Associate Medical Director - Health Plan

Job description

We’re searching for an Associate Medical Director, someone who’s ready to be part of the best ranked children’s hospital in Texas, and among the best in the nation. In this position, you will be responsible for establishing health plans and medical policies. The Associate Medical Director provides guidance to areas within departments of the Texas Children's Health Plan (TCHP); oversees assigned functions of the health plan; provides support, education, and consultation to Texas Children's System staff and physicians, regarding resource utilization, managed care and continuity of care issues. Think you’ve got what it takes? Job Duties & Responsibilities: - Working with the CMOs and Medical Directors, you will oversee and provide recommendations to continuously improve the implementation of medical management programs as outlined in the policy and procedures. The programs include discharge planning; case and referral management; and the use of clinical protocols and medical review criteria. Working with the CMOs provides input into the development of standards for behavioral health care, practice guidelines, and medication management. Oversees the clinical professional review of beha...