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Assists the Case Management staff in resolving patient care issues for referred cases, provides physician education, and assists the hospital and medical staff in developing and promoting resource management goals and objectives. This includes, but not limited to: Makes decisions on referred individual patient cases regarding pre-admission authorization, medical necessity and services/setting, appropriateness of admission, and continuation stay.

The Medical Director of Case Management and Utilization Review leads the hospital specific execution of the Case Management (CM) and Utilization Management (UR) and related activities. The Medical Director functions as the primary physician advisor for the hospital and supervises other Physician Advisors for that hospital. As an active member of the UR Committee and in collaboration with it, identifies opportunities to improve utilization of hospital resources and the quality of patient care. Assists the Case Management staff in resolving patient care issues for referred cases, provides physician education, and assists the hospital and medical staff in developing and promoting resource management goals and objectives. This position reports to the Senior Medical Director of Case Management and Utilization Management. HeC-JG Education and Clinical Documentation Improvement: Supports education and clinical documentation improvement. This includes, but not limited to: At least annually, educates and communicates to the medical staff the role and benefits of case management. Assists in conducting medical necessity education in collaboration with the Senior Medical Director and Physician Advisors. Provides ad hoc education and discussion regarding resource management cases with physicians. Assists physicians in improving the quality of documentation and serves as a liaison between Health Information Management (HIM) Department and the medical staff. Complex Care Management: Leads Complex Care Management. This includes, but not limited to: Leads hospital initiatives to reduce complex patient length of stay, in conjunction with nursing director of case management. Leads hospital complex care meeting in collaboration with case management leadership. Responds proactively to escalation of care delays, particularly related to clinical care, physician decision making, and patient and family related discharge barriers. Works with physicians on efficient care of observation patients and serves as liaison to insurance companies for prior authorizations creating discharge delay. Case Management and Utilization Review: Supports the overall enterprise of the Case Management and Utilization Review. This includes, but not limited to: Makes decisions on referred individual patient cases regarding pre-admission authorization, medical necessity and services/setting, appropriateness of admission, and continuation stay. Provides peer review services for medical necessity of admission or continued stay, conformance to professional standards for quality patient care, and for other cases referred by CE staff. Supports the Senior Medical Director in Medical Staff Education. Assists physicians in improving the quality of their medical necessity documentation and works with MDs on efficient care of observation patients. Serves as liaison to insurance companies for prior authorizations and removes barriers to discharge. Supports case management by attending interdisciplinary rounds (IDR) and provides feedback and suggestions to physicians and CMs. Serves as liaison to case management, social workers, nursing staff, individual physicians, and the medical staff. Communicates with Centralized UR staff and serves as support and back-up for case management escalations during and outside of IDRs. Annual Initiatives: Develops UM/resource management studies and projects including fiscal data to improve utilization and patient flow in collaboration with the URC and CM leadership. May include single DRG studies and different physician practice patterns and utilization; works with physicians to change practices and improve outcomes. Utilization Review Committees: Co-leads hospital specific UR Committee and is a member of the system UR Committee. Makes decisions on referred individual patient cases regarding pre-admission authorization, medical necessity and services/setting, appropriateness of admission, and continuation of stay. Competencies: Education and Certification Requirements: Medical Doctor (Required)Medical Doctor License (ME LICENSE) - State of Florida (FL), Osteopathic Physician License (OS LICENSE) - State of Florida (FL) Additional Job Information: Complexity of Work: Essential Competencies and Skills: Excellent customer service and interpersonal skills. Able to effectively present information, both formal and informal. Strong written and verbal communications skills with all levels of internal and external customers. Strong analytical skills. Strong organizational skills and the ability to set priorities and multi-task. Demonstrated flexibility, teamwork, and accommodation to change in the healthcare environment.? Ability to drive results and produce outcomes. Required Work Experience: Extensive experience in one or more branches of medicine or surgery; at least, five (5) post-training years of medical staff organization/administrative experience in a large acute care hospital. Other Information: Additional Education Info: Graduate of a medical school approved by the Council on Medical Education of the American Medical Association. About Memorial Healthcare System

Memorial Healthcare System

Medical Director of Case Management and Utilization Review - FT Days ? MHM

Acute Care

Administrative Skills

Analysis Skills

Case Management

Certified Case Manager (CCM)

Clinical Medicine

Compensation and Benefits

Customer Escalations

Customer Support/Service

Diagnosis-Related Group (DRG)

Director of Nursing (DON)

Documentation

Establish Priorities

Health Information Management

Healthcare

Healthcare Quality

Hospital

Hospital Administration

Insurance

Interpersonal Skills

Leadership

Medical Assistance

Medical Organizations

Medicine

Multitasking

Nursing

Nursing Management

Operating Systems

Organizational Skills

Osteopathy

Patient Care

Patient Care Authorizations

Physician Credential

Presentation/Verbal Skills

Problem Solving Skills

Quality Management

Quality of Care

Resource Management

Resource Utilization

Social Work

Staff Training

Team Player

Training/Teaching

Utilization Management

Writing Skills

Easy Hiring FTP

FEED

Schedule and confirm appointments, enter new patient history and personal information in the system, complete pre-test; obtain brief medical history, complete noncontact tonometry auto refraction, visual acuity, color test, stereopsis test, amsler grid test, etc. Greet our patients and customers as they enter the store, identify patients' need to ensure an easy and memorable experience while providing promotional products and services available.

Reports to: Store (Brand) ManagerLocation: On-site Store LocationAre you passionate about helping others? Do you see yourself positively impacting the patient experience by being the meaningful first touchpoint at the store? At Stanton Optical our Doctor’s Technicians carefully orchestrate an efficient flow and transition from our Clinical services team to our retail team. In this position, you will provide outstanding customer service to all patients while facilitating sales and fostering a strong partnership between our retail and clinical services teams.About us:Stanton Optical is among the nation’s fastest growing, full-service retail optical centers. We are dedicated to offering customer service and quality eyewear at affordable prices to our patients and customers. As a leading optical retailer, we offer some of the nation's most desirable optical brands.Our team members share and support the Vision, Mission and Values of our parent company, Now Optics. These include:Vision: Modernizing the eye care experience for all peopleMission: Making eye care easyValues: iCARE<ul><li>Integrity: We see integrity as building a foundation of trust with our customers, employees and stakeholders by communicating honestly, ensuring consistency and delivering on our commitments.</li><li>Collaboration: We see collaboration as combining the talents of a diverse group, offering proactive communication and being open-minded to new ideas.</li><li>Accountability: We see accountability as taking initiative, delivering our best in all we do, accepting responsibility for our actions and taking ownership of results.</li><li>Respect: We see respect as prioritizing human relationships, being present, connecting with transparency and empathy.</li><li>Empowerment: We see empowerment as making purpose-driven decisions to support the company vision, showing appreciation for others, and taking care of the individuals we serve.</li></ul>Why join our winning team?<ul><li>We are the fastest growing, founder-led, and privately owned eye care provider in the United States. We believe quality eye care should be easy, accessible, and affordable for all people. Stanton Optical, consistently rank among the nation’s top optical retailers.</li><li>We offer a flexible, dynamic work environment where we foster innovation and creativity. We encourage you to be proactive in sharing the great ideas you have to improve the business.</li><li>Eligible employees enjoy great benefits such as medical, dental, and prescription drug coverage, company paid life and short-term disability coverage and free eyeglasses. We also offer identity theft protection, pet insurance, and much more.</li><li>Paid time off that increases with seniority</li><li>Professional development and promotion opportunities</li><li>Employee recognition programs</li><li>Employee Assistance Program (EAP)</li><li>Employees get 2 free eyeglasses (no dollar limit) every year, and Friends and Family discounts on our products!</li><li>We offer competitive variable compensation opportunities and commission on sales.</li><li>Work with an amazing team!</li></ul>Duties & Responsibilities:<ul><li>Greet our patients and customers as they enter the store, identify patients' need to ensure an easy and memorable experience while providing promotional products and services available. Answer customers' inquiries and gather necessary information to facilitate sales.</li><li>Foster a strong partnership between the retail team and professional services.</li><li>Schedule and confirm appointments, enter new patient history and personal information in the system, complete pre-test; obtain brief medical history, complete noncontact tonometry auto refraction, visual acuity, color test, stereopsis test, amsler grid test, etc.</li><li>Assist Management Team with patient complaint resolution and inform the status of all jobs; ensure all patient expectations are met.</li><li>Ensure brand standards by performing basic housekeeping duties when necessary.</li><li>Execute simple customer repairs, assemble lenses into frames and edge stock lenses to expedite delivery of eyeglasses, and ensure customer orders are delivered accurately and on time.</li><li>Ensure brand standards are met in the lab area, and notify management of equipment malfunctions, incomplete orders, incorrect lenses, etc.</li><li>Keep track of delivery time commitments to patients (Now Service, Ready When Promised) to ensure 100% compliance.</li><li>Other duties as assigned and required</li></ul>Key Qualifications <ul><li>You have a high school diploma or equivalent.</li><li>You have 2+ years of experience delivering outstanding customer service to patients and/or customers.</li><li>You have the skills necessary to communicate effectively with a diverse group of people.</li><li>You implement active listening, build rapport, and empathize with the patients.</li><li>You remain proactive and execute problem solving skills to address potential patients’ concerns or rebuttals.</li><li>You have a collaborative spirit, while building respectful and cordial relationships with your team and patients.</li><li>You are driven by results and have the ability to multitask, prioritize and be flexible with changing business needs in a team environment.</li><li>You have a passion for customer satisfaction and maintain a positive demeanor.</li></ul>Now Optics d/b/a Stanton Optical Brand is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. All employment decisions at our company are based on business needs, job requirements and individual qualifications, without regard to actual or perceived race, color, religion, sex (including pregnancy), national origin, age, disability or certain classifications based on genetic information, or any other characteristic protected by federal, state, or local laws, regulations or ordinances.If you have a disability and believe you need a reasonable accommodation to search for a job opening or apply for a position, email retailcareers@stantonoptical.com with your request. This email address is not for general employment inquiries or correspondence. We will only respond to those requests that are related to the accessibility of the online application system due to a disability.

Stanton Optical may be a new company, but its roots reach much deeper. During our past 30-year experience in the optical industry, we achieved enormous success by founding and growing a 200 million dollar optical empire with over 100 locations. We now bring this tradition of success to you in our new company. Using these past achievements and by employing future industry standards, Stanton Optical delivers an unprecedented shopping experience for all our customers. What makes Stanton Optical stand out from the rest? It is our drive to provide you, time and time again, with the best products, services, and knowledge. Our ultimate goal is to make you a fully satisfied customer each and every time you step through our door, and we take that job very seriously. At Stanton Optical, you’re not just a dollar amount; you’re our guest. As such, you will be treated with the utmost honesty and respect. From the moment you step in through the doors to the moment you walk out, we guarantee that you will love your experience with us. Our service to you is not driven by mere profit, but the desire to give you exactly what you were looking for. At Stanton Optical, we carry the latest and best lines of products, but more importantly, they are affordable. Other stores may make you wait for your glasses to ship in from a remote location. We, on the other hand, make your glasses on site so that you can walk out satisfied. Best of all, this fast and customized production won’t cost you a penny more. Another added benefit is our convenient, independent locations. Instead of fighting through mall traffic or driving a mile out for a parking space, you can come to our free-standing stores in leisure. Every aspect of Stanton Optical has been designed with your needs and satisfaction in mind. My name is on the store, and I personally guarantee that once you come to Stanton Optical, you will find your store for life, and we will win you as a customer for life. I look forward to seeing you. Founder Daniel Stanton

Stanton Optical

Doctor's Technician

Brand Management

Communication Skills

Customer Satisfaction

Customer Service Evaluation

Employee Assistance Plan

Housekeeping/Cleaning

Laboratory

Maintain Compliance

Optics

Process Improvement

Promotional Products

Resolve Customer Issues

Retail

Sales

Stereo Vision

Time Management

Time Tracking

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Medical Director of Case Management and Utilization Review - FT Days ? MHM Memorial Healthcare System

Doctor's Technician Stanton Optical

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