Medical Director: Case Management & Utilization

National Medical Association; Town of Florida (NY); On-site; USD 180,000 - 250,000; Full time

Job summary

A health organization located in the Town of Florida, NY, seeks a Medical Director for Case Management and Utilization Review. The ideal candidate will lead hospital initiatives, improve resource management, and enhance patient care quality. Required qualifications include a Medical Doctor degree and extensive experience in administrative roles within large acute care hospitals. The role demands strong interpersonal, analytical, and organizational skills.

Qualifications

• Extensive experience in medicine or surgery.
• At least five years of medical staff organization/administrative experience in a hospital.
• Graduate of a medical school approved by the Council on Medical Education.

Responsibilities

• Lead execution of Case Management and Utilization Management.
• Support education and clinical documentation improvement.
• Lead initiatives to reduce complex patient length of stay.
• Make decisions on individual patient cases regarding medical necessity.
• Co-lead hospital specific Utilization Review Committee.

Skills

Excellent customer service

Interpersonal skills

Analytical skills

Organizational skills

Verbal communication

Written communication

Teamwork

Education

Medical Doctor

Medical Doctor License - State of Florida

Osteopathic Physician License - State of Florida

Job description

A health organization located in the Town of Florida, NY, seeks a Medical Director for Case Management and Utilization Review. The ideal candidate will lead hospital initiatives, improve resource management, and enhance patient care quality. Required qualifications include a Medical Doctor degree and extensive experience in administrative roles within large acute care hospitals. The role demands strong interpersonal, analytical, and organizational skills.