Medical Director
2 weeks ago
Job Summary:
Humana, Inc. is seeking a highly skilled Physician to join our team in Grand Prairie, TX.
Key Responsibilities:
- Evaluate and treat patients in accordance with standards of care.
- Follow established medical care and quality standards for patients and monitor care using available data and chart reviews.
- Assist in the coordination of patient services, including specialty referrals, hospital and SNF coordination, durable medical equipment, and home health care.
- Complete all medical record documentation, working with a quality-based coder to optimize coding specificity.
- Meet with AMD to discuss quality of care, review outcome data, policy, procedure, and records issues.
- Perform direct patient care, including patient-facing time and general administrative time (charting, meetings, etc.) as it relates to direct patient care.
Requirements:
- Doctor of Medicine (MD) or Doctor of Osteopathy (DO) degree in Medicine, Family Medicine, Internal Medicine, or related field.
- 3 years of experience in Medicare guidelines and coverage, Healthcare Effectiveness Data and Information Set (HEDIS) quality indicators, and treating geriatric patients and managing chronic diseases.
- Current unrestricted medical license in the state of Texas.
- Board Certification or eligibility in Board Certification in Family Medicine, Internal Medicine, or Geriatric Medicine from a relevant authority.
Working Conditions:
40 hours per week. Must have authorization to work permanently in the United States.
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