Medical Director of Clinical Effectiveness; CE

Posted: 06/21/2017

Working with the hospital's CMO, Utilization Review Committee, medical staff leadership, and the Clinical Effectiveness team, you will proactively identify opportunities to improve utilization of hospital resources and increase the quality of patient care.

• Conform to and maintain the highest professional standards for quality patient care.
• Make decisions about referred individual patient cases regarding pre-admission authorizations, medical necessity, and the appropriateness of admissions, services/setting, and continued stay.
• Conduct peer-to-peer reviews when needed.
• Provide physician education on the benefits/need for CE.
• Review resource management cases with attending physicians and encourage physicians to participate in CE activities related to discharge planning and improvement of quality documentation.
• Assist in the development and promotion of resource management goals and objectives.
• Serve as liaison to and between the medical staff and health information management departments and develop screening criteria for appropriate use of ancillary services, specialty units and/or other targeted areas.

• Demonstrate excellent communication and critical thinking skills in addition to decisive judgment.
• Prior experience in one or more branches of medicine or surgery.
• At least five years of medical staff organization/administrative experience in a large acute care hospital.

Offering a highly competitive and desirable compensation and benefits package that is commensurate with training, experience and market demand. Professional malpractice and medical liability is covered under sovereign immunity.