Healthcare Job Descriptions for Providers, Medical Directors and Staff

Published by: Apollo Managed Care Consultants

Published: Feb. 1, 2008 - 142 Pages

Table of Contents

Preface

Introduction

Health Care Provider Job Descriptions

Medical Director

PHO Medical Director

Quality Assurance/Management Medical Director

Managed Care Organization Medical Director or Chief Medical Officer

Health Plan Medical Director for Appeals and Grievances

Physician Advisor

Other Medical Directors/Physician Advisors

Primary Physician - job description, work standards

Medical Record Audit

Physician Work Standards - Additional considerations

Mentor Policy

Primary Physician Coordinated Care Policy

Physician staffing requirements (by population)

Office Visits, Primary Physician, by Diagnosis

Obstacles to effective medical practice

Hospitalists

Physician Extenders/Non-physician Clinicians

Physicians Assistant

Nurse Midwife

Licensed Vocational Nurse/Licensed Practical Nurse (LVN/LPN)

Registered Nurse (RN)

Charge Nurse

Nurse Practitioner/Advanced Practice Nurses

Nurse or PA Endoscopists

Clinical Director, Utilization Management

Utilization Management, Managed Care Coordinator/Representative

UM Nurse Reviewer

Concurrent Review Nurse Coordinator

Denial Letter Administrative Assistant

Managed Care Technicians

Pharmaceutical Benefits Director

Utilization/Resource Management Staff - Training and Job Standards

Utilization/Resource Management - Reviewer Evaluation

Assessment Tool for UM Staff - worksheet

Utilization Review Inter-rater Reliability Evaluation

Audit of UM Procedures

Referral Coordinator Productivity Tracking Form

QA Nurse with performance standards

Case Management

Case Manager, Primary Care/Ambulatory Care

Case Manager, Hospital

Case Manager, Specialty Care

Case Management Coordinator

Social Worker, MSW

Social Worker Case Manager Competency Requirement List

Social Work Director

Discharge Planner

HIPAA Security Officer Job Descriptions

Compliance Officer

Medical Group Practice Executive

Risk Management/Patient Relations - Function and Responsibilities - example

Health Information Management (HIM) Job Description Resource

Medical Staff Coordinator

Medical Translator

Speech-Language Pathologist - work, credentials

Performance Management Process, generic version

Performance Improvement Counseling - Policy (Vanderbilt example)

Competency assessment strategy and tools

Policy on Policies

Employee Policy Statements - examples

Physician turnover rates; Physician recruitment policy and procedures;

References and Resources

Web Sites

Abstract

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