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Templatedata.net
New Orleans, LA, United States
Job Details: We are seeking a part-time Medical Director for our plasmapheresis clinic in New Orleans, LA. The schedule is very flexible requiring only 4 to 8 hours per week only onsite doing chart review and clinic oversight. Any MD/DO is great and paid training is provided. If this interests you, please reply with a current CV, and I will rea
Job Source: Templatedata.netChenMed
Gretna, LA, United States
ChenMed Center Medical Director Gretna , Louisiana Apply Now We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We’re different than most primary care providers. We
Job Source: ChenMedCenterWell
New Orleans, LA, United States
CenterWell Associate Medical Director New Orleans , Louisiana Apply Now Become a part of our caring community and help us put health first The Associate Medical Director serves as a health-care professional and capable of handling a variety of health-related problems. The Associate Medical Director requires a solid understanding of h
Job Source: CenterWellElevance Health
Metairie, LA, United States
Elevance Health Medical Oncology Medical Director - Utilization Review Metairie , Louisiana Apply Now Utilization Management of Medical Oncology Benefits Carelon Benefits Management $20,000 Sign On Bonus Location : The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations with the opportunity t
Job Source: Elevance HealthChenMed
New Orleans, LA, United States
ChenMed Center Medical Director-Metairie New Orleans , Louisiana Apply Now We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy? We’re different than most primary care p
Job Source: ChenMedMDstaffers
New Orleans, LA, United States
MDstaffers is seeking a qualified Medical Director in New Orleans, LA . For more information, please apply or call 90-STAFF. Job Description New Orleans is a Louisiana city on the Mississippi River, near the Gulf of Mexico. Nicknamed the "Big Easy," it's known for its round-the-clock nightlife, vibrant live-music scene and spicy, singular cuisi
Job Source: MDstaffersElevance Health
Metairie
**Clinical Operations Associate Medical Director** **Neurosurgery** **Carelon Insights/Carelon Medical Benefits Management** _A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty Health, is a benefit-management leader in Illinois. Our platform delivers significant cost-of-care saving
Job Source: Elevance HealthmyMDcareers
New Orleans, LA, United States
Description Growing group in New Orleans, LA seeks Medical Director for medicare based practice. Internal Medicine and Family Practice physicians are welcome. Lots of geriatrics. Managed Care/Medicare Advantage experience is preferred but nor required. Leadership experience a must. Normal M-F hours. Very competitive compensation package plus bonu
Job Source: myMDcareersNew Orleans, LA, United States
Job Type
Full-time
Description
POSITION SUMMARY:
The Medical Director, working together with a coder (DRG Integrity Specialist), will review inpatient charts to ensure the acuity and complexity of the patient's hospital stay is appropriately captured in the clinical documentation and translated into coding. The Medical Director is responsible for capturing the true clinical picture in a manner compliant with federal laws and the healthcare organization's information privacy practices through identification of coding and physician query opportunities. The Medical Director is responsible for overseeing every chart assigned to their team.
The Medical Director works with the DRG Integrity Specialist to confirm the principal diagnosis and the appropriate Diagnosis Related Group (DRG) of every case in compliance with coding guidelines. This process also involves the Medical Director confirming procedures, dates, and complication or comorbidity (CC) or major complication or comorbidity (MCC) when used as a secondary diagnosis. The Medical Director validates clinical indicators for coded diagnoses, capturing the patient's condition and ensuring the accuracy of the severity of illness and risk of mortality for the patient to illustrate the true clinical picture of the episode of care.
PRIMARY JOB RESPONSIBILITIES:
Provide clinical leadership in an inter-disciplinary team in a professional, knowledgeable, and efficient manner to drive client results, exceed client expectations, and foster client confidence
Maintain a functional and collaborative relationship with the DRG Integrity Specialist to achieve shared company goals
Comply with medical and federal guidelines at all times
Resolve conflicts quickly and professionally
Stays up to date with medical guidelines, advancements within his or her field, and client-specific criteria
Responsible for the quality of their teams work by developing and implementing strategic goals related to quality improvement within the tower
Responsible for generating compliant queries based on appropriate clinical indicators for each diagnosis. Every query must meet all regulatory and reporting requirements
Work with their manager to review tower analytics, identifying trends and actionable steps to improve opportunity capture rate and drive results for clients
Work with Senior Management and Compliance Officer to adhere to organizational goals and mission
Participate in corporate educational activities
Utilize all technology, tools and resources to enhance performance and will be proficient in navigation of various electronic medical records
Excel in a fast-paced, rapidly changing environment
Exceed expectations in performance with regard to productivity and quality of his/her tower work, professionalism, and professional growth
Take on additional responsibilities and demonstrate leadership at a departmental level
Performs miscellaneous job-related duties as assigned.
Requirements
POSITION QUALIFICATIONS:
Education :
Graduate from an accredited medical school
Preferred completion of an ACGME accredited US residency program
Experience:
Minimum of a total of 5 years of clinical experience including residency
Knowledge, Skills, and Abilities:
Academic Excellence
Leadership
Service, compassion, and humanism
Diversity
Ability to work as part of a team
Basic Microsoft Office skills
Ability to use a PC in a Windows environment, including MS Word, Excel and PowerPoint
Independent, focused individual able to work remotely or on-site
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Medical Director jobs in New Orleans, LA, United States
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