Director, Medical Director - Rancho Cucamonga, CA, United States - Inland Empire Health Plan

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    Description

    The Medical Director of Behavioral Health is responsible for clinical oversight, clinical leadership, and partnership in the management of the IEHP behavioral health activities in all lines of business.

    Areas of oversight for this position include, but are not limited to, case management, quality management, utilization management (UM), and grievance and appeals and committee participation.

    The Medical Director of Behavioral Health oversees the inpatient/concurrent review process, care integration efforts, and all levels of behavioral health care provided to IEHP Members.

    The Medical Director coordinates care with the County Mental Health Plans that are responsible for the care of the population with a Serious Mental Illness (SMI), the County Alcohol and Drug Program, as well as all IEHP community and provider partners.

    CalPERS retirement.

    • Medical Insurance with Dental and Vision.
    • Life, short-term, and long-term disability options
    • Flexible Spending Account - Health Care/Childcare
    • CalPERS retirement
    • Doctor of Medicine from an accredited institution required.
    • Possession of an active, unrestricted, and unencumbered Physician's and Surgeon's Certificate issued by the State of California Medical Board required. (A physician certified in a state other than California may be employed prior to receipt of California certification provided that an application for a California physician and surgeon's certificate is filed in the state of California prior to date of appointment.)


    Administrative practices and procedures including but not limited to quality assessment and improvement, utilization review, peer review, Credentialing, and risk management; rules, regulations, policies, and standards related to managed care; principles of effective supervision and organization; methods, techniques, practices, principles, and literature in the broad field of medical sciences; and overview of the highly specialized techniques, procedures, and equipment used in the medical or surgical specialties.


    • Understanding of and sensitivity to multi-cultural community.