Catholic Medical Center, a member of Granite One Health, is seeking a Medical Director of Utilization Management. CMC is proud to be one of the few hospitals in New Hampshire ranked in Newsweek's World's Best Hospitals 2021. We're the only hospital in southern NH to make the list.
The ideal candidate is a graduate of an accredited school of medicine. He/she will have a minimum of two years of Internal Medicine experience and preferably two plus years practicing as a Physician Advisor.
Responsibilities include but are not limited to:
- Conducting clinical reviews on cases referred by care management and the clinical documentation improvement specialist (CDIS) staff and/or other health care professionals to meet regulatory requirements and in accordance with the hospital(s) objectives for assuring quality patient care and effective, efficient utilization of health care services.
- Meeting with care management, CDIS and the health care team members to discuss selected cases and make recommendations for care, interacting with medical staff members and medical directors of third party payers to discuss the needs of patients and alternative levels of care.
- Acting as consultant to and resource for, providers regarding their decisions relative to appropriateness of hospitalization, continued stay, and use of resources.
- Functioning as a resource for the medical staff regarding federal and state utilization and quality regulations.
Catholic Medical Center is located in Manchester, New Hampshire’s largest city and is within one hour of Boston, the Atlantic Ocean, the White Mountains, and fantastic lakes. Whether you like to ski, hike, bike, golf, fish, go boating, outlet shopping, enjoy some fine dining, or hit a baseball game, everything is within easy reach. With excellent local schools and a flourishing economy, New Hampshire is frequently listed as one of the best places to live and practice medicine in the country. The quality of life is hard to beat here, with no state income or sales tax. The Manchester-Boston Regional Airport is just minutes away and easily accessible for those quick getaways!
Location/Region: Manchester, NH (03102)