Medical Director Care Coordination
Jobleads-US
- # Medical Director Care CoordinationApplylocations: Banner Estrella Med Ctr (9201 W Thomas Rd)time type: Full timeposted on: Posted Todayjob requisition id: R4448192**Primary City/State:**Phoenix, Arizona**Department Name:**Medical Necessity Review-Corp**Work Shift:**Day**Job Category:**PhysiciansA rewarding career that fits your life. Those who have joined the Banner mission come from all walks of life, united by the common goal: Make health care easier, so life can be better. If changing health care for theImagine yourself as a **Medical Director Care Coordination at Banner Estrella Medical Center,** where you'll play a pivotal role in optimizing patient care and resource utilization. At Banner Estrella, you'll be part of a dynamic care coordination team that completes over 60,000 reviews annually, ensuring patients receive the right care at the right time. You'll work alongside a multidisciplinary team dedicated to improving patient outcomes while navigating the complexities of utilization management in a supportive, collaborative environment. This position offers you the opportunity to leverage your clinical expertise in a leadership capacity, directly impacting both patient care quality and operational efficiency at one of Arizona's premier medical centers.In this **Medical Director Care Coordination role,** you'll utilize your clinical judgment and communication skills to make critical decisions that shape patient care pathways. You'll conduct secondary medical necessity reviews and denial reviews, serving as a Physician Advisor who bridges clinical care with administrative requirements. Your day will involve conducting throughput and observation rounds, engaging in professional peer-to-peer conversations with insurance company medical directors, and having difficult but necessary conversations that protect both patients and the organization. You'll work with the Dragonfly system to document your reviews, create presentations for stakeholders, and mentor learners as part of our teaching environment.This **on-site position at Banner Estrella Medical Center** 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. You'll have the autonomy to volunteer for holiday coverage based on your preferences, and you'll receive comprehensive training (up to one month depending on your experience) to ensure your success in this specialized role.Your 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. In addition, this position may be eligible for our Management Incentive Program as part of your Total Rewards package.Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.POSITION SUMMARY 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. This position collaborates with hospital executive leadership, medical staff including resident physicians, nursing leadership and support staff. It works in conjunction with hospital executive leadership to optimize length of stay and efficiently manage resources. This position promotes improving documentation and coding and ensuring compliance with appropriate levels of care. This position has responsibility for providing leadership, direction, and administration of medical management, as well as the integration, coordination, and improvement of clinical care and patient safety for designated healthcare operations. Serves as a member of the facility executive leadership team for designated healthcare operations, building and supporting effective collegial relationships with stakeholders and ensuring optimal operating effectiveness and strategic positioning. CORE FUNCTIONS 1. Provides expertise via medical necessity reviews using current regulations, adopted guidelines, evidence based criteria and personal clinical experience, in order to assure optimal efficiency in the management of patient care. 2. 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. 3. Develops policies and programs that enhance the organization’s management of care and resource utilization. 4. 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. 5. 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. 6. Ensures and fosters a high level of collaboration within a highly matrixed team environment in order to coordinate activities, review work, exchange information, and resolve problems. Promotes service excellence philosophies and learned best practices, at the facility and systemwide levels to enhance the overall patient experience. 7. Functions 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. 8. Along with other leadership team members, promotes financial stewardship and clinical excellence for the facility regarding operational processes, with the goal of helping to ensure the efficient delivery of cost-effective services to patients, physicians, and hospital departments. 9. 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. This position will provide guidance, influence and promotion of appropriateness of physician practices regarding resource utilization. In addition, this position advises hospital processes to the use of community resources, particularly as they pertain to barriers to the continuum of care. This position works collaboratively with case management staff and other healthcare disciplines to plan for patients’ care across the continuum. In addition to impacting individual facilities, this role influences and contributes to systemwide process improvements. Internal customers include other physicians, executive leadership teams, department directors, and employees. External customers may include vendors, other physicians, and community members. Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Banner Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day. NOTE: The core functions are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Specific tasks or responsibilities will be documented as outlined by the incumbent's immediate manager. SUPERVISORY RESPONSIBILITIES DIRECTLY REPORTING May include direct supervisory responsibility for a team of physician advisors. MATRIX OR INDIRECT REPORTING None TYPE OF SUPERVISORY RESPONSIBILITIES If applicable, directs personnel actions including recruiting, new hire actions, interviewing and selection of new staff, salary determinations, training, and personnel evaluations. Banner Health Leadership will strive to uphold the mission, values, and purpose of the organization. They will serve as role models for staff and act in a people-centered, service excellence-focused, and results-oriented manner. PHYSICAL DEMANDS/ENVIRONMENT FACTORS OE - Typical Office Environment: (Accountant, Administrative Assistant, Consultant, Program Manager) Requires extensive sitting with periodic standing and walking. May be required to lift up to 20 pounds. Requires significant use of personal computer, phone and general office equipment. Needs adequate visual acuity, ability to grasp and handle objects. Needs ability to communicate effectively through reading, writing, and speaking in person or on telephone. May require off-site travel. Requires interstate and inter-facility travel for meetings and training. MINIMUM QUALIFICATIONS 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. PREFERRED QUALIFICATIONS Additional related education and/or experience preferred.DATE APPROVED 08/25/2022
- J-18808-Ljbffr Jobleads-US
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Medical Director Care Coordination in Phoenix, AZ vacancy
- ...Banner Estrella Medical Center in Phoenix seeks a Medical Director of Care Coordination to lead medical necessity reviews and optimize patient care pathways. This physician executive role focuses on guidance for case management, utilization review, and quality improvement...Suggested
- Cetechs is seeking an Administrative Care Coordinator in Phoenix, Arizona. This role provides essential administrative support to the Arizona Army National Guard medical case management team. Responsibilities include tracking soldier medical readiness, maintaining medical...SuggestedFull timeMonday to Friday
- ...Bilingual Lead Medical Coordinator - JOR The Lead Medical Coordinator is responsible for overseeing health services as well as coordinating... ...provision of timely, appropriate health services for children in care. Lead Medical Coordinators supervise Medical Coordinators and...Suggested
- National Youth Advocate Program is seeking a Lead Medical Coordinator to oversee pediatric health services for children in care. You will supervise Medical Coordinators, train staff, and ensure confidential health records compliance across programs. You will coordinate...Suggested
- National Youth Advocate Program (NYAP) seeks a Lead Medical Coordinator to oversee health services for children in care. You will supervise Medical Coordinators, train staff on medical topics, and help develop policies for confidential health records and PHI. Coordinate...Suggested
- Community Bridges, Inc. (CBI) seeks a SSVF - Health Care Case Manager to coordinate medical and behavioral health care for veterans with complex needs in Arizona. The role liaises with VA, grantees, and community clinics to ensure access to services and delivers care coordination...
- Azarthritis is seeking a dedicated Medical Practice Support Specialist to manage patient messages, coordinate with AARA Providers, and ensure medications are authorized and available for pickup. You will work closely with Providers to review information, maintain HIPAA...
- ARIZONA ARTHRITIS & RHEUMATOLOGY ASSOCIATES PC seeks a medical office support specialist to assist providers with patient communications... ...and documentation. You will ensure HIPAA compliance and coordinate with patient and staff to streamline prior authorizations and...Work at office
$300k - $330k
...Description Job Description Regional Medical DirectorLead the Launch of 8 New Primary Care Centers | Value-Based Care | A... ...experienced Regional Medical Director to provide strategic clinical... ...improvement initiatives Care coordination and evidence-based medicine...Local areaFlexible hoursMedConnect
Phoenix, AZa month ago- ...Humana Inc. is seeking a Medical Director to lead Medicaid care strategy and operations within a high-complexity environment. The role involves evaluating... .... You will manage complex clinical reviews, coordinate with care management, participate in peer-to-peer discussions...Remote job
$248.5k - $373k
...StatesSalary: $248,500 - $373,000Job Area: Medical & Clinical OperationsCompany:... ...GroupOptum is a global organization that delivers care, aided by technology to help millions of... ...and manage health care costs.The Medical Director provides physician support to Enterprise...Minimum wageWork experience placementLocal areaRemote work- ...National Commission on Correctional Health Care (NCCHC) accreditation standards, and... ...Maintains operational compliance with NDS medical care standards applicable to facilities... ...standards for health care facility design. Coordinates with facility management to ensure...Permanent employmentFull timeContract workFor contractorsWork at officeLocal areaShift workWeekend workAfternoon shift
- ...Medical Director - Family & Internal Medicine (MD/DO) - Phoenix, AZ Location: Phoenix, AZ (85012) and Peoria (85382) Schedule: 4 days administrative... ...and a passion for mentoring providers and improving care delivery. Key Responsibilities Provide clinical leadership...Work at officeShift work
Protouch Staffing
Phoenix, AZ3 days ago - ...Medical Director – Primary Care The Medical Director – Primary Care provides clinical and administrative leadership for Denova's Primary Care services through a dyad partnership with the Vice President of Medical Operations. This role is responsible for driving clinical...Full timeTemporary work
Denova Collaborative Health
Peoria, AZ4 days ago - ...Medical Director Psychiatrist Position in Phoenix, Arizona This position is in Phoenix, AZ,... ...innovative city that offers the friendly, caring atmosphere of a small town. The city... ...negotiate your salary and contract. We coordinate interviews and help with licenses. Specialized...Contract work
- ...in a progressive city with a friendly, caring atmosphere and easy access to outdoor activities... ...368. Responsibilities Crisis/inpatient medical director role; BC or pending BC Willing to work... ...negotiate your salary and contract We coordinate interviews and help with licenses...Contract work
- LocationFacility:HonorHealth Medical GroupAddress:Phoenix/Scottsdale, AZOpportunity... ...Offered:RelocationMedical Director - Sports NeurologyMedical... ...newest multidisciplinary center for coordinated neurological and musculoskeletal care. Neurosurgery, neurology, orthopedics...
- ...expand their team with a new Clinical Study Coordinator. Join our team of scientists who applies... ...studies for cosmetics and personal care products. You will help conduct human clinical... ..., childbirth, breastfeeding, or related medical conditions), age, sexual orientation,...Monday to FridayShift workWeekday work
- ...UnitedHealth Group's Optum seeks a Medical Director to provide physician support to Enterprise Clinical Services, guiding clinical coverage... ...physicians, and leading multidisciplinary teams to ensure high-quality care for plan participants. #J-18808-Ljbffr Jobleads-USRemote job
- ...That's why we're not just transforming cancer care—we're changing lives.We introduced precision... ...impact begins.Position SummaryThe Clinical Data Coordinator is responsible for clinical data entry activities for the Caris Medical Affairs protocols and projects at the Caris...Work at officeAfternoon shift
Caris Life Sciences
Phoenix, AZ1 day ago - ...education as an intricate part of the patient care activity, according to the patient need... ..., and service in a continuous and coordinate manner in settings appropriate to meet patient... ...can also qualify for comprehensive medical, dental, and vision coverage, as well as...
Lincare Holdings
Phoenix, AZ2 days ago - ...rehabilitation. This role supports research collaborations with ASU and the HonorHealth Research Institute in Scottsdale. The position emphasizes program development, outreach, and advancing concussion care through coordinated diagnostics and #J-18808-Ljbffr HonorHealth
- ...Clinical CoordinatorDaVita is hiring a Clinical Coordinator to lead outpatient dialysis care for patients with end-stage renal disease. In this role, you... ...schedule, including weekends and holidaysWhat We Offer:Medical, dental, vision, 401(k) matchPTO and PTO cash-outPaid...Flexible hours
DaVita
Phoenix, AZ1 day ago $248.5k - $373k
...Medical Director Oncology Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits...Remote jobMinimum wageWork experience placementLocal area$255.54k - $309.2k
...Consultant I Healthcare & Life Sciences I Adecco Psychiatric Medical Director Lead with Purpose. Drive Clinical Excellence. Transform Lives.... ...physician who is committed to advancing integrated psychiatric care and supporting a high-performing clinical team. Key Responsibilities...Full timeRemote workRelocation package- Medical Director- Remote (Must Reside in AZ) Medical Director- Remote (Must Reside in AZ) 1 day ago Be among the first 25 applicants Get AI-powered... ...on this job and more exclusive features. Prisma Community Care is committed to delivering inclusive, compassionate primary...Remote jobFull timePart time
- ...Medical Director for the Banner-University Medical Center Phoenix Medical Intensive Care Unit and Critical Care Physician Advisor Banner -University Medical Center... ...Confidential Mental Health Support, plus coordination of child and elder care ~ Physician Well...Casual workImmediate start
$248.5k - $373k
...Medical Director Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with... ...responsible for the overall quality, effectiveness and coordination of the medical services provided through Optum...Remote jobMinimum wagePart timeWork experience placementLocal areaWork from home- ...Executive Medical Director About the Company A leading international biopharmaceutical company covering the pharmaceutical value chain... ...clinical programs are in line with the company's mission to provide care for underserved patient populations. A deep understanding of...Contract work
$54k - $79.64k
...Medical Education Coordinator Featured Job Under the limited direction of the assigned senior executive, the Medical Education Coordinator is responsible... ...to prioritize and manage multiple tasks and projects with careful attention to detail, accuracy and deadlines. Requires...Work at officeValleywise Health
Phoenix, AZ1 day ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Medical Director Care Coordination. Be the first to apply!
Related searches
- home health manager Phoenix, AZ
- senior manager clinical operations Phoenix, AZ
- regional director of clinical operations Phoenix, AZ
- public health project manager Phoenix, AZ
- director population health Phoenix, AZ
- medical director oncology Phoenix, AZ
- health manager Phoenix, AZ
- remote medical billing manager Phoenix, AZ
- behavioral health manager Phoenix, AZ
- clinical supervisor lcsw Phoenix, AZ