Medical Director, Denials Management (In-Patient Physician) (Remote)
Company: Versalus Health
Location: Boston
Posted on: January 27, 2023
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Job Description:
Hospitalist opening in Boston, Massachusetts. This and other
physician jobs brought to you by DocCafe
Medical Director, Denials Management
It takes less than 5 mins. to apply directly via the website.
To apply for this position please visit
For an overview of all Medical Director positions with Versalus
Health, please visit versalushealth.com/careers/
Commitment: Full-Time
Office Location: Newtown Square, PA with REMOTE opportunities
available
Versalus Health provides data-driven solutions combined with
clinical operations support to hospitals and health systems to help
them enhance Medicare compliance and improve financial performance.
Versalus Health was founded by industry leaders who established the
standard for reviews of Medicare short-stay cases and remain
trusted advisors to hospitals across the country.------
As a---Medical Director, Denials Management, you will have the
unique opportunity to evaluate hospitalizations across the country
while utilizing your medical knowledge and gaining experience as an
expert advisor to Versalus Health's client hospitals. You will
perform clinical case reviews and provide recommendations that
focus on establishing the appropriate admission status. Versalus
Health offers a career path that allows you to continue using your
clinical knowledge, drive value to hospitals while providing you
with a predictable schedule. This opportunity allows for the
work/life balance you desire while expanding your knowledge base in
Utilization Review.---
The Impact You Will Have:
Versalus Health---is---led---by like-minded---clinicians who share
the same innate calling to help.--- Hospitals nationwide have
recently struggled with managing complex and unforeseen challenges
such as global pandemics, complex regulatory updates, and
downstream policy changes set forth by Medicare and private payer
organizations – resulting in financial difficulty. Versalus Health
physicians lead challenging and rewarding careers by providing our
hospital clients with guidance to improve compliance and ensure
appropriate payment for the care delivered. The impact of your role
will allow attending physicians to focus on what is most important,
providing dedicated care to the patients they serve.
Your Schedule:
Training (The first 3-4 weeks):
Training will occur Monday-Friday 9A-5P ET
After Completion of Training:
Schedule will be Monday-Friday, anywhere between 8a-5p ET to 10a-7p
ET.
Each of your shifts will be 9 hours in length, which includes one
hour of dedicated break time.
Includes an expectation of 1 weekend 6-hour shifts of "prep" for
peer-to-peer cases, within a 6-week business period
Working at Versalus:
All necessary hardware and software is provisioned to each of our
Medical Directors
You have the ability to work remotely in a comfortable
environment
In This Role You Will:
Perform Peer-to-Peer case discussions with payer medical
directors
Utilize clinical expertise to identify the salient points within a
case review
Perform focused real-time and post-discharge hospital case reviews
in hospital's EMR
Identify areas of process improvements and inefficiencies
Perform related duties and projects as assigned
Do You Have What It Takes?
MD or DO degree with strong clinical knowledge
Active unrestricted medical license in at least one state within
the United States
Required specialization in Adult Internal Medicine, Emergency
Medicine, Hospitalist, Nephrology, or Infectious Disease; Board
certification (preferred)
At a minimum, 1 year of acute care adult hospital experience in a
US hospital within the past 5 years or recent relevant physician
advisor experience
Working knowledge of hospitals' EMR
Computer proficient
Excellent verbal and written communication skills
Team Player
We Offer:
Quality of life with a remote predictable, full-time schedule
Comprehensive training and education program
Opportunities for career growth within the organization
Salary plus bonus opportunities
Medical, Dental, Vision coverage, 401K
Holidays, paid time off, short term and long-term disability
insurance, and life insurance
Allowance for CME and/or license renewals
Physical Requirements:
Physical requirements include, but not limited to, sitting for
extended periods of time, repetitive movement of hands/fingers
(i.e., typing and/or writing), and ability to talk and hear.
Versalus Health is an Equal Opportunity Employer and considers
applicants for employment without regard to race, color, religion,
sex, orientation, national origin, age, disability, genetics or any
other basis forbidden under federal, state, or local law.
Keywords: Physician, MD; DO; non-clinical; Physician Advisor;
Utilization Management; Utilization Review; Case Management;
CDI
Keyphrases: hospitalist jobs
Keywords: Versalus Health, Boston , Medical Director, Denials Management (In-Patient Physician) (Remote), Healthcare , Boston, Massachusetts
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