EviCore

Healthcare

MedicalDirector,PostAcuteCare-PM&R

$220–310k ~AI est. United States FULL TIME Remote Friendly
Market Sentiment
HIGH DEMAND

Neural analysis suggests this role is
optimal for Director candidates.

The Brief

“Medical Director, Post Acute Care- PM&R at EviCore. Skills: Post Acute Care, PM&R, Medical necessity reviews. Provide evidence-based medical reviews. Complete time-sensitive medical case reviews”

What You'll Achieve.

Improve the lives of others; Enhancing the health and vitality of others

Industry & Context.

Healthcare
Eligibility Requirements

Hard-wire connected to a modem or router, Internet connection through cable broadband or fiber optic

What They're Looking For.

Must Have

M. D. or D. O., Current, active, U. S. state medical license, Board certified in PM&R, Eligible to acquire additional state licensure, 3 years of relevant clinical experience post residency/fellowship, Knowledge of applicable state federal laws, Meet physical demands of the role, Computer skills

Nice to Have

Utilization Review Accreditation Commission standards is a plus, National Committee for Quality Assurance standards is a plus

What You'll Do.

Provide evidence-based medical reviews

Complete time-sensitive medical case reviews

Conduct physician consultation calls

Discuss evidence-based medical necessity

Recommend alternative services or treatments

Work collaboratively with physician colleagues

Ensure patients receive proper care

How You'll Work.

Team & Collaboration

Collaborate with healthcare providers; Work collaboratively with physician colleagues

Full Job Description

**Job Description** Do you crave an intellectually stimulating job that allows you to leverage your clinical expertise while developing new skills and improving the lives of others? Then look no further! As a Sleep Medicine Medical Director at EviCore, part of Evernorth Health Services, a division of The Cigna Group, you’ll use your clinical know-how to provide evidence-based medical reviews for patient care. Collaborate with healthcare providers and stay current on healthcare regulations and industry developments as you review a wide range of cases. This role offers you the opportunity to build new skills while enhancing the health and vitality of others. We're seeking a detail-oriented individual with good communication, technology, and typing skills, as well as strong clinical judgment. Drive growth in your career with our innovative team. **How you’ll make a difference:** • You’ll start training remotely in a structured environment with support from trainers, mentors, and leadership to set you up for success. • Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on EviCore’s case management software. • Conduct physician consultation (peer-to-peer) calls with referring providers to discuss evidence–based medical necessity and appropriateness of the requested service or treatment. • Leverage your clinical expertise to recommend alternative services or treatments as necessary. • Work collaboratively with over 500 EviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making. **What you’ll enjoy about working here:** • Benefits start on day one • Predictable work schedules • 100% work from home • 8 Paid Holidays + 23 PTO Days • 401(K) with company match • Reimbursement for continuing medical education • Career growth opportunities across the enterprise • Networking with peers across multiple medical specialties **Requirements:** • M.D. or D.O. with a current, active, U.S. state

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