Full Time Administration Job in New York

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Full Time Administration Job in New York

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Full Time Administration Jobs > New York > Other Locations

Administration

The Execu|Search Group

New York

Full Time

An established managed long-term care facility in New York is seeking a compassionate and dedicated individual, with a strong background in managed care insurance, for a promising opportunity on their staff as a Senior Medical Director. In this role, the Senior Medical Director will be responsible and accountable to the Chief Medical Officer for helping to manage health plan medical quality and costs, as well as ensuring appropriate health care delivery. Apply today!


The Senior Medical Director:

  • Reviews cases, determines medical necessity, and consults with physicians, review length of stay and reimbursement documentation
  • Supports Case Management/UM department staff and nurse case managers on concurrent review and pre-authorization referrals
  • Ensures clinical services consistent with their benefits, regulatory requirements and established clinical criteria
  • Provides clinical support for Member and Provider appeals

Required Skills:

  • M.D., D.O.
  • Board Eligible / Certified

Your privacy is important to us. For consideration, please submit your CV in confidence and our recruiter will contact you to discuss job location and details before forwarding your CV to our client for an interview.

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