Regional Medical Director, Care Management and Utilization Review- UPMC Presbyterian / Shadyside...

The Regional Medical Director, CC / DP and Utilization Review, provides clinical and management leadership across multiple hospitals within the region. This role focuses on improving patient flow, resource utilization, and length of stay (LOS) strategic oversight. The Medical Director will report to the Vice President of Care Coordination, Discharge Planning, and Hospital Medicine, and will collaborate closely with local hospital VPMAs and presidents.

The Regional Medical Director will have direct reports, including Physician Advisors at UPMC Presbyterian / Shadyside Hospital.

Key Responsibilities

• Leadership & Management
• Oversee Utilization Management (UM) across assigned hospitals, ensuring alignment with UPMC's mission, vision, values, and regulatory requirements.
• Lead and mentor Physician Advisors and other key medical staff leaders providing training and support to ensure consistent and effective UM practices.
• Foster strong partnerships with local hospital leadership, including VPMAs and hospital presidents, Director of CC / DPM, hospitalists, ED Directors, CNOs, and regional CNOs.
• Directly supervise and provide guidance to Physician Advisors at each hospital within the region.

Clinical & Operational Oversight

Communication & Collaboration

Process Improvement

Additional Responsibilities

Qualifications

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