Medical Director – Physician Reviewer
MedReview Inc.
Job Level
Lead
About the role
- The Medical Director is responsible for providing oversight, medical guidance and support to the full spectrum of WellSky’s clinical management acute, emergency department, and post-acute care solutions and programs.
- The scope of this job includes providing expertise and leadership in medical management, as well as care coordination activities for acute and post-acute care services.
- Lead improvements of post-acute clinical programs by driving strategy, design, and implementation.
- Provide timely expert medical review for acute (ED) and post-acute care services (SNF, IRF, LTACH, HH), provide a clinical opinion about the medical service under review (including post-decision reviews), and be available for escalations from the nurse teams.
- Document clinical review findings, actions, and outcomes per policy and in accordance with regulatory and accreditation requirements.
- Provide guidance for clinical operational aspects of the ED, acute, and post-acute care programs.
- Collaborate with acute ED providers to coordinate and/or support care transitions.
- Identify and develop opportunities for innovation to increase effectiveness and quality, including education development, training, and issue resolution.
- Participate in client JOCs or partner/stakeholder meetings as needed.
- Perform other job duties as assigned.
Requirements
- Doctorate in related field
- At least 4-6 years of relevant work experience
