Location
Las Vegas, NV, United States
Posted on
Feb 18, 2022
Profile
Job Description:
**MEMBERS ONLY**SIGN UP NOW***. is a system of 24 hospitals, a broad range of clinics and services,160 clinics, a Medical Group of 2,400 employed physicians and advanced practitioners, and health insurance plans from SelectHealth. Ranked in the top five of our nation's health systems for quality, cost, and innovation, **MEMBERS ONLY**SIGN UP NOW***. brings 45 years' experience in making care more accessible and affordable.
**MEMBERS ONLY**SIGN UP NOW***. is looking for a Medical Director for Utilization Management to join our team in Nevada. The Nevada-based medical group is a non-profit entity of **MEMBERS ONLY**SIGN UP NOW***.. Being a part of **MEMBERS ONLY**SIGN UP NOW***. means embarking on a career filled with opportunities, strength, innovation, and fulfillment. We offer competitive pay with financial incentives for yielding strong metrics on quality care. Our clinicians receive an excellent benefit package, including CME reimbursement, paid license renewals, generous PTO, and much more. Take advantage of personal and professional growth opportunities including leadership pathways, charitable sponsorships, and volunteer opportunities.
If you're ready to join our Mission in helping people live the healthiest lives possible, please apply now , or contact Anita Prince, Physician Recruiter at ****| 702-528-6276.
This position interacts with utilization management, claims, network management, and finance. As the Medical Director, UM you are responsible for the appropriate utilization of medical services within established guidelines and for assuring that quality medical care is being delivered to our patients. In this role, you will develop, implement and administer policies and procedures for utilization of inpatient, ancillary, and specialty services throughout the care continuum. Must be knowledgeable of State and Federal regulatory agencies standard, related to health care organizations, which includes Medicare coverage criteria.
We offer competitive pay with financial incentives for yielding strong metrics on quality care. Our clinicians receive an excellent benefit package, including CME reimbursement, paid license renewals, generous PTO, and much more. Take advantage of personal and professional growth opportunities offered at **MEMBERS ONLY**SIGN UP NOW***., including leadership pathways, charitable sponsorships, and volunteer opportunities.
Our combined strengths and a shared cultural commitment as community-focused health systems with deep, personal connections to the people we serve allow us to focus on moving southern Nevada forward. **MEMBERS ONLY**SIGN UP NOW***. is ranked in the top five of our nation's health systems for quality, cost, and innovation, and brings 45 years' experience in making care more accessible and affordable.
Essential Functions
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