What are the responsibilities and job description for the Associate Medical Director position at Elevancehealth?
Job Title: Associate Medical Director - Post Acute Care
Clinical Operations Associate Medical Director
Carelon Medical Benefits Management is a proud member of the Elevance Health family of companies. We are the leader in health resource optimization, focused on transforming how healthcare is delivered and promoting the advancement of care for the people we serve.
Key Responsibilities:
- Ensures timely completion of clinical case reviews for their board certified specialty.
- Makes physician to physician calls to gather medical appropriate information in order to make medical necessity determinations for services requested.
- Makes medical necessity determinations for grievance and appeals appropriate for their specialty.
- Ensures consistent use of medical policies when making medical necessity decisions.
- Brings to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation.
Requirements:
- Requires an MD and Board certification in a medical specialty required.
- 3 years of clinical experience post residency.
- Preferably in inpatient post-acute care.
- Board certified in Physical Medicine and Rehab is strongly preferred.
Work Environment:
This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. Schedule: 10:00-7:00 Central Time.
