What are the responsibilities and job description for the MEDICAL DIRECTOR- UTILIZATION MANAGEMENT position at AnMed Health?
The Utilization Review Medical Director supports operations and direction of the Care Coordination, Clinical Documentation, and Utilization Management programs at AnMed. The Medical Director ensures the program and associated physicians work collaboratively with and provide consultation to the leadership and staff who perform the functions of Utilization Management (UM), Case Management (CM), Transition Planning / Discharge Planning, and Clinical Documentation Integrity. Qualifications :
- Physician with current SC licensure.
- Boarded as a Fellow or Diplomat by accrediting body of practice preferred.
- Minimum of five years post residency medical practice experience with hospital, managed care or long- term care experience preferred.
- Must possess excellent interpersonal communication and negotiation skills, problem solving skills, strong organizational and time management skills, and the ability to work independently and as a collaborative team member. Leadership roles / experience preferred. Experience in utilization management or case management preferred.
