National Medical Director

3 hours ago


Glen Allen, Virginia, United States CorVel Corporation Full time
Job Title: National Medical Director

The National Medical Director plays a critical role in guiding and directing the CorVel clinical operations, including Case Management, Utilization Management, and Provider Networks. This position ensures that services delivered are of the highest quality and meet the standards of CorVel, URAC, and State regulations.

Key Responsibilities:
  • Provide clinical oversight and leadership to the medical management teams, including physicians, nurses, and other healthcare professionals.
  • Develop and implement care management protocols and policies to ensure timely and appropriate medical care for patients.
  • Oversee the utilization review process to ensure medical necessity, appropriateness, and cost-effectiveness of healthcare services.
  • Establish and maintain quality assurance programs to monitor and improve the quality of care provided to patients.
  • Ensure compliance with all federal, state, and local regulations related to workers' compensation and managed care.
  • Work collaboratively with internal and external stakeholders, including employers, insurers, healthcare providers, and regulatory agencies, to facilitate coordinated care.
  • Develop and deliver training programs for clinical staff on best practices in workers' compensation care and regulatory requirements.
  • Oversee the development and maintenance of accurate and comprehensive clinical documentation and records.
  • Monitor and analyze key performance metrics to assess the effectiveness of medical management programs and identify areas for improvement.
Requirements:
  • Active, unrestricted doctor of medicine or doctor of osteopathic license or certification to practice medicine in a state or territory of the United States.
  • A valid medical degree from an accredited institution.
  • Board certification in a relevant specialty such as occupational medicine.
  • Minimum of 20 years of clinical practice experience, preferably in occupational medicine, workers' compensation, or managed care settings.
  • Demonstrated experience in a leadership or management role within a healthcare organization.
What We Offer:

CorVel offers a comprehensive benefits package, including medical, dental, vision, long-term disability, health savings account, flexible spending account options, life insurance, accident insurance, critical illness insurance, pre-paid legal insurance, parking and transit FSA accounts, 401(k), ROTH 401(k), and paid time off.

CorVel is an Equal Opportunity Employer, drug-free workplace, and complies with ADA regulations as applicable.



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