- Providing clinical case management advisement, treating provider contacts, and employee contacts.
- Developing strategic plans and providing oversight of behavioral health claim management services.
- Assisting case managers in understanding the emotional, behavioral, and cognitive functioning of employees/claimants in relation to work demands.
- Offering initial and ongoing clinical guidance, reviewing treatment plans, and assessing standards of care for projected return-to-work dates.
- Conducting comprehensive disability claim file reviews and peer-to-peer consults to address specific questions and claim dynamics.
- Supporting operational functions through consultation with clients, vendors, internal leadership, and case managers.
- Directing and coordinating psychiatric reviews and complex claim discussions related to disability, accommodations, and permanent restrictions.
- Providing physician coverage for the team when the lead physician is unavailable.
- Consulting and interpreting information related to psychiatric disability and leave of absence claims.
- Training case manager personnel on various behavioral health topics.
- Providing ongoing support through consultation and daily "walk-in" hours for case management discussion.
- Conducting file reviews, peer-to-peer consults, and negotiations with treating providers.
- Negotiating with employees and clients/employers to streamline return-to-work processes.
- Utilizing client wellness resources and critical thinking skills to ensure optimal outcomes.
- Collaborating with client Human Capital Management and Employment Law teams in managing medical leaves of absence and accommodations.
- Active state or jurisdiction healthcare provider licensure.
- Board Certification from the American Board of Psychiatry and Neurology (ABPN).
- Minimum 5 years of experience in reviewing disability claims related to psychiatric conditions.
- Maintains Applicable Certifications (e.g., The American Board of Independent Examiners, The American Academy of Disability Evaluating Physicians).
- Demonstrates empathy, compassion, and professionalism in interactions with customers and in coaching case managers.
- Champions change management and leads initiatives to ensure best practices are implemented.
- Possesses a strong working knowledge of medical and behavioral health disorders.
- Can integrate quickly into a fast-paced working environment and develop valuable interpersonal business relationships with stakeholders.
- Able to convey clinical opinions clearly and efficiently to non-clinical stakeholders.
- Receptive to feedback.
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Director of Nursing- Medical Oncology
3 weeks ago
Signature Healthcare Brockton, United States**Signature Healthcare · - Brockton Hospital is Southeastern Massachusetts' premier local provider of quality, personalized medical services. We are comprised of the award-winning not-for-profit Signature Healthcare Brockton Hospital; Signature Medical Group (SMG), a multi-specia ...
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Medical Director
1 week ago
NVA Bridgewater, United StatesNew England Animal Medical Center is seeking a Medical Director to lead our team in West Bridgewater, MA. · The Medical Director will work alongside the Hospital Director to lead and manage the dedicated staff at NEAMC. The position will be responsible for working directly with ...
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Medical Director
3 weeks ago
Infinity Systems Milton, United StatesThe German Pension Insurance Westphalia is seeking a new Medical Director and Chief Physician (m/f/d) for their Münsterland Clinic in Bad Rothenfelde (successor to Prof. Dr. Bernhard Greitemann). The ideal candidate will also serve as the Head of the Department of Orthopedics and ...
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Medical Director
2 weeks ago
Precision Life Sciences Cambridge, United StatesProvide medical expertise and leadership in the design and implementation of clinical development strategies aligned with company objectives. This position will fill an open vacancy while an FTE is hired. · - Lead the development of clinical trial protocols, ensuring scientific r ...
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Medical Director
3 weeks ago
Crimson Enterprises Hopedale, United StatesThere are many reasons to collaborate with European Medical Consulting Adam in Hopedale. In the following section, you will see how you can benefit from our free services and save valuable time: * You will have access to exclusive and unpublished job opportunities * Our relocatio ...
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Medical Director
2 days ago
Apex Ventures Logan, United StatesThere are many reasons to collaborate with European Medical Consulting Adam. In the following section, you will see how you can benefit from our free services and save valuable time: * You will have access to exclusive and unpublished job opportunities * Our relocation service wi ...
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Medical Director, Dermatology
2 days ago
Brockton Hospital Brockton, United States Full timeAs part of Signature Medical Group we have a well-established Dermatology practice less than an hour from Boston. We are looking for a Medical Director for our Division of Dermatology to enhance our growing specialty practice We are looking for someone with 3-5 years of experienc ...
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Medical Director, Dermatology
1 week ago
Signature Healthcare Brockton, United StatesFull Time 40 Hours only · 110 Liberty St. · Physician · Days 1st Shift · As part of Signature Medical Group we have a well-established Dermatology practice less than an hour from Boston. · We are looking for a Medical Director for our Division of Dermatology to enhance our growin ...
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Medical Director, Hospitalist
3 weeks ago
Sound Physicians Brockton, United StatesTo potential physician leaders, · I am the regional medical director for Sound Physicians, overseeing the dedicated hospitalist team at Brockton Hospital in Brockton, Massachusetts, just an hour drive from Boston. I extend a warm welcome to physician leaders who are considering ...
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Medical Director
1 week ago
National Veterinary Associates West Bridgewater, United StatesNew England Animal Medical Center is seeking a Medical Director to lead our team in West Bridgewater, MA. The Medical Director will work alongside the Hospital Director to lead and manage the dedicated staff at NEAMC. The position will be responsible Medical Director, Director, M ...
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Medical Director, Hospitalist
1 week ago
Sound Physicians Brockton, MA, United StatesI am the regional medical director for Sound Physicians, overseeing the dedicated hospitalist team at Brockton Hospital in Brockton, Massachusetts, just an hour drive from Boston. We offer internal programs to develop or refine your leadership skills, fostering connections with a ...
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Medical Director, Hospitalist
1 week ago
Sound Physicians Brockton, MA, United StatesTo potential physician leaders, · I am the regional medical director for Sound Physicians, overseeing the dedicated hospitalist team at Brockton Hospital in Brockton, Massachusetts, just an hour drive from Boston. I extend a warm welcome to physician leaders who are considering ...
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Medical Director
1 week ago
National Veterinary Associates West Bridgewater, United StatesJob Description · New England Animal Medical Center is seeking a Medical Director to lead our team in West Bridgewater, MA. · The Medical Director will work alongside the Hospital Director to lead and manage the dedicated staff at NEAMC. The position will be responsible for worki ...
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Medical Director, Neurology
3 weeks ago
Freeline Therapeutics Boston, United States**Benefits**: · - Generous holiday allowance- Life assurance- Gym membership- Medical cover- Pension- Shower at work- Sport clubs- GP consults- Why Freeline? · - Gene therapy is at an inflection point. Amidst the noise of countless emerging modalities, we've been hard at work ref ...
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Site Medical Director
2 weeks ago
CCWSG Brockton, MA, United StatesSite Medical Director · Qualifications : · • Current MA MD/DO License, Family Physician highly desired, Board Certified, completion of accredited residency required. · •5 years of primary care experience required with experience in community health setting preferred, experien ...
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Site Medical Director
2 weeks ago
CCWSG Brockton, MA, United StatesSite Medical Director · 5 years of primary care experience required with experience in community health setting preferred, experience in administration, supervision and management of clinical staff including budgeting strongly preferred · Medical, Dental, & Vision Insurance · ...
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Inpatient Medical Director
2 weeks ago
Northeast Healthcare Recruitment, Inc. Plymouth, United StatesInpatient Medical Director · 250k-275k · Summary: · The Inpatient Medical Director plays a pivotalrole in overseeing and directing the activities and functions of the inpatientmedical staff, including physicians and advanced practice providers. Thisposition requires a licensed ...
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Director of Field Medical Excellence
1 week ago
Mallinckrodt Boston, United StatesJob Title · Director of Field Medical Excellence · Requisition · JR Director of Field Medical Excellence (Open) · Location · Field Based Location - USA082 · Additional Locations · Boston, MA, Bridgewater, NJ, Washington, DC · **Job Description**: · The Director of Field Medical E ...
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Medical Director, Clinical Development
2 weeks ago
Alexion Pharmaceuticals,Inc. Boston, United StatesLocation: Boston, United States · Job reference: R-197377 · Date posted: 04/16/2024 · **Position Summary** · - The medical director contributes to a cross-functional team in the design and execution of one or more clinical studies and provides input to the clinical development pl ...
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Director of Nursing- Medical Oncology
2 weeks ago
Signature Healthcare Brockton, United StatesFull Time 40 Hours only · 680 Centre Street · Nursing · Days 1st Shift · The Director of Nursing- Medical Oncology will work under the direction of the Chief Nursing Officer to manage the daily operations of the Medical Oncology unit. This position will establish, maintain and ov ...
Medical Director - Bridgewater, United States - Talent Solutions Group Inc
Description
Primary responsibility involves serving as the Medical Director overseeing the occupational health and disability leave management program, with a focus on psychiatric cases.Responsibilities include:
Additionally, providing clinical oversight and training to a team of nurse and behavioral health case managers, including:
Requirements:
