Chief Medical Consultant
3 weeks ago
About Us:
Innovative Care Management, Inc. (ICM) is a renowned independent healthcare management company dedicated to patient advocacy and quality care. Since 1990, we have been providing unbiased assessments of medical necessity for patients covered by our clients' health plans.
Our team of clinicians and administrative professionals strives to deliver exceptional medical management services while balancing patient needs with cost efficiency. Guided by the principle that "quality care is cost effective," we work closely with patients, families, caregivers, and providers to ensure the delivery of medically necessary services in a compassionate, integrated manner.
Key Responsibilities:
- Conduct comprehensive medical necessity reviews for prospective and retrospective cases
- Review and reference peer-reviewed literature to support determinations
- Provide clear, evidence-based written opinions, including citations
- Engage in peer-to-peer consultations as needed
- Serve as a resource for professional staff and provide medical expertise to support clinical programs
- Collaborate with the Chief Medical Officer to ensure clinical operations align with patient advocacy and organizational strategy
- Support delegated activities related to URAC Accredited Independent Review Organizations (IRO)
- Support quality assurance and improvement initiatives
- Provide clinical expertise and consult on special projects and company programs
- Maintain compliance with HIPAA, company policies, and ethical business practices
What We're Looking For:
- Passion for evidence-based medicine and skill with independent evaluation of peer-reviewed research
- Commitment to patient advocacy and non-adversarial communication
- Strong decision-making and conflict resolution abilities
- A self-motivated individual who thrives in both independent and collaborative environments
- Exceptional writing skills, with the ability to clearly document medical determinations
Qualifications:
- MD/DO degree from an accredited program, required
- Active, unrestricted medical license in Oregon, required
- Board Certification in a recognized medical specialty, required
- Specialization in Physical Medicine & Rehabilitation, Anesthesiology, Pain Medicine, Orthopedics, Neurology, or Internal Medicine, preferred
- Minimum 7 years of post-graduate clinical experience, required
- Minimum 2 years of experience in medical management, utilization review, or quality improvement, preferred
Benefits:
- Medical Insurance: 100% company-paid base plan for employees; dependent coverage available
- Dental and Vision Insurance
- Supplemental Benefits: FSA/HSA, disability, life insurance, and more
- 401K Retirement Plan: Includes a company match
- Time Off: PTO days and holidays
- Flexible remote work within Oregon and Washington State
- Growth opportunities and a supportive team culture dedicated to patient advocacy and quality care
Compensation: $58 per hour
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