Job Information

Corizon Health UM Medical Director in Hanover, Maryland

About Corizon Health

Correctional healthcare is not just a job. It’s a calling.

By choosing a career with Corizon Health, you are choosing the opportunity to truly make a difference in the health, well-being, and future of the patients you serve. We take pride in being a pioneer provider of correctional healthcare. As a Corizon Health professional, you have access to the resources and support to enhance your skills, build a solid foundation to reach your career potential, and contribute to the care and well-being of an underserved population. There is no greater calling. Join Corizon Health today and be part of our legacy of innovation and clinical expertise.

Responsibilities

  • The Medical Director of Utilization Management is responsible for the evaluation of all outpatient referrals and inpatient direct admissions for medical appropriateness.

  • He or she will utilize Interqual reviews as provided by Corizon Health’s utilization management nurses along with Corizon Health’s standard medical guidelines to determine whether a request will be approved as an offsite encounter or if an alternate treatment plan should be employed; alsotaking severity of illness, acuity and risk of mortality into account in making such determinations.

Experience & Requirements

  • US Residency completion required, and Board Certification preferred

  • Five (5) years of progressively related work experience preferred

  • Strong written and verbal communication skills

  • Team oriented and a collaborative mindset

  • Requires broad clinical knowledge with good clinical background, analytical and decision making skills

  • Knowledge of health care delivery system

  • Knowledge of utilization management, InterQual, DRGs

  • Active licenses in multiple state contracts where services are provided

Benefits for you: Opportunities for growth and advancement, Paid time off, Medical, Dental, and Vision insurance, Tuition assistance, 401(K) with company match, free online Continuing Education program, and Comprehensive onboarding.

Background check, security clearance, and drug screening required.

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ID 2019-6082

Job Locations US-MD-Hanover

Category Clinical & Operations Leadership

Position Type Regular Full-time

Shift / Schedule Weekday Day

Location ID 91200