Job Description

  • Job LocationUS-AZ-SCOTTSDALE
    Requisition ID
    2019-15677
    Shift
    01 - Days
    Department
    Care Management
    Facility
    Innovation Care Partners
    Position Type
    Regular Full-Time
    Physical Work Location and New Employee Orientation Location : Address
    8901 E MOUNTAIN VIEW RD
    Work Hours (ex:M-F, 8am - 4pm)
    8 - 4:30
  • Overview

    HonorHealth is a non-profit, local healthcare organization known for community service and outstanding medical quality. HonorHealth encompasses five acute care hospitals with approximately 11,500 employees and 4,500 volunteers, over 70 primary and specialty care practices, clinical research, medical education, an inpatient rehabilitation hospital, an Accountable Care Organization, two foundations, and extensive community services.

    HonorHealth is a leader in medical innovation, talent and technology with a genuine commitment to your growth. The health system's vibrant careers take place in an environment filled with opportunity and respect because we see the HONOR in you.

    Qualifications

    Education
    Doctorate of Medicine Required

    Experience
    One (1) year in a clinical practice experience Required

    Responsibilities

    Job Summary
    The Medical Director- Medical Management Department serves as a clinical resource to Innovation Care Partners prior authorization and utilization review team. This role works closely with the ICP providers to include: medical necessity case reviews, clinical compliance, continued stay review, quality issue or trend idenitfication, and case management.
    • Conducts clinical review on cases referred by prior authorization/utilization review staff ensuring quality patient care and effective, efficient utilization of healthcare services, evidence-based practice, and to meet regulatory requirements. Reviews will be conducted in MCG software and conducted with in regulatory timeframes.
    • Meets with medical management team as needed to discuss selected cases and make case recommendations. Interacts with ICP providers and medical directors of payers to discuss the patient needs and alternative levels of care.
    • Acts as consultant and resource to attending physicians regarding their decisions relative to appropriateness of hospitalization, continued stay, evidence-based guidelines, and use of resources.
    • Acts as consultant and resource to the medical staff regarding federal and state utilization and quality regulations.
    • Attend quarterly Medical Management Committee meetings with payors.
    • Assist in covering TCM high risk rounds as needed.
    • Performs other duties as assigned.



    It is the policy of HonorHealth to provide equal opportunity in employment. Selection and employment of applicants will be made on the basis of their qualifications without regard to race, color, religion, creed, national origin, age, disability, sexual orientation, marital status, veteran status or any other legally protected status.

    Please review the Equal Employment Opportunity poster.

    Please review the Equal Employment Opportunity Poster.HonorHealth wants all interested and qualified candidates to apply for employment opportunities. If you are an applicant with a disability who is unable to use our online tools to search and apply for jobs, please contact us at EmploymentOffice@HonorHealth.com . Please indicate the specifics of the assistance needed. This option is reserved only for individuals with disabilities that are unable to use the online tools and is not intended for other purposes.

    Application Instructions

    Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

    Apply Online