- Counsels and discusses clinically related issues with providers as directed by CHO.
- Recommends areas of potential improvements in patient care to Leadership.
- Affect beneficial changes in policies and procedures.
- Assists in the development and delivery of orientation programs, health education and continuing education for clinical staff.
- Designs and implements protocols for quality management.
- Assists in the supervision of medical audits and review of physician's practice patterns to assure adherence to quality standards and utilization criteria.
- Conveys medical staff concerns to Leadership, the Boards of Directors and Board Committees as appropriate.
- Assists in assuring compliance with peer reviews and accreditation with outside agencies.
- Assist with EHR training and be part of the medical informatics committee.
- Perform direct patient care for minimum of 60% or as directed by the CHO.
- Setup comprehensive multidisciplinary care to complex disease management processes.
- Ensures that all providers comply with applicable local, state, and federal regulations, and all policies, procedures and directives of the organization and contracted third party payers.
- Responds to patient/physician complaints and educates regarding SH's plans and policies as needed.
- Provides medical information as it relates to policy decisions for member appeals procedure.
- Support community and public relations functions in the absence of the CHO.
- Performs other clinical assignments as requested by the Chief Health Officer.
- Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
- Dedicated: Devoted to a task or purpose with loyalty or integrity
- Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization
- Doctorate or better.
- 3-5 years: Medical administrator in a community health center, public health, ambulatory practice or managed care setting.
- Medical Doctor
- Dental insurance
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
- 8 hour shift
- Day shift
- Monday to Friday
- No nights
- Bonus opportunities
- Signing bonus
- Kansas City, MO: Relocate before starting work (Required)
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Associate Chief Medical Officer - Kansas City, MO, United States - UHC Solutions
Description
Description
With direction from the Chief Health Officer, the Associate Chief Medical Officer will function as the assistant clinical leader. He/she will be responsible for recommending changes and enhancements to clinical criteria based on extensive knowledge in health care delivery systems, utilization methods, reimbursement methods and treatment protocols.
In conjunction with the Chief Health Officer, the Associate Chief Medical Officer apprises medical staff members of current trends and developments in health care delivery. In addition to assisting with oversight of utilization review (UR) and quality management (QM) processes and initiatives, the Associate Chief Medical Officer will also assist with the overall responsibility of assuring the cost-effective delivery of services for SH.
To enhance ongoing relations, the Associate Chief Medical Officer will need to function as liaison to the professional medical community. The Associate Chief Medical Officer will serve as the clinical leader for in the absence of the Chief Health Officer.
Primary Functions:
Successful candidates will have:
Doctor of Medicine, licensed in the States of Missouri and Kansas, M.D. or D. O. Board Certification preferred.
Successful completion of accredited primary care residency program-Family Medicine, Pediatrics, Obstetrics/Gynecology, or internal medicine.
Team members are supported with:
Compensation : $250,000 - $290,000 plus
Medical benefits (including a Health Savings Account option), dental and vision
401(k) retirement plan with company match
Company-paid benefits such as life insurance, Accidental Death & Dismemberment, and Short- and Long-Term Disability
Flexible Spending Account
Paid Days Off beginning at 12 days annually, effective the first day of employment
Eight annual company-paid holidays; One annual paid personal day
About the Company:
Each year, we serve over 45,000 patients, encompassing more than 200,000 visits in four counties on both sides of the state line. Our team members are proud of the work we do and the promise we have made – delivering coordinated care that values the needs of the whole person and championing better health in our community.
This is a special place that cares for the people who need it most, wherever they are in the community. As part of our promise to battle health inequities and provide high-quality, comprehensive care, we make care visible. That means we proudly deliver our promise through every action, every day.
We are an affirmative-action, equal-opportunity employer. We consider all qualified applicants without regard to race, color, creed, religion, gender, national origin, age, marital status, veteran status, or disability.
Qualifications
Behaviors
Motivations
Education
Experience
Licenses & Certifications
Job Type: Full-time
Pay: $250, $290,000.00 per year
Benefits:
Schedule:
Supplemental pay types:
Ability to Relocate:
Work Location: In person
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