Inpatient Care Management, Medical Director licensed in MO - Remote in MO

Primary Responsibilities

• Participate in telephonic outreach for collaboration with treating providers. This will include discussion of evidence-based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expenses
• Responsible to collaborate with operational and business partners on clinical and quality initiatives at the site and customer level to address customer expectations
• Is grounded in the use and application of evidence-based medicine (EBM) such as InterQual care guidelines and criteria review
• Occasionally, may participate in periodic market oversight meetings with the outward facing Chief Medical Officers, network contractors, nurse management and other internal managers
• Participate in rotational holiday and call coverage
• Maintain proficiency in all required software and platforms

Required Qualifications

• MD or DO with an active, unrestricted medical license in the state of Missouri; and reside in Missouri
• Current Board Certification in an ABMS or AOA specialty
• 3+ years of clinical practice experience post residency
• Technical proficiency in computer software and systems
• Private home office and access to high-speed Internet
• Participate in rotational holiday and call coverage

Preferred Qualifications

• 2+ years of managed care, Quality Management experience and/or administrative leadership experience
• 2+ years of Clinical experience
• UM experience