What are the responsibilities and job description for the Associate Medical Director position at Shelby American Inc?
DescriptionAbout Us : Since 1990, Innovative Care Management (ICM) has been dedicated to patient advocacy and quality care. As an independent healthcare management company, we provide unbiased assessments of the medical necessity of services for patients covered by our clients’ health plans.Our team of clinicians and administrative professionals strives to deliver the highest quality medical management services while balancing patient needs with cost efficiency. Guided by the belief that "quality care is cost effective," we work closely with patients, families, caregivers, and providers to ensure the delivery of medically necessary services in a compassionate, integrated way. Our culture is built on respect, integrity, and innovation.Job Title : Associate Medical DirectorLocation : Remote (Oregon or Washington State residents only)Hours : 20-30 hours per week during ICM office hours (8 AM – 5 PM PST)Position Summary : The Associate Medical Director (AMD) plays a vital role by performing medical necessity reviews, supporting evidence-based medicine, engaging in peer-to-peer consultations, and providing clinical expertise for our programs, while also maintaining ICM’s philosophy of patient advocacy.Reporting to the Chief Medical Officer (CMO), the AMD ensures compliance with evidence-based practices and serves as a key collaborator in aligning clinical operations with effective patient outcomes, contributing to the alignment of clinical operations with ICM’s strategic goals.This role offers the opportunity to make a meaningful impact while growing within a collaborative and purpose-driven organization.Key Responsibilities : Conduct medical necessity reviews for prospective and retrospective cases.Review and reference peer-reviewed literature to support determinations.Provide written opinions with clear, evidence-based rationale, including citations.Engage in peer-to-peer conversations as needed.Serve as a resource for professional staff and provide medical expertise to support clinical programs by collaborating with clinical and non-clinical staff.Collaborate with the CMO to ensure clinical operations align with patient advocacy and organizational strategy.Support delegated activities related to URAC Accredited Independent Review Organizations (IRO).Support quality assurance and improvement initiatives.Provide clinical expertise and consult on special projects and company programs.Maintain compliance with HIPAA, company policies, and ethical business practices.What We’re Looking For : Passion for evidence-based medicine and skill with independent evaluation of peer-reviewed research.Commitment to patient advocacy and non-adversarial communication.Strong decision-making and conflict resolution abilities.A self-motivated individual who thrives in both independent and collaborative environments.Exceptional writing skills, with the ability to clearly document medical determinations.RequirementsQualifications : MD / DO degree from an accredited program, required.Active, unrestricted medical license in Oregon, required.Board Certification in a recognized medical specialty, required.Specialization in Physical Medicine & Rehabilitation, Anesthesiology, Pain Medicine, Orthopedics, Neurology, or Internal Medicine, preferred.Minimum 7 years of post-graduate clinical experience, required.Minimum 2 years of experience in medical management, utilization review, or quality improvement, preferred.Why Join ICM? At ICM, you’ll be part of a dedicated team that prioritizes good clinical care and patient advocacy over cost-cutting measures. We uphold the highest standards of medical management while keeping patients at the heart of everything we do. We offer an opportunity to grow within an organization that values integrity, collaboration, and a strong commitment to quality care. What we offer : At ICM, we value our employees and provide a comprehensive benefits package : Medical Insurance : 100% company-paid base plan for employees; dependent coverage available.Dental and Vision InsuranceSupplemental Benefits : FSA / HSA, disability, life insurance, and more.401K Retirement Plan : Includes a company matchTime Off : PTO days and holidaysFlexible remote work within Oregon and Washington StateGrowth opportunities and a supportive team culture dedicated to patient advocacy and quality care.#J-18808-Ljbffr
