Medical Director, for Quality and Clinical Documentation-NV

Location
Las Vegas, Nevada
Posted
Oct 26, 2021
Ref
R29590
Position Type
Permanent
Job Description:
No Summary Available

Intermountain Healthcare is a system of 24 hospitals, a broad range of clinics and services, 160 clinics, a Medical Group of 2,400+ employed physicians and advanced practitioners, and health insurance plans from SelectHealth, in multiple states including Utah, Idaho and Nevada. Ranked in the top five of our nation's health systems for quality, cost, and innovation, Intermountain Healthcare brings 45 years' experience in making care more accessible and affordable.

Intermountain Healthcare is looking for a Medical Director for Quality and Clinical Documentation to join our team in Nevada. The Nevada-based medical group is a for-profit entity of Intermountain Healthcare. Being a part of Intermountain Healthcare means embarking on a career filled with opportunities, strength, innovation, and fulfillment. We offer competitive pay with financial incentives for yielding strong metrics on quality care. Our clinicians receive an excellent benefit package, including CME reimbursement, paid license renewals, generous PTO, and much more. Take advantage of personal and professional growth opportunities including leadership pathways, charitable sponsorships, and volunteer opportunities.

If you're ready to join our Mission in helping people live the healthiest lives possible, please apply now , or contact Anita Prince, Physician Recruiter at aprince@imailnv.org| 702-528-6276.

The Medical Director is responsible for the oversight of Clinical Risk Adjustment activities including staff performance, fiscal reporting, and documentation management. The duties include but are not limited to recruitment, retention, supervision, and mentoring. The medical director provides leadership and fosters cooperation, collaboration, and collegiality among their team members and our affiliate colleagues. Ensures a prominent level of cooperation and communication among their team members. The incumbent is personally responsible for promoting and maintaining excellence and integrity in teaching, research, patient care, and enhancing the quality of training. Lead and participate in strategic planning efforts.

In charge of the orientation, education, and training of all adult primary care providers for clinical documentation quality in population health management of assigned patients. Maintaining the integrity of the department by proper utilization of fiscal resources, and personnel matters Attend/Lead clinic level meetings to present material and learning opportunities for improving patient outcomes and program management (such as Quality, STARs, Clinical Documentation, comprehensive care, and care coordination, among others).
  • Review charts regularly to aid in the education process, and discover opportunities for continuous improvement of patient outcomes. Meet expected productivity in chart review to inform programming needs.
  • Develop ongoing chart review processes to ensure continued high standards in chart hygiene, clinical judgment, and completeness, as well as aid in developing and monitoring inter-reviewer reliability testing.
  • Provide mentoring to providers on managed care and professional development issues in order to support improved provider engagement and retention.
  • Shadow and coach providers and deliver feedback in a constructive manner that leads to improved provider engagement and enhanced clinical behavior.
  • Analyze data, prepare, and implement action plans to help improve provider and clinical performance.
  • Analyze practice patterns (data, profiling, documentation), strategize, and coordinate with Medical Directors to implement effective changes for improved performance.

Coordinate implementation of clinical programs. Programs include, but are not limited to, training and educational activities and coordination of routine and random targeted quality audits and concurrent follow up feedback.

Coordinate with clinical leadership to ensure the clinical aspects and best practices are communicated to group and affiliated providers. Track and support interventions for improved quality outcomes. Assist with provider recruitment and new provider onboarding. Assist in identifying root cause issues that affect care outcomes and help with implementation and monitoring of corrective actions for practicing providers. Participate in peer review and risk management activities. Other duties as assigned by Company.

Expectations

Expectations of Physician in providing Medical Director services include, but are not be limited to, regularly attend LEAD provider meetings with CMO and other Medical Directors, meetings, and provider education programming and other leadership meetings as assigned. Take a leadership role in provider meetings, supporting adult primary care and specialty clinical initiatives and operations. Administrative work as directed by Company, to include but not limited to, chart review, clinical initiatives, and operations.

Continue delivering superior clinical performance as described and measured by Company in clinic(s) as needed while demonstrating high patient engagement through patient satisfaction results.

Others as established by Company from time to time.

Requirements:
  • Must have or be eligible to have a current and unrestricted Nevada medical license
  • Minimum of 5 years' work experience related to clinical documentation, clinical risk adjustment, and patient population health management.
  • Strong communication and interpersonal skills
  • Board Certified in Internal Medicine, Family Practice, or other primary care specialty
  • Current Nevada DEA certificate required prior to start date
  • Current Nevada Pharmacy license required prior to start date
  • BLS/ACLS certification prior to start date

Preference

Experience in Coding and Risk Adjustment preferred

Physical Requirements:

Location:
Nevada Central Office

Work City:
Las Vegas

Work State:
Nevada

Scheduled Weekly Hours:
40