Medical Director jobs in New Mexico

Medical Director plans and directs all aspects of an organization's medical policies, standards, and programs. Responsible for strategic clinical relationships with physicians and interns. Being a Medical Director ensures all clinical programs are in compliance with all applicable regulations. Researches and studies current medical publications and data on new treatments and practices to ensure high quality clinical service offerings. Additionally, Medical Director advises non medical management on clinical and patient related matters and policies. Requires a MD degree. Typically reports to top management. The Medical Director manages a departmental function within a broader corporate function. Develops major goals to support broad functional objectives. Approves policies developed within various sub-functions and departments. To be a Medical Director typically requires 8+ years of managerial experience. Comprehensive knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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DIRECTOR - MEDICAL STAFF SERVICES
  • Gila Regional Medical Center
  • Silver, NM FULL_TIME
  • Job Details

    Description

    General Description:

    The Medical Staff Services Director is responsible for leadership, management and operational oversight of the medical staff support services that includes Medical Staff credentialing and privileging, peer review, provider payer enrollment, CME program management, maintenance of the Medical Staff Bylaws, Rules and Regulations and policies, practitioner recruitment and retention, and meeting management, all within the requirements of the Medical Staff Bylaws, GRMC organizational policies and regulatory agencies. S/he supervises the staff and the daily operations of the Medical Staff Services Department, serves as a liaison between the Medical Staff and GRMC Departments, and assists in interpreting Medical Staff Bylaws, Rules and Regulations, policies, procedures and services as relates to the Medical Staff.

    • Responsible for maintaining compliance with applicable regulatory agencies, i.e., Centers of Medicare/Medicaid (CMS), The Joint Commission (TJC), federal and state regulations, medical staff bylaws, rules and regulations and hospital policies and procedures related to the medical staff.
    • Oversees the Practitioner Peer Review Program, assessing the quality of care provided to our patients, while ensuring that the functions satisfy on-going changes in regulatory requirements. Processes all complaints suggestive of impaired or unethical conduct by practitioners; oversees the process for investigation and fair hearing, according to the Bylaws.
    • Coordinates with Quality Department to facilitate both Ongoing Professional Practice Evaluations (OPPE) and Focused Professional Practice Evaluations (FPPE).
    • In coordination with the Risk Department, ensures timely and proper notification of any probable claims involving peer reviewed cases.
    • Prepares reports for various physician committees, related to quality review activities, utilization, impairment, relationship difficulties, or other areas as may be deemed appropriate.
    • Coordinates implementation of all approved programs, projects and major activities of the Medical Staff.
    • Oversees and directs the credentialing and privileging process for the practitioners, ensuring the program is in compliance with all regulatory agencies. Attends the Credentials Committee and oversees credentialing reporting to the Medical Executive Committee to ensure on-going compliance is maintained for all practitioners at all times.
    • Oversees the recruitment and the retention of the practitioners, including orientation. in conjunction with the Board of Trustees. Provides statistics for the GRMC planning process to determine the physician needs in the community
    • Negotiates and oversees physician contracts and income guarantees.
    • Oversees the Continuing Medical Education (CME) Program, ensuring compliance with New Mexico State Medical Society and Accreditation Council for Continuing Medical Education (ACCME) regulations for CME presentations.
    • Coordinates the development and maintenance of the Physicians’ Lounge, including furniture, food items and supplies.
    • Oversees the content and production of the Physician Newsletter, portal and the practitioner pages of the GRMC web site.
    • Coordinates and serves on various medical staff committees such as the General Medical Staff, MEC, etc. Prepares agendas and packets, minutes, etc. Works with the medical staff Bylaws Committee Chair to update and maintain the medical staff Bylaws, Rules and Regulations.
    • Oversees the practitioner call schedule program.
    • Prepares departmental budget and monitors and controls operational expenses within approved budget.
    • Supervises caregivers in the Medical Staff Services Department. Establishes goals and objectives, provides feedback and evaluates performance, counsels and develops caregivers.
    • Supports the Chief of Staff, Chiefs of Departments, Chief Medical Officer and Committee Chairs in the context of their roles and responsibilities.
    • Utilizes computer software program(s) necessary to support the credentialing process and manages the centralized provider database that includes data entry and scanning of appropriate documents directly into the database.
    • Responsible for overseeing and managing the provider payer enrollment process which includes ensuring providers are enrolled in insurances timely and accurately, updating and monitoring provider CAQH accounts, maintaining the organization’s payer enrollment matrix, monitor pending enrollment and/or acknowledge all documents are received and ensures communication with insurances are done in a timely manner.

    Education/Experience

    • Minimum Bachelor’s Degree or actively enrolled in a healthcare Bachelor’s Program
    • Must obtain NAMSS CPCS certification within 18 months from hire date into position
    • Extensive clinical background and familiarity with hospital practices, medical terminology, various patient diagnoses, levels of care, patient care areas, and medical records.
    • Skilled in the application of basic statistical processes, data analysis and reporting.
    • Proficiency with computer programs including word processing, and spreadsheets for the purpose of tracking occurrences and trends.
    • 3 years experience in Medical Staff
    • Ability to maintain confidentiality is imperative.
    • Ability to interact effectively with front line caregivers, practitioners, board members and administration.
    • Experience in credentialing and working with physician issues

    NOTE: Job description available on request.

    **All required documents must be presented at time of hire.**

    EXTERNAL APPLICANT: Employment is contingent upon successful completion of pre-employment drug and alcohol testing.

    GRMC is an Equal Opportunity Employer.
  • Just Posted

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Medical Director - Dental Clinic
  • UNM Medical Group
  • Albuquerque, NM FULL_TIME
  • The UNM Medical Group, Inc. is hiring for a Medical Director to join our Dental Clinic in Albuquerque, NM. This opportunity is for 0.1FTE. The ASC is an AAAHC Accredited site which adheres to the high...
  • 8 Days Ago

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Physician/Medical Director - Part-Time
  • UNM Medical Group
  • Albuquerque, NM PART_TIME
  • The UNM Medical Group, Inc. is hiring for a Physician/Medical Director to join our Center for Life Clinic. This opportunity is a part-time day shift opening located in Albuquerque, New Mexico. We are ...
  • 11 Days Ago

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Medical Director
  • Valencia Shelter Services
  • Los Lunas, NM CONTRACTOR
  • JOB DESCRIPTION: The Medical Director of the Sexual Assault Nurse Examiners (SANE) unit provides consultative services to the VSS SANE Unit and forensic medical exams conducted therein. He or She part...
  • 25 Days Ago

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Medical Director
  • El Centro Family Health
  • ola, NM FULL_TIME
  • RESPONSIBILITIES: The Medical Director is a physician who is responsible for overseeing the medical and administrative responsibilities for the quality of medical care for El Centro Family Health. The...
  • 4 Days Ago

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Medical Director
  • El Centro Family Health
  • Espanola, NM FULL_TIME
  • RESPONSIBILITIES: The Medical Director is a physician who is responsible for overseeing the medical and administrative responsibilities for the quality of medical care for El Centro Family Health. The...
  • 19 Days Ago

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Medical Director- Executive Medical Director
  • SciPro
  • Director-Executive Medical Director, Clinical Development, San Diego I am currently searching for a Clinical Development...
  • 6/2/2024 12:00:00 AM

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Medical Director
  • Fairfax Neonatal Associates, PC
  • Fairfax, VA
  • Independent physician practice is actively seeking a Board Certified Neonatologist, with recent Level III NICU Medical D...
  • 6/2/2024 12:00:00 AM

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Medical Director
  • Wexford Health Sources
  • Sumner, IL
  • Wexford Health Sources, one of the nation’s leading innovative correctional health care companies, provides clients with...
  • 6/2/2024 12:00:00 AM

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Medical Director
  • Family HealthCare Network
  • Visalia, CA
  • Job Description Description of Primary Responsibilities Provides overall management and direction to departmental/divisi...
  • 6/2/2024 12:00:00 AM

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Medical Director
  • Planet Healthcare
  • Full-time opportunity for a Board Certified Geriatric Medicine, Internal Medicine or Family Medicine physician to join a...
  • 5/30/2024 12:00:00 AM

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Medical Director/ Senior Medical Director
  • SciPro
  • San Diego, CA
  • Medical Director/Senior Director of Clinical Development - San Diego I am currently searching for a Medical Director/Sen...
  • 5/29/2024 12:00:00 AM

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Medical Director
  • Canopy Health
  • Emeryville, CA
  • About the Job Canopy Health represents an innovative Alliance of leading independent healthcare providers that is reinve...
  • 5/29/2024 12:00:00 AM

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Medical Director
  • Genmab
  • Princeton, NJ
  • At Genmab, we’re committed to building extra[not]ordinary futures together, by developing antibody products and pioneeri...
  • 5/23/2024 12:00:00 AM

New Mexico (Spanish: Nuevo México Spanish pronunciation: [ˈnweβo ˈmexiko] (listen), Navajo: Yootó Hahoodzo pronounced [jòːtxó xɑ̀xʷòːtsò]) is a state in the Southwestern region of the United States of America; its capital and cultural center is Santa Fe, which was founded in 1610 as capital of Nuevo México (itself established as a province of New Spain in 1598), while its largest city is Albuquerque with its accompanying metropolitan area. It is one of the Mountain States and shares the Four Corners region with Utah, Colorado, and Arizona; its other neighboring states are Oklahoma to the north...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Director jobs
$311,735 to $404,190

Medical Director in Portland, ME
While there are many ways to make extra cash, becoming a medical director always seems to come up as a possible “easy” way to make money.
October 27, 2019
Medical Director in Austin, TX
WESLACO, RGV – The longterm medical director of El Milagro Clinic has blasted secondary and specialty doctors who do not help the indigent poor.
November 30, 2019
Medical Director in Appleton, WI
However, physicians should proceed with caution when undertaking a medical director role.
December 10, 2019