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Medical Director - Care Management
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Medical Director - Care Management

Job Description


Job ID #:9145

Employment Type: Full - Time

Location: Einstein Medical Center Philadelphia

Weekends Required? No

Rotation Required? No

On-Call Required? No

Entity: Parent

Department: Care Management - PA

Shift: day

Biweekly Hours: 80

Experience Required: 3 - 5 Years

Education Required: Doctorate Degree
Position Description

Einstein Healthcare Network is a private, not for profit organization with several major facilities and many outpatient centers. Our primary mission is to provide compassionate, high quality healthcare to the greater Philadelphia region. Einstein Healthcare Network promotes wellness.  Research has shown that smoking is dangerous to the health of smokers and to others.  Einstein campuses are Tobacco and Smoke Free.

Einstein Healthcare Network is a private, not for profit organization with several major facilities and many outpatient centers. Our primary mission is to provide compassionate, high quality healthcare to the greater Philadelphia region. Einstein Healthcare Network promotes wellness.  Research has shown that smoking is dangerous to the health of smokers and to others.  Einstein campuses are Tobacco and Smoke Free.

We are looking for an experienced Medical Director to join our Care Management team!

Responsibilities of this position include:

  • Serving as a Physician Advisor for inpatient and Emergency Department patients.
  • Communicating with physicians (verbally and in writing) when patients are not meeting Interqual criteria or when a denial has been received from a third party payer.
  • Performing concurrent appeals with medical directors of insurance companies on the day of denial following the care manager's efforts to have a denial overturned.
  • Documenting same in Softmed.


Job Requirements

If you possess the following, please apply:

  • Licensed, board certified physician, preferably in a primary care discipline.
  • M.D. or D.O. license required.
  • Must have intimate knowledge of managed care and have functioned in a medical director role focused on care management for a minimum of 5 years.
  • Must have demonstrated a very clear track record of educating and motivating physicians to modify practice pattern behavior.
  • Credible clinician as evidenced by having had an active clinic practice, either currently or in the near past.


We are an Equal Opportunity Employer and do not discriminate against applicants due to race, ethnicity, gender, veteran status, or on the basis of disability or any other federal, state or local protected class.


PI83015004

Job Snapshot

Employment Type Full-Time
Job Type Health Care
Education Graduate Degree
Experience Not Specified
Manages Others Not Specified
Industry Healthcare - Health Services
Required Travel Not Specified
Job ID 19611824
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Medical Director - Care Management


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