Medical Director-Case Mgmt

Medical Director-Case Mgmt

THIS HYBRID POSITION INVOLVES BOTH REMOTE WORK AND THE ABILITY TO COMMUTE TO ANY OF THE SAMARITAN HOSPITALS AS NEEDED TO PROVIDE IN-PERSON SUPPORT AND EDUCATION TO CASE MANAGEMENT AND PROVIDERS.

JOB SUMMARY / PURPOSE

Has the overall responsibility for providing medical direction, input into policy / procedure development, participation in performance monitoring including organization-wide quality improvements and promotes and supports educational growth from the staff and community. Provides medical consultation and case review for Case Managers at all Samaritan Hospitals. Acts as a liaison with medical staff and hospital administration regarding discharge and length of stay issues.

DEPARTMENT DESCRIPTION

The Utilization Management team is a centralized team of physicians, nurses and specialists that perform admission and continued stay compliance reviews for all Samaritan Hospitals. Utilization Management nurses and physicians are specially trained in Medicare and commercial insurance regulations, perform reviews on all admitted patients and provide staff and physician education. The Utilization Management team communicates information to insurance companies to assure payment of hospital services.

EXPERIENCE / EDUCATION / QUALIFICATIONS

MD or DO degree required.

Board Certification in the practice specialty required.

Unrestricted license to practice medicine in the State of Oregon required.

Five (5) years experience in the practice of medicine with a strong clinical background and familiarity with care of hospitalized patients required.

Three (3) years experience in similar areas of accountability preferred.

Experience with computer applications, electronic medical records, other medical programs and electronic medical literature required.

Experience with hospital Utilization Review, Medicare regulations and health insurance policies preferred.

Experience efficiently researching, analyzing and summarizing complex clinical topics preferred.

KNOWLEDGE / SKILLS / ABILITIES

Leadership - Inspires, motivates, and guides others toward accomplishing goals. Achieves desired results through effective people management.

Conflict resolution - Influences others to build consensus and gain cooperation. Proactively resolves conflicts in a positive and constructive manner.

Critical thinking – Identifies complex problems. Involves key parties, gathers pertinent data and considers various options in decision making process. Develops, evaluates and implements effective solutions.

Communication and team building – Leads effectively with excellent verbal and written communication. Delegates and initiates / manages cross-functional teams and multi-disciplinary projects.

PHYSICAL DEMANDS

Rarely

(1 - 10% of the time)

Occasionally

(11 - 33% of the time)

Frequently

(34 - 66% of the time)

Continually

(67 – 100% of the time)

CLIMB - LADDER

LIFT (Floor to Waist : 0"-36") 20 - 40 Lbs

SQUAT Static (hold >

30 sec)

STAND

WALK - LEVEL SURFACE

WALK - INCLINE

CLIMB - STAIRS

SQUAT Repetitive

BEND FORWARD at waist

ROTATE TRUNK Standing

PUSH (40-60 pounds force)

PULL (40 - 60 pounds force)

SIT

ROTATE TRUNK Sitting

REACH - Forward

REACH - Upward

MANUAL DEXTERITY Hands / wrists

FINGER DEXTERITY

PINCH Fingers

GRASP Hand / Fist

LIFT (Floor to Waist : 0"-36") 0 - 20 Lbs

LIFT (Knee to chest : 24"-54") 0 - 20 Lbs

LIFT (Waist to Eye : up to 54") 0 - 20 Lbs

LIFT (Overhead : 54" and above) 0 - 20 Lbs

CARRY 1-handed, 0 - 20 pounds

CARRY 2-handed, 0 - 20 pounds

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