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Medical Director UM and BH

VirtualVocations
Durham, North Carolina, United States
Part-time

A company is looking for a Medical Director, UM and BH (Part Time), Remote.Key ResponsibilitiesProvide clinical leadership and oversight to the interdisciplinary Medical Management teamDevelop and implement a Utilization Management program to ensure high-quality patient careMaintain compliance with accreditation standards and manage the appeals processRequired Qualifications, Training, and EducationDoctor of Medicine (MD), Doctor of Osteopathic Medicine (DO), or Bachelor of Medicine, Bachelor of Surgery (MBBS) degreeUnrestricted current and valid medical license in a state or territory of the United StatesMinimum of three years of substantial direct patient care experienceCompletion of a residency program approved by the Accreditation Council for Graduate Medical Education (ACGME)Experience in cost-benefit analysis and quality assurance processes preferred

3 days ago
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