Medical Director of Care Coordination

About the role

This position acts as a physician executive to ensure the appropriate and efficient medical management of cases while assuring the quality of care is upheld as it relates to the primary and secondary review process. This position provides guidance on an individual case and aggregate level to cultivate efficiency related to patient care delivery. This position provides medical case review, utilization and quality review and provides recommendations, advice and liaison services concerning quality and cost-effective patient care.

Responsibilities

• Educates physicians, advanced practice professionals, administration, case management staff and the hospital health care community about managing the continuum of care for optimal utilization of resources.
• Develops policies and programs that enhance the organization’s management of care and resource utilization.
• Actively participates in or leads care management activities to improve patient safety, provide patient-centered appropriate and timely care, implement evidence-based standards, enhance efficiency and throughput.
• Participates in or initiates design and development of population-based guidelines or protocols for care based on findings and aggregate data review from the case management process to influence a plan of care for patients across the care continuum.
• Collaborates with executive leadership to strategize and drive process improvements focused on innovative care delivery and/or operational models designed to improve clinical service outcomes, patient throughput, and patient safety.
• Promotes a patient-centered, healing environment.
• Promotes the use and implementation of technology in the workplace in order to maximize efficiency, streamline operations, facilitate communications, and optimize work processes.
• Serves as an integral member of the facility and system leadership teams.
• Serves in an advisory capacity to applicable staff.
• In collaboration with leadership team members, provides expertise regarding acute hospital care management and programs that meet system-wide organizational growth initiatives and the needs of patient populations in the community.
• Affords guidance, influence and promotion of appropriateness of physician practices regarding resource utilization.
• Advises hospital processes to the use of community resources, particularly as they pertain to barriers to the continuum of care.
• Works collaboratively with case management staff and other healthcare disciplines to plan for patients’ care across the continuum.
• Influences and contributes to systemwide process improvements.

Requirements

Must possess a strong knowledge of the delivery of healthcare services as obtained with a degree as a Medical Doctor or Doctor of Osteopathy. Requires current medical license and ideally Board Certification. Must obtain Health Care Quality and Management Certification with Physician Advisor sub-specialty certification within 3 years of hire. Must possess a knowledge and understanding of medical health maintenance organization (HMO) operations, NCHQ standards, hospital operations, reimbursement models, medical protocols and criteria, and peer review statutes as normally obtained through 5 years of medical practice experience. Must possess a current knowledge of clinical protocols, CMS regulations, reimbursement challenges, and managed care principles. Must possess excellent oral, written and interpersonal communication skills to effectively interact with all levels within the organization, as well as outside parties. Excellent interpersonal skills with strong written and verbal communication skills. Promotes coordination, communication and collaboration among all team members. Ability to present information in both formal and informal settings. Organizational skills with ability to set priorities, demonstrate teamwork in the ever-changing health care environment. Position requires proficiency in personal software applications, including word processing, generating spreadsheets, and creating graphics/presentations.

Qualifications

MDCCs advise medical and clinical teams to help them deliver appropriate clinical care to patients in the most appropriate setting. This expertise assists providers in appropriately documenting and communicating patient care plans to ensure excellent patient care. This non-clinical position does not deliver direct patient care.

Skills

Excellent interpersonal skills with strong written and verbal communication skills. Promotes coordination, communication and collaboration among all team members. Ability to present information in both formal and informal settings. Organizational skills with ability to set priorities, demonstrate teamwork in the ever-changing health care environment. Proficiency in personal software applications, including word processing, generating spreadsheets, and creating graphics/presentations.

Benefits

Comprehensive training (up to one month depending on your experience) to ensure your success in this specialized role.

Pay

The pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits.

Schedule

This on-site position at Banner University Medical Center - Tucson offers you a Monday through Friday schedule from 8:00 AM to 4:30 PM, providing you with work-life balance while allowing you to make a substantial impact on care delivery.