远程医生（MD/DO），（IC至全职）PMR，骨科或神经科，门诊
Remote Physician (MD/DO), (IC to FTE) PMR, Orthopedics or Neurology, Outpatient
关于我们：
我们的目标是帮助客户实现其财务健康目标。在报销流程中，我们的可扩展解决方案和临床专业知识帮助解决程序性需求。通过领先的技术赋能我们的团队，使分析能够指导我们的解决方案，并确保我们达成目标。
我们通过投资于您来打造长期职业发展。我们致力于创造一个促进您职业发展和个人成长的环境，因为我们相信您的成功就是我们的成功。
职位概述：
寻找一位技能娴熟且注重细节的医学主任加入我们的团队。医学主任将在评估为医疗保险受益人提供的临床服务质量方面发挥关键作用，确保符合临床指南和法规，同时帮助推动护理服务的改进。经过导师培训后，日常工作的内容包括审查和分析临床记录、图表和案件文件，以确保所有为医疗保险受益人提供的临床实践、治疗和服务都达到最高护理标准，并遵守CMS法规、政策和程序。理想的候选人将与多学科团队密切合作，对临床案例和改进机会提供见解和反馈。
主要职责和要求：
注意：以下主要职责和要求旨在描述该职位的一般职责和责任，并非对该职位职责的详尽说明。该职位可能执行以下列出的主要职责中的全部或大部分。具体任务、职责或能力可能在团队成员的绩效目标中进行说明，如由团队成员的直接领导团队所规定。
可以远程工作，来自美国任何州。需要具备行医执照并愿意获得华盛顿州执照。
快速信息：
- 每小时125美元
- 为高龄患者进行的高风险手术进行事先授权
- 立即开始（约2-3周）
- 随着时间推移可能会从独立承包商转为全职员工
- 提供广泛的虚拟培训
- 可在家/公司提供电脑/笔记本
- 每周40小时为首选
- 需要有3年以上行医执照（ABPMR或ABPN）或（ABIM或ABFM）
- 所有执照不得有纪律处分
- 需要拥有或愿意获得华盛顿州执照（可报销）
- 候选人将接受受监考的基本计算机测试
查看英文原文
About Us:
Our purpose is to help clients exceed their financial health goals. Across the reimbursement cycle, our scalable solutions and clinical expertise help solve programmatic needs. Enabling our teams with leading technology allows analytics to guide our solutions and keeps us accountable achieving goals.
We build long-term careers by investing in YOU. We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
JOB SUMMARY:
Seeking a highly skilled and detail oriented Medical Director to join our team. The Medical Director will play a critical role in assessing the quality of clinical services provided to Medicare beneficiaries ensuring compliance with clinical guidelines and regulations while helping to drive improvements in care delivery. After completion of mentored training, daily work includes reviewing and analyzing clinical records, charts and case files to ensure that all clinical practices, treatments and services provided to Medicare beneficiaries meet the highest standards of care and adhere to CMS regulations, policies and procedures. The ideal candidate works closely with multidisciplinary teams to provide insights and feedback on clinical cases and improvement opportunities.ESSENTIAL DUTIES AND RESPONSIBILITIES:
Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of duties. This position may perform all or most of the primary duties listed below. Specific tasks, responsibilities or competencies may be documented in the Team Member’s performance objectives as outlined by the Team Member’s immediate Leadership Team Member.
Can work REMOTE from any U.S. state. Board Certification and willingness to acquire a WA state license is required.
Fast Facts:
- $125 per hour
- Conduct Prior Authorizations forHigh Riskprocedures performed on patients of advanced age
- Immediate Start (~2-3 weeks)
- Likely transition from Independent Contractor to Full Time Employee over time
- Extensive Virtual Training
- Work from Home/Company provides PC/Laptop
- 40 hour per week ishighlypreferred
- Must be Board Certified for 3+ years (ABPMR or ABPN) OR (ABIM or ABFM)
- All Licenses must be free of disciplinary actions
- Must have or be willing to aquire a WA state license (reimbursed)
- Candidates will undergo a proctored basic computer skills assessment post pre-screen
Key Responsibilities:
Case Review: Conduct regular reviews to monitor the appropriateness of care provided to beneficiaries and recommend any necessary interventions or adjustments need to align with CMS National and Local Coverage Determinations (NCD/LCD)
Training & Education: Assist in the training and development of clinical teams on CMS NCD/LCD guidelines, clinical documentation and compliance.
Clinical Guidance: Provide recommendations for improvements in clinical practices based on findings from record reviews, data analysis, and best practices in the field.
Quality Improvement: Participate in the development and implementation of quality improvement initiatives to enhance care delivery and achieve CMS performance goals.
Documentation: Maintain accurate and up to date records of all clinical reviews, audits and quality improvement efforts.
Required Qualifications:
- Be a board-certified clinician, including a Doctor of Medicine or a Doctor of Osteopathy identified by an individual NPI in a specialty recognized by the American Board of Medical Specialties
- Board certified for at least 3 years;
- Currently hold an active, valid and unrestricted license to practice medicine in at least one U.S. state or the District of Columbia. Must not be excluded from participating in Medicare, Medicaid or the Children’s Health Insurance Program.
- State of Washington license to practice medicine preferred or willingness to obtain.
- Be associated with a primary specialty designation that aligns with PMR, neurology, pulmonology, urology, or orthopedics.
- Utilization management experience preferred.
Skills:
- Excellent communication skills (both verbal and written) with the ability to collaborate effectively with diverse healthcare teams.
- Familiarity with electronic health records (EHR) and documentation and coding practices (ICD-10, CPT)
- Knowledge of CMS regulations and Medicare requirements.
- Strong attention to detail and organizational skills to manage multiple tasks and priorities
- Ability to work in a fast paced, deadline driven environment
Note:
This position requires some weekend shifts
Primarily remote with occasional on-site requirements. This will not occur right away if at all.
Occasional travel may be required for team meetings and onsite reviews.
We Offer: (*Full Time Hours Apply 30<)
- Quality of life with a remote predictable, full-time schedule*
- Comprehensive training and education program
- Opportunities for career growth within the organization
PHYSICAL DEMANDS:
Note: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Member must be able to lift and move material weighing up to 20 lbs. Team Member may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.
A job description is only intended as a guideline and is only part of the Team Member’s function. The company has reviewed this job description to ensure that the essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.
Originally posted on Himalayas