guidance of 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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Medical Director Requirements & Skills 8