Health Care Provider Job Descriptions, 2nd edition updated

 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 

• Job description example: Director Hospitalist Program Operations

• Medical Staff Coordinator

• Medical Translator

• Speech-Language Pathologist - work, credentials

• Alc/Drug abuse counselor;

• Post-acute care coordinator;

• System Performance Evaluation Coordinator for Mental Health Services;

• Medical Assistant;

• Medical Technologist;

• Trauma Center Performance Improvement Medical Director;

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; Physician partnership, employment issues

References and Resources

Web Sites

E-mail apollomanagedcare@cox.net to request example pages or obtain additional information.

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