Regional Medical Director jobs in New Mexico

Regional Medical Director establishes and implements health care policies and standards, evaluates new treatments, and conducts medical research to ensure the quality of the medical care provided to patients for a specified region. Writes research publications to support clinical service offerings. Being a Regional Medical Director is responsible for strategic clinical relationships with physicians in the region. Oversees the development of the clinical content in marketing materials. Additionally, Regional Medical Director ensures all regional clinical programs are in compliance with laws and regulations. Requires a MD degree. Typically reports to top management. The Regional 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. Comprehensive knowledge of the overall departmental function. To be a Regional Medical Director typically requires 8+ years of managerial experience. (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.
  • 7 Days Ago

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Director Quality
  • Watertown Regional Medical Center
  • Las Cruces, NM FULL_TIME
  • Memorial Medical CenterDescription Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Memorial Medical Center is a 199-bed ho...
  • 1 Month Ago

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Clinics Director - FT
  • Mountainview Regional Medical Center
  • Las Cruces, NM FULL_TIME
  • The Director of Physician Practices will provide overall direction and professional business management to the physician practice offices. The Director will be responsible for the administration, dire...
  • 8 Days Ago

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Director of Surgical Services
  • Watertown Regional Medical Center
  • Los Alamos, NM FULL_TIME
  • Los Alamos Medical CenterDescription $30.000.00 Sign On Bonus for a thirty six (36) month commitment OR $25,000.00 Sign On Bonus for a twenty four (24) month commitment Housing Allowance of $1,000.00 ...
  • Just Posted

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DIRECTOR OF SURGICAL SERVICES
  • Gila Regional Medical Center
  • Silver, NM FULL_TIME
  • General Description: Under the general direction and in communication with the CNO, the Director of Surgical Services is a registered professional nurse who is responsible for developing, implementing...
  • 18 Days Ago

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HUMAN RESOURCES DIRECTOR
  • Gila Regional Medical Center
  • Silver, NM FULL_TIME
  • General Description: The HR Director is responsible for leading the Human Resources Department. S/he defines, develops and implements Human Resources initiatives for the organization, including labor ...
  • 22 Days Ago

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Regional Medical Director
  • Tennessee Department of Health
  • Are you ready to advance your career to the next level as a leader in public health? The Tennessee Department of Health ...
  • 6/10/2024 12:00:00 AM

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Regional Medical Director Care and Value - Remote
  • South Region Admin
  • Tampa, FL
  • For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health...
  • 6/10/2024 12:00:00 AM

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Regional Medical Director Care and Value - Remote
  • UnitedHealth Group
  • Tampa, FL
  • For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health...
  • 6/10/2024 12:00:00 AM

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Florida-licensed Regional Medical Directors in all sub-specialties
  • The Avante Group
  • Saint Cloud, FL
  • Prominent Post Acute Care organization has flexible opportunities for Florida-licensed Regional Medical Directors in all...
  • 6/9/2024 12:00:00 AM

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Regional Medical Director
  • Behavioral Health Solutions
  • Henderson, NV
  • Behavioral Health Solutions is seeking a licensed Psychiatrist to join our Nevada practice in a regional role encompassi...
  • 6/8/2024 12:00:00 AM

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Regional Medical Director (Eastern)
  • Virginia Department of Corrections
  • Richmond, VA
  • We are hiring a Regional Medical Director! We are in the business of helping people to be better...Come join us! The Vir...
  • 6/8/2024 12:00:00 AM

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Florida-licensed Regional Medical Director in all sub-specialties
  • Avante at Boca Raton
  • Boca Raton, FL
  • Avante at Boca Raton - Prominent Post Acute Care organization has flexible opportunities for Florida-licensed Regional M...
  • 6/8/2024 12:00:00 AM

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Behavioral Health Services Regional Medical Director
  • Advocates
  • Framingham, MA
  • Overview: Starting Salary: $265,000 Advocates promotes a healthy work-life balance and offers many generous perks of emp...
  • 6/7/2024 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 Regional Medical Director jobs
$348,094 to $449,617

Regional Medical Director in Columbia, SC
·       Provides medical direction and administration including, but not limited to, developing medical protocols.
January 06, 2020
Regional Medical Director in Topeka, KS
·       Performs as an active member of the medical team.
February 19, 2020
Regional Medical Director in Baton Rouge, LA
The Regional Medical Director, operating under the authority of the Alteon Health’s executive leadership, is empowered to manage and direct the activities assigned herein.
December 04, 2019