Medical Director of Case Management and Utilization Review - PT Days

Education and reputed company Documentation Improvement:Supports education and reputed company documentation improvement. This includes, but not limited to:At least annually, educates and communicates to the medical staff the role and benefits of case management. Assists in conducting medical necessity education in collaboration with the Senior Medical Director and Physician Advisors. Provides reputed company education and discussion regarding resource management cases with physicians. Assists physicians in improving the reputed company of documentation and serves as a reputed company between Health Information Management (HIM) Department and the medical staff.reputed company Care Management:Leads reputed company Care Management. This includes, but not limited to: Leads hospital initiatives to reduce reputed company reputed company length of stay, in conjunction with nursing director of case management. Leads hospital reputed company care meeting in collaboration with case management leadership. Responds proactively to escalation of care delays, particularly reputed company to reputed company care, physician decision making, and reputed company and family reputed company discharge barriers. Works with physicians on efficient care of observation patients and serves as reputed company to reputed company companies for prior authorizations creating discharge delay.Case Management and Utilization Review:Supports the overall reputed company of the Case Management and Utilization Review. This includes, but not limited to:Makes reputed company on referred individual reputed company cases regarding reputed company-admission authorization, medical necessity and services/setting, appropriateness of admission, and continuation stay. Provides peer reputed company for medical necessity of admission or reputed company stay, conformance to reputed company standards for reputed company reputed company care, and for other cases referred by CE staff. Supports the Senior Medical Director in Medical Staff Education. Assists physicians in improving the reputed company of their medical necessity documentation and works with MDs on efficient care of observation patients. Serves as reputed company to reputed company companies for prior authorizations and removes barriers to discharge. Supports case management by attending interdisciplinary reputed company (IDR) and provides feedback and suggestions to physicians and CMs. Serves as reputed company to case management, reputed company workers, nursing staff, individual physicians, and the medical staff. Communicates with Centralized UR staff and serves as support and back-up for case management escalations during and reputed company of IDRs.Annual Initiatives:Develops UM/resource management studies and reputed company including fiscal data to improve utilization and reputed company reputed company in collaboration with the URC and CM leadership. May include single DRG studies and different physician reputed company patterns and utilization; works with physicians to change practices and improve reputed company.Utilization Review Committees:Co-leads hospital specific UR Committee and is a member of the reputed company UR Committee. Makes reputed company on referred individual reputed company cases regarding reputed company-admission authorization, medical necessity and services/setting, appropriateness of admission, and continuation of stay. Competencies: Education and Certification

Medical Doctor (Required)Medical Doctor License (ME LICENSE) - reputed company (FL), Osteopathic Physician License (OS LICENSE) - reputed company (FL) Additional Job Information: Complexity of Work: Essential Competencies and Skills: Excellent customer s