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Job: CLINICAL DIRECTOR

INETICO

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Jobing Description
Clinical Director of INETICARE is a full-time onsite position located in Tampa. Clinical Director is responsible for assisting in the development and implementation of operational, clinical and functional support for the following programs: Utilization Management, Disease, and Case Management

The Clinical Director is responsible for all aspects of the clinically-oriented products and people including but not limited to the hiring, training, monitoring, evaluation, and supervision of all UM/DM/CM Nurse Case Managers and support staff. The Director assures that all regulatory and URAC accreditation standards are implemented and met.

INETICO
INETICO, Inc. provides healthcare cost containment services to self-funded, fully insured and travel plan members across the United States and Puerto Rico.

INETICO's services have documented millions of dollars in savings through PPO Network Administration, Care Management, Electronic Claims Management and Out-of-Network Negotiations. Through the combined strength of innovative healthcare industry professionals and superior electronic capabilities, INETICO offers extensive provider networks, a variety of cost containment options and related services to meet employer and employee needs. INETICO offers a casual and team focused work environment.

INETICARE
INETICARE is the care management division of INETICO that consists of Registered Nurses, credentialed and URAC-accredited Physician Advisors, and a Board-Certified Medical Director. INETICARE's care management suite of services advocates wellness, prevention of uncontrolled disease states, and, in the event of a need for healthcare intervention, the provision of only the highest quality care-improving ease of access to and appropriate utilization of a highly-skilled continuum of healthcare provider partners.

Skills / Requirements
  • Bachelor's Degree or higher
  • Registered Nurse with at least 5 years of Clinical Nursing Experience or Physician with clinical program experience.
  • Active, Unrestricted License in the State of Florida
  • Certification in UM, Case Management, or a related field
  • Excellent supervisory, oral, written, telephone, and computer skills
  • Positive, proactive, team-oriented approach/attitude
  • Familiar with URAC Standards, Principles, and Procedures
  • Presentation and public speaking skills
  • Some travel required

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    Locations
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    Tampa, Tampa, Florida
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    INETICO
    Managing Your Healthcare Claims and Care Management Insurance costs are expected to increase by 13% to 14% over the next several years. Studies have shown that the industry can only handle up to 8% of that cost... More

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