远程工作雷达

住院患者拒付管理医生(全职/周一至周五/远程)

Physician, Inpatient Denials Management (FT/M-F/REMOTE)

其他限定地区(需当地身份)
公司CorroHealth
薪资$225,000/年
工作地点United States
地域资格限定地区(需当地身份)
时区要求日间重叠约 9 小时,基本正常作息
用工类型Full Time
发布时间今天
数据来源Himalayas
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注意地域限制:该职位明确限定在 United States 招聘。如果你是位于中国大陆的求职者,通常需要当地工作身份才能投递,或需与雇主确认是否接受独立合同(Contractor)形式合作。

关于我们:
我们的目标是帮助客户实现其财务健康目标。在整个报销周期中,我们可扩展的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。
我们通过投资于你来打造长期的职业生涯。我们致力于创造一个促进你职业发展和个人成长的环境,因为我们相信你的成功就是我们的成功。
职位概述:
这是一个远程岗位
主要职责和责任:
注意:以下关键职责和责任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大部分或全部主要职责。具体任务、责任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上级领导团队所规定的。
这是一个远程岗位
作为医疗总监,拒付管理,你将有机会在全国范围内评估住院情况,同时利用你的医学知识并获得作为客户医院专家顾问的经验。你将进行临床案例审查并提供建议,重点在于确定适当的入院状态。CorroHealth提供一条职业发展路径,使你能够继续运用你的临床知识,为医院创造价值,同时为你提供可预测的工作时间表。这个机会可以让你实现理想的工作与生活平衡,同时拓展你在使用审查方面的知识体系。
由于我们的工作流程依赖于多个数字平台,此职位的成功需要扎实的基础计算机技能以及快速学习新技术的能力。
你将产生的影响:
CorroHealth由志同道合的临床医生领导,他们有着相同的内在使命感,即帮助他人。全国范围内的医院最近在管理复杂的和不可预见的挑战方面遇到了困难,例如全球大流行、复杂的法规更新以及由医疗保险和私人支付方组织提出的下游政策变化,导致了财务困难。CorroHealth的医生通过为医院客户提供指导,帮助他们提高合规性并确保对所提供的护理获得适当的付款,从而开展具有挑战性和成就感的职业生涯。你所担任的角色将使你作为主治医师产生深远的影响。

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:
This is a remote positionESSENTIAL 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.
This is a remote position
As a Medical Director, Denials Management you will have the unique opportunity to evaluate hospitalizations across the country while utilizing your medical knowledge and gaining experience as an expert advisor to client hospitals. You will perform clinical case reviews and provide recommendations that focus on establishing the appropriate admission status. CorroHealth offers a career path that allows you to continue using your clinical knowledge, drive value to hospitals while providing you with a predictable schedule. This opportunity allows for the work/life balance you desire while expanding your knowledge base in Utilization Review.
Because our workflows rely on multiple digital platforms, success in this role requires strong foundational computer skills and the ability to learn new technology quickly.
The Impact You Will Have:
CorroHealth is led by like-minded clinicians who share the same innate calling to help. Hospitals nationwide have recently struggled with managing complex and unforeseen challenges such as global pandemics, complex regulatory updates, and downstream policy changes set forth by Medicare and private payer organizations – resulting in financial difficulty. CorroHealth physicians lead challenging and rewarding careers by providing our hospital clients with guidance to improve compliance and ensure appropriate payment for the care delivered. The impact of your role will allow attending physicians to focus on what is most important, providing dedicated care to the patients they serve.
Annual Compensation Range:
Around 225k or greater (includes salary + uncapped bonus) (40-hour workweek)
Your Schedule:
Training (The first 3-4 weeks):
· Training will occur Monday-Friday 9A-5P ET
After Completion of Training:

  • Schedule will be Monday-Friday, anywhere between 8a-5p ET to 10a-7p ET.
  • Each of your shifts will be 9 hours in length, which includes one hour of dedicated break time.

Working at CorroHealth:

  • All necessary hardware and software is provisioned to each of our Medical Directors
  • You have the ability to work remotely in a comfortable environment

In This Role You Will:

  • Perform Peer-to-Peer case discussions with payer medical directors
  • Utilize clinical expertise to identify the salient points within a case review
  • Perform focused real-time and post-discharge hospital case reviews in hospital’s EMR
  • Identify areas of process improvements and inefficiencies
  • Perform related duties and projects as assigned

Do You Have What It Takes?

  • MD or DO degree with strong clinical knowledge
  • Active unrestricted medical license in at least one state within the United States
  • Required specialization in Adult Internal Medicine, Emergency Medicine, Hospitalist, Nephrology, HEM/ONC, General Surgery, Family Practice, Critical Care or Infectious Disease; Board certification (preferred)
  • At a minimum, 1 year of acute care adult hospital experience in a US hospital within the past 5 years or recent relevant physician advisor experience
  • Working knowledge of hospitals’ EMR
  • Computer proficient
  • Excellent verbal and written communication skills
  • Team Player

We Offer:

  • Quality of life with a remote predictable, full-time schedule
  • Comprehensive training and education program
  • Opportunities for career growth within the organization
  • Salary plus bonus opportunities
  • Medical, Dental, Vision coverage, 401K
  • Holidays, paid time off, long-term disability insurance, and life insurance
  • Allowance for CME and/or license renewals

KEYWORDS: Physician; MD; DO; non-clinical; Physician Advisor; Utilization Management; Utilization Review; Case Management; UR; UM; remote; work from home; hospitalist; emergency medicine; inpatient; acute care; board certified
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

本页面信息整理自 Himalayas,版权归原发布方所有。职位可能随时关闭,投递请以原始页面为准。 本站只做信息聚合展示,不参与招聘流程,也不向求职者收取任何费用。

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