Job description

PURPOSE OF JOB: The Medical Director, Case Manager is a key member of the Doylestown Health leadership team and is charged with meeting the organizations goals and objectives for assuring the effective, efficient utilization of health care services. The Medical Director is a physician serving the hospital through teaching, consulting and advising the case management department and the hospital leadership. They shall develop expertise on matters regarding physician practice patterns, over and under-utilization of resources, medical necessity, levels of care, care progression, denial management, compliance with governmental and private payer regulations, appropriate physician coding and documentation requirements.

The Medical Director, Case Manager works closely with the medical staff leadership, the entire medical staff, all areas of resources management and case management to develop and implement methods to optimize use of hospital services for all patients while also ensuring the quality of care provided. This includes working with the hospital leadership to optimize length of hospital stay and efficient management of resources, insuring that patients are at the appropriate level of care, supporting documentation, coding improvements and compliance, and monitoring the appropriate use of diagnostic and therapeutic modalities.

ESSENTIAL FUNCTIONS:

-The Medical Director, Case Manager provides acute inpatient/observation services for the case management department.

-Provides physician education, collaboration and support related to regulatory requirements, appropriate utilization of hospital services, community resources, and alternate level of care..

-Provides organizational process improvement support for efforts requiring physician input and/or involvement.

-Provides clinical documentation improvement support by educating the medical staff on coding guidelines and clinical terminology to improve their understanding of severity, acuity, risk of mortality, and DRG assignments on their individual records.

Job Type: Full-time

Pay: $160,000.00 - $245,000.00 per year

Benefits:

• Dental insurance
• Employee assistance program
• Employee discount
• Health insurance
• Health savings account
• Paid time off
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Weekend availability

Work Location: In person

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