Medical Director

2 weeks ago


Louisville, Kentucky, United States CenterWell Home Health Full time
Job Summary

We are seeking a highly skilled Medical Director to join our team at CenterWell Home Health. As a Medical Director, you will play a critical role in ensuring the delivery of high-quality healthcare services to our patients.

Key Responsibilities
  • Provide medical interpretation and determinations on services provided by other healthcare professionals
  • Collaborate with other team members, departments, and Humana colleagues to support regional market priorities
  • Review and analyze clinical scenarios, prioritize daily work, and communicate decisions to internal associates
  • Participate in care management, including discussions with external physicians and conflict resolution skills
  • Support regional market priorities, including an understanding of Humana processes and collaborative business relationships
Requirements
  • MD or DO degree
  • 5+ years of direct clinical patient care experience post-residency or fellowship
  • Current and ongoing Board Certification in an approved ABMS Medical Specialty
  • Current and unrestricted license in at least one jurisdiction
  • Excellent verbal and written communication skills
  • Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning, and/or home health or post-acute services
Preferred Qualifications
  • Knowledge of the managed care industry, including Medicare Advantage, Managed Medicaid, and/or Commercial products
  • Utilization management experience in a medical management review organization
  • Experience with national guidelines, such as MCG or InterQual
  • Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialists
  • Advanced degree, such as an MBA, MHA, or MPH
About Us

CenterWell Home Health is committed to putting health first for our teammates, customers, and company. We make it easier for the millions of people we serve to achieve their best health, delivering the care and service they need, when they need it.

We are an equal opportunity employer and welcome applications from diverse candidates. We are committed to creating an inclusive environment where everyone feels valued and respected.



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