Medical Director Care Coordination

Medical Director Care Coordination page is loaded## Medical Director Care Coordinationlocations:
Banner Estrella Med Ctr (9201 W Thomas Rd) time type:
Full time posted on:
Posted Todayjob requisition :
R4429477
** Primary City/State:
** Phoenix, Arizona
** Department Name:
** Medical Necessity Review-Corp
*
* Work Shift:

** Day
* * Job Category:
** Physicians

A rewarding career that fits your life. Those who have joined the Banner mission come from all walks of life, united by the common goal:
Make health care easier, so life can be better. If changing health care for the Imagine yourself as a
** Medical Director Care Coordination at Banner Estrella Medical Center,
** where you'll play a pivotal role in optimizing patient care and resource utilization. At Banner Estrella, you'll be part of a dynamic care coordination team that completes over 60,000 reviews annually, ensuring patients receive the right care at the right time. You'll work alongside a multidisciplinary team dedicated to improving patient outcomes while navigating the complexities of utilization management in a supportive, collaborative environment.

This position offers you the opportunity to leverage your clinical expertise in a leadership capacity, directly impacting both patient care quality and operational efficiency at one of Arizona's premier medical  this
** Medical Director Care Coordination role,
** you'll utilize your clinical judgment and communication skills to make critical decisions that shape patient care pathways. You'll conduct secondary medical necessity reviews and denial reviews, serving as a Physician Advisor who bridges clinical care with administrative requirements. Your day will involve conducting throughput and observation rounds, engaging in professional peer-to-peer conversations with insurance company medical directors, and having difficult but necessary conversations that protect both patients and the organization.

You'll work with the Dragonfly system to document your reviews, create presentations for stakeholders, and mentor learners as part of our teaching environment.

This
** on-site position at Banner Estrella Medical Center
** offers you a
** Monday through Friday schedule from 8:00 AM to 4:30 PM**, providing you with work-life balance while allowing you to make a substantial impact on care delivery. You'll have the autonomy to volunteer for holiday coverage based on your preferences, and you'll receive comprehensive training (up to one month depending on your experience) to ensure your success in this specialized role.

Your pay and benefits are important components of your journey at Banner Health. This opportunity includes the option to participate in a variety of health, financial, and security benefits. In addition, this position may be eligible for our Management Incentive Program as part of your Total Rewards package.

Within Banner Health Corporate, you will have the opportunity to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of disciplines. Whether your background is in Human Resources, Finance, Information Technology, Legal, Managed Care Programs or Public Relations, you'll find many options for contributing to our award-winning patient care.

POSITION SUMMARY  This position acts as a physician executive to ensure the appropriate and efficient medical management of cases while assuring the quality of care is upheld as it relates to the primary and secondary review process. This position provides guidance on an individual case and aggregate level to cultivate efficiency related to patient care delivery. This position provides medical case review, utilization and quality review and provides recommendations, advice and liaison services concerning quality and cost-effective patient care.

This position collaborates with hospital executive leadership, medical staff including resident physicians, nursing leadership and support staff. It works in conjunction with hospital executive leadership to optimize length of stay and efficiently manage resources. This position promotes improving documentation and coding and ensuring compliance with appropriate levels of care. This position has responsibility for providing leadership, direction, and administration of medical management, as well as the integration, coordination, and improvement of clinical care and patient safety for designated healthcare operations.

Serves as a member of the facility executive leadership team for designated healthcare operations, building and supporting effective collegial relationships with stakeholders and ensuring optimal operating effectiveness and strategic positioning.
CORE FUNCTIONS  
1. Provides expertise via medical necessity reviews using current regulations, adopted guidelines, evidence based criteria and personal clinical experience, in order to assure optimal efficiency in the management of patient care.
2. Educates physicians, advanced…