WhitePlainsRecruiter
the smart solution for White Plains jobs

Physical Medicine & Rehabilitation Physician (PMR) Physiatry - Physicians Only Apply - Perm

Company: UnitedHealth Group
Location: White Plains
Posted on: November 24, 2018

Job Description:

A Physical Medicine & Rehabilitation Physician (PMR) Physiatry practice is seeking a qualified physician for White Plains, NY. This and other physician jobs brought to you by ExactMD. Medical Doctors Only Apply.

Orthonet Senior Medical Director, Physiatry - White Plains, New York

Position Description

You're looking for something bigger for your career. How about inventing the future of health care? We're pushing ourselves and each other to find smarter solutions. The result is a culture of performance that's driving the health care industry forward. As a Medical Director you will use your talents to take our already-exceptional service and innovation to the next level. You will lead a team of world-class professionals who are removing barriers to better health with every new idea. Ready for a new path? Join us and start doing your life's best work.(sm)


The Medical Director provides leadership, organization, and direction for all medical management programs and services. Responsible for the overall quality, effectiveness and coordination of the medical services provided through OrthoNet. Directs the Utilization Management, and

Quality Improvement programs for the company. The Medical Director will participate in the monitoring of care administration and medical decision making and coordinates provider appeals. He/she may assist the Provider Services staff in all matters involving provider credentialing, issues and relationships. The Medical Director also provides direction and oversight in the development and implementation of policies and procedures and clinical criteria for all medical programs and services. They will serve as the primary liaison between OrthoNet, physicians, and other medical service providers.



Primary Responsibilities:



Utilization Management
---Directs the utilization management, quality & improvement activities and Monitors all reports, information summaries, clinical and financial data relating to these activities
---Designs and implements programs to help ensure that all participating providers deliver quality, cost effective care across all settings
---Provides direction for development and implementation of new utilization management programs
---Oversees the development and implementation of policies and procedures to ensure effective monitoring and management of clinical interventions
---Oversees implementation of a risk assessment process for the member populations as appropriate
---Participation in Training regarding URAC, NCQA, Regulatory Compliance, Confidentiality, Conflict of Interest, HIPAA, and department specific training as applicable

Committee and Leadership Responsibilities
---As directed by the Chief Medical Officer leads committees and other work groups to accomplish the key quality improvement and utilization management objectives of OrthoNet
---Serves as, directed by the Chief Medical Officer, on various internal and/or external Committees and in other such capacities
---Serves as lead clinician for the coordination of physiatry/rehabilitation clinical team physician team. Leads efforts to ensure consistency of clinical decision making, assures all MDs are aware of current development in client and OrthoNet clinical criteria, assures high quality peer-to-peer coverage and content of discussions, coordinates on call schedules and aids in recruitment and professional development as appropriate to OrthoNet roles
---Works with OrthoNet clinical and therapy leadership to improve education programs and coordinated performance improvement for all clinical staff

Network Services
---Supports existing network management activities to assure that the appropriate provider network is maintained
---Supports the credentialing activities required for physician and physical therapy employees and consultants
---Assists with resolving provider and payor issues including, but not limited to clinical inquiries, claims issues, fee schedule concerns, medical policies, procedures and member/provider appeal coordination

Liaison Activities
---Maintains liaison relationships with payors and providers in the community as needed
---Serves as lead contact with participating provider regarding rehabilitation services with OrthoNet activities. Supports other OrthoNet medical directors and staff with broader client, professional, regulatory and community liaison

Regulatory Requirements
---Supports compliance with regulatory agency standards and requirements (i.e. HCFA, NCQA, URAC, state/federal and third party payors)

---Perform all other duties as assigned




Requirements

To be considered for this position, applicants need to meet the qualifications listed in this posting.

Required Qualifications:
---M.D. or D.O. degree required
---Post-graduate experience in rehabilitation medical practice/patient care is essential
---Leadership positions and academic experiences are of value
---Current and active Unrestricted, Medical license required
---Active Board certification required in ABMS-recognized, relevant specialty
---Minimum five years previous experience in a progressive, results-oriented managed care environment, quality improvement, utilization management and case management experiences strongly preferred
---Experience with integration of clinical and financial data, development of utilization and performance reporting tools, and communication of performance data to physicians and other health care providers
---Excellent verbal and written communication skills
---Diplomacy and tact in dealing with sensitive issues
---Must possess leadership skills in working with other physicians, knowledge of the overall medical community and the local/regional managed care environments
---Strong analytical problem solving and decision-making skills
---Familiarity with managed care accreditation activities and NCQA, URAC and state and federal regulations
---Experience with integration of clinical and financial data, development of utilization and performance reporting tools, and communication of performance data to physicians and other health care providers
---Knowledge in the principles and practice of musculoskeletal clinical practice desired. Broad clinical interests and working knowledge of current clinical practices and major national trends in health care services
---Proficient computer skills
---Excellent interpersonal skills
---Excellent verbal and written communications skills

UnitedHealth Group is working to create the health care system of tomorrow.


Already Fortune 14, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.

Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant - and built for speed.

Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.



Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.



Job Keywords: physiatrist, physiatry, medical director, senior director, utilization review, utilization management, medical management, White Plains, New York, NY

Keywords: UnitedHealth Group, White Plains , Physical Medicine & Rehabilitation Physician (PMR) Physiatry - Physicians Only Apply - Perm, Healthcare , White Plains, New York

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Healthcare Jobs


Healthcare Service Excellence Director
Description: A hospital within a prestigious regional Health System is excited to welcome a Director of Patient Service to one of its rapidly expanding hospital centers. This transformational leader will translate (more...)
Company: Nurse Management
Location: White Plains
Posted on: 12/10/2018

Physician: ENT Locums Job in New York - JOB-
Description: An exciting, locum tenens, otolaryngology opportunity is now available in New York. This will be an ongoing need until a permanent physician is found. Those
Company: CompHealth
Location: Levittown
Posted on: 12/10/2018

Seeking FT/ PT Medical and Dental Reps - Nationwide
Description: Seeking Representatives Nationwide to market our health plans and help others to work remotely
Company: Ameriplan Careers
Location: West Babylon
Posted on: 12/10/2018


Physician: A Hospital in New York Needs a General Psychiatrist - JOB-
Description: An exciting opportunity at a psychiatric inpatient facility in New York is now available for a general psychiatrist. The facility is accepting candidates that can work full-time in an inpatient setting (more...)
Company: CompHealth
Location: White Plains
Posted on: 12/10/2018

Permanent Hospitalist Physician in White plains, New York
Description: Hospitalist physician employment in New York : Hospitalist needed for top medical group in Westchester County:Inpatient position, rounding
Company: White Cap Search
Location: White Plains
Posted on: 12/10/2018

Physical Therapist Travel / Local / Perm Jobs (Hicksville,NY)
Description: Of all the Healthcare Professional specialties we offer, Physical Therapist are one of the specialties that have the most difference between staffing agencies in job / travel assignment locations and (more...)
Company: HealthCare Traveler Jobs
Location: Hicksville
Posted on: 12/10/2018

OB PP Travel RN
Description: Jackson is hiring Registered Nurses with experience managing the care of women during pregnancy and childbirth for a 13 week contract assignment at a reputable area hospital. br br You'll enjoy an (more...)
Company: Jackson Nurse Professionals
Location: White Plains
Posted on: 12/10/2018

Licensed Therapist / Occupational Therapist Job in West Babylon, New York / Skilled Nursing Facility
Description: OT for West Babylon, NY. SNF setting. br Experienced Occupational Therapist treating patients with various conditions this will provide you with a wide range of expertise and career development.
Company: MAS Medical Staffing
Location: West Babylon
Posted on: 12/10/2018

Travel RN-ICU - New Brunswick, NJ
Description: Critical Care/ICU/PICU/NICU opening in New Brunswick, New Jersey. This and other rn jobs brought to you by NursingJobCafe.com ul li RNnetwork has an excellent travel nurse opportunity in New Brunswick, (more...)
Company: RNnetwork
Location: New Brunswick
Posted on: 12/10/2018

Emergency Physician
Description: Emergency medicine physicians treat patients that require immediate medical attention. As an officer on the U.S. Army health care team, you can build a distinguished medical career while making a difference (more...)
Company: United States Army
Location: Levittown
Posted on: 12/10/2018

Log In or Create An Account

Get the latest New York jobs by following @recnetNY on Twitter!

White Plains RSS job feeds