Medical Director: Case Management & Utilization

CO010 Memorial Healthcare System; Florida; Presencial; USD 220.000 - 360.000; Jornada completa

Descripción de la vacante

Memorial Healthcare System in Miramar, FL, seeks a Medical Director of Case Management and Utilization Review to lead hospital CM and UR activities and educate physician Advisors. This role reports to the Senior Medical Director and drives medical necessity decisions and resource management.

The ideal candidate will be a MD with FL license and extensive experience in hospital administration, case management, and interdisciplinary collaboration to improve patient outcomes and discharge efficiency.

Formación

• Medical Doctor degree required and board certification preferred.
• Active Florida medical license.
• Experience in case management or utilization review is preferred.
• Strong leadership and communication skills for physician advisors and staff.

Responsabilidades

• Leads hospital Case Management and Utilization Review activities.
• Advises physicians on medical necessity and admission decisions.
• Educates medical staff on resource management and documentation quality.
• Acts as liaison with HIM, CMS, and insurance for authorizations and discharge planning.
• Leads UR Committee initiatives and improves patient flow and outcomes.

Conocimientos

Interpersonal skills

Verbal & written comms

Analytical skills

Organizational skills

Multi-tasking

Flexibility

Drive results

Educación

MD degree

Florida Medical License

AMA approved medical school

Descripción del empleo

Memorial Healthcare System in Miramar, FL, seeks a Medical Director of Case Management and Utilization Review to lead hospital CM and UR activities and educate physician Advisors. This role reports to the Senior Medical Director and drives medical necessity decisions and resource management.

The ideal candidate will be a MD with FL license and extensive experience in hospital administration, case management, and interdisciplinary collaboration to improve patient outcomes and discharge efficiency.