Corporate InternistNaphCare • Birmingham, Michigan, USA
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Corporate Internist
NaphCare • Birmingham, Michigan, USA
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job_description.job_card.job_descriptionReview and render decisions on complex or high-cost cases requiring physician-level review ensuring compliance with established criteria (e.g. InterQual evidence-based clinical standards). Partner with the UM team to develop refine and maintain utilization review policies protocols and clinical guidelines across service lines. Support the education and development of UM nurses corporate nurse reviewers and site medical providers on UM principles documentation standards and clinical justification requirements. Identify trends in utilization patterns and collaborate with corporate leadership to develop interventions that improve quality and reduce unnecessary costs. Participate in peer review and quality improvement processes related to UM and case management. Internal Medicine Consultation and Support Serve as a clinical resource for diagnostic and therapeutic decision-making for patients with multi-system diseases or comorbidities. Review cases referred by site medical staff for second opinions treatment recommendations or clinical validation. Support the development of internal medicine protocols chronic care management standards and evidence-based treatment algorithms tailored to correctional settings. Current and unrestricted license as a physician in the state of employment and in any other states as assigned by the Employer. Active DEA registration and current CPR certification. Board Certification in Internal Medicine preferred; Board Eligibility in Internal Medicine required. Minimum of five (5) years of experience in Internal Medicine required. Prior experience providing healthcare in correctional or other institutional settings strongly preferred. Demonstrated excellence in written and verbal communication clinical documentation and interdisciplinary collaboration. Strong computer literacy and ability to work effectively within electronic health record (EHR) and utilization management systems. Health dental & vision insurance that starts day one! Prescriptions free of charge through our health plan beginning day one! Lowest Cost Benefits! Employee Assistance Program (EAP) services 401K and Roth with company contribution that starts day one! Tuition Assistance Referral bonuses Term life insurance at no cost to the employee Generous paid time off & paid holidays Free continuing education and CMEs
Overview
NaphCare is hiring a Corporate Internist to join our team of Executives based out of our Corporate Headquarters in Birmingham AL.
The Corporate Internist is primarily responsible for ensuring NaphCares clinical goals and objectives are achieved by leading directing managing and evaluating medical services to ensure contractual obligations and client expectations are met.
As one of the largest privately-owned providers of correctional healthcare services for 36 years you will work with our executive team members to continue NaphCares mission to deliver patient-focused technology-driven care to correctional facilities across the nation. Come join our growing team of 6000 employees!
Responsibilities
Under the direction of NaphCares CEO the Corporate Internist responsibilities may include and not be limited to :
- Utilization Management Leadership
Provide physician oversight for NaphCares national Utilization Management (UM) program ensuring medical necessity clinical appropriateness and timely access to care.
Provide expert internal medicine consultation to site providers and corporate clinical teams regarding complex or chronic medical cases.
Qualifications
Experience / Requirements / Qualifications
Why Join NaphCare
NaphCare is one of the largest providers of healthcare services to correctional facilities throughout the US and we are growing. If you have never considered a career in correctional healthcare now may be the addition to competitive salaries and generous employee benefits we strongly support career advancement within the company.
NaphCare Benefits for Full-Time Employees Include :
NaphCare has a partnership with NetCE that provides CEU / CME for our staff. NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date. This service streamlines continuing education for all NaphCare Employees to meet state specific requirements for maintaining licensing.
If you would like to learn more about this position and NaphCare apply directly to the position to initiate the application process .
Equal Opportunity Employer : disability / veteran
Follow Us : Instagram Facebook LinkedIn Advancing Correctional Healthcare NaphCare
#NCE
Required Experience :
Intern
Key Skills
Business Intelligence,Bidding,Accounts Assistant Credit Control,Account Development,Content Development,Lab Testing
Employment Type : Full-Time
Department / Functional Area : Administration
Experience : years
Vacancy : 1
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