Medical Director - Post-Acute Care Management - Care Transitions - Remote

Lensa; Denver (CO); Remote; USD 150,000 - 210,000; Full time

Job summary

An established industry player is seeking a Medical Director specializing in Post-Acute Care Management. This remote role offers the opportunity to lead care transitions and optimize patient care quality while collaborating with healthcare providers. With a focus on utilization management, the position requires strong communication and organizational skills, along with a commitment to improving care processes. If you are a board-certified physician with a passion for enhancing healthcare delivery, this role offers a chance to make a significant impact in a flexible work environment.

Qualifications

• Board certification required with active, unrestricted license.
• 3+ years of post-residency patient care experience preferred.

Responsibilities

• Oversee utilization management and communicate with providers.
• Engage in peer-to-peer clinical case reviews as needed.
• Collaborate with teams for care coordination and quality improvement.

Skills

Utilization Management

Clinical Communication

Patient Care Experience

Electronic Health Records

Population-Based Medicine

Education

Board Certification as MD, DO, or MBBS

Tools

Healthcare Technology

Job description

Medical Director - Post-Acute Care Management - Care Transitions - Remote

This role is for a Medical Director specializing in Post-Acute Care Management and Care Transitions, offering the flexibility to work remotely within the U.S.

Primary Responsibilities include:

• Providing daily utilization oversight and communication with network physicians and hospitals.
• Conducting utilization management reviews, including authorizations and denials.
• Engaging in peer-to-peer conversations for clinical case reviews as needed.
• Communicating with providers to ensure effective care transition services.
• Responding to clinical inquiries and serving as a medical contact for healthcare providers.
• Representing Care Transitions externally and maintaining professional relationships.
• Collaborating with client and care teams to implement strategic initiatives.
• Participating in care coordination, network management, and quality improvement efforts.
• Providing leadership to optimize cost management and care quality.
• Participating in scheduled weekend and evening coverage as required.

Minimum Qualifications:

• Board certification as MD, DO, or MBBS with an active, unrestricted license.
• At least 3 years of post-residency patient care experience, preferably in inpatient or post-acute settings.

Preferred Qualifications:

• Multiple state licensures and willingness to obtain additional licenses.
• Knowledge of population-based medicine and CMS criteria.
• Excellent communication, organizational, and interpersonal skills.
• Experience with electronic health records and healthcare technology.

Additional details include salary ranges for specific states, benefits, and commitment to diversity and equal opportunity employment. The position is classified as a full-time director-level role in healthcare provider services within IT and consulting industries, with remote work flexibility.