Medical Director-Case Management

Samaritan Health Services -
Corvallis, OR

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Job Details

Qualifications

Inpatient experience
Hospital medicine
Electronic health records (EHR) management
BC/BE
Patient care
Medical License
Computer skills
Delegation

Full Job Description

THIS HYBRID POSITION INVOLVES BOTH REMOTE WORK AND THE ABILITY TO COMMUTE TO ANY OF THE SAMARITAN HOSPITALS AS NEEDED TO PROVIDE IN-PERSON SUPPORT AND EDUCATION TO CASE MANAGEMENT AND PROVIDERS.

JOB SUMMARY/PURPOSE
- Has the overall responsibility for providing medical direction, input into policy/ procedure development, participation in performance monitoring including organization-wide quality improvements and promotes and supports educational growth from the staff and community. Provides medical consultation and case review for Case Managers at all Samaritan Hospitals. Acts as a liaison with medical staff and hospital administration regarding discharge and length of stay issues.
DEPARTMENT DESCRIPTION
- The Utilization Management team is a centralized team of physicians, nurses and specialists that perform admission and continued stay compliance reviews for all Samaritan Hospitals. Utilization Management nurses and physicians are specially trained in Medicare and commercial insurance regulations, perform reviews on all admitted patients and provide staff and physician education. The Utilization Management team communicates information to insurance companies to assure payment of hospital services.
EXPERIENCE/EDUCATION/QUALIFICATIONS
- MD or DO degree required.
- Board Certification in the practice specialty required.
- Unrestricted license to practice medicine in the State of Oregon required.
- Five (5) years experience in the practice of medicine with a strong clinical background and familiarity with care of hospitalized patients required.
- Three (3) years experience in similar areas of accountability preferred.
- Experience with computer applications, electronic medical records, other medical programs and electronic medical literature required.
- Experience with hospital Utilization Review, Medicare regulations and health insurance policies preferred.
- Experience efficiently researching, analyzing and summarizing complex clinical topics preferred.
KNOWLEDGE/SKILLS/ABILITIES
- Leadership - Inspires, motivates, and guides others toward accomplishing goals. Achieves desired results through effective people management.
- Conflict resolution - Influences others to build consensus and gain cooperation. Proactively resolves conflicts in a positive and constructive manner.
- Critical thinking – Identifies complex problems. Involves key parties, gathers pertinent data and considers various options in decision making process. Develops, evaluates and implements effective solutions.
- Communication and team building – Leads effectively with excellent verbal and written communication. Delegates and initiates/manages cross-functional teams and multi-disciplinary projects.
PHYSICAL DEMANDS
- Rarely
  (1 - 10% of the time)
  
  Occasionally
  (11 - 33% of the time)
  
  Frequently
  (34 - 66% of the time)
  
  Continually
  (67 – 100% of the time)
  
  CLIMB - LADDER
  
  LIFT (Floor to Waist: 0"-36") 20 - 40 Lbs
  
  SQUAT Static (hold >30 sec)
  
  STAND
  
  WALK - LEVEL SURFACE
  
  WALK - INCLINE
  
  CLIMB - STAIRS
  
  SQUAT Repetitive
  
  BEND FORWARD at waist
  
  ROTATE TRUNK Standing
  
  PUSH (40-60 pounds force)
  
  PULL (40 - 60 pounds force)
  
  SIT
  
  ROTATE TRUNK Sitting
  
  REACH - Forward
  
  REACH - Upward
  
  MANUAL DEXTERITY Hands/wrists
  
  FINGER DEXTERITY
  
  PINCH Fingers
  
  GRASP Hand/Fist
  
  LIFT (Floor to Waist: 0"-36") 0 - 20 Lbs
  LIFT (Knee to chest: 24"-54") 0 - 20 Lbs
  
  LIFT (Waist to Eye: up to 54") 0 - 20 Lbs
  
  LIFT (Overhead: 54" and above) 0 - 20 Lbs
  
  CARRY 1-handed, 0 - 20 pounds
  
  CARRY 2-handed, 0 - 20 pounds

Location: Samaritan Health Services · SHS Utilization Management
Schedule: .5 (40 hrs/pp), Day

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