Permanent Ophthalmology: Neurology Job in Los Angeles, California
1. Work in collaboration with Medical Directors of Medical Management, Quality, Innovation and Medical Informatics in all aspects of their jobs. 2. Oversee program implementation and ongoing case and disease management programs, interfacing with case managers and other staff for medical advice and intervention as needed. 3. Monitor utilization trends and communicate program outcomes to IPA leadership and physicians. 4. Promote the appropriate utilization of programs to manage complex and/or catastrophic cases and to promote positive health outcomes through disease management interventions. 5. Identify gaps in the IPA network and assist in identifying and recruiting new providers. 6. Provides feedback and education to IPA physicians regarding UM Initiatives. 7. Act as the main point of contact for physicians who wish to speak directly about authorization requests and follow up information. 8. Works collaboratively with the Medical Director of Quality to provide clinical input required for the staff to create and deliver physician performance reports to enhance performance of the physician network. 9. Assess the adequacy of information being provided by the IPA to the IPA's providers and assist in development of any new or revised materials 10. Assist staff from a clinical perspective in development of fee schedules or in payment methodologies. 11. Oversee the identification of clinical initiatives or projects as appropriate, including, but not limited to, Appropriate Resource Use Work Groups (ER utilization, Ambulatory Surgical Center Use, Generics). 12. Supervise local PODS physicians or community physician designees. 13. Participate in all required committees and attend and provide clinical presentations at IPA Board meetings, General Membership meetings, the Medical Leadership Council, and Physician Advisory committees, including meetings before and after customary business hours to accommodate schedules of providers. 14. Develop educational programs for the physician network to enhance the delivery of patient care. 15. Perform all other related duties as assigned.
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