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Medical Director Utilization Management - Scranton, United States - Geisinger Health System
Description
Job SummaryEstablishes and leads execution of a strategic plan for the provision of Utilization Management services across the organization, fostering a spirit of innovation in care delivery, maximizing the use of technology where possible to improve quality and enhance efficiency.
The Medical Director will direct providers, faculty, residents and other clinicians, to optimize the care of patients and provide effective and meaningful educational programs across the department.
Responsible for management of the Utilization Review policy and observation management performance including outcomes of medical necessity justification with health plan medical director staff.
Job DutiesAdditional competencies outlined in any department-specific orientation will be considered essential to the performance of the job related to that position.
Position DetailsEducation
Doctor of Medicine or Doctor of Osteopathic Medicine- (Required)
Experience
Minimum of 5 years-Leadership (Required), Minimum of 10 years-Clinical (Required)
Certification(s) and License(s)
Licensed Medical Doctor - State of Pennsylvania
OUR PURPOSE &
VALUES:
Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities
KINDNESS:
We strive to treat everyone as we would hope to be treated ourselves
EXCELLENCE:
We treasure colleagues who humbly strive for excellence
LEARNING:
We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow
INNOVATION:
We constantly seek new and better ways to care for our patients, our members, our community, and the nation
SAFETY:
We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.
Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger.Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all.
We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply.All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.