Medical Director DME/IRF Summary The Medical Director DME & IRF oversees intraday activities of EviCore’s Durable Medical Equipment and Inpatient Rehabilitation Facility management programs and services. Responsibilities include Serve as program internal lead for DME clinical guideline and policy management + Work with Guideline Manager to create eviCore DME guidelines + Maintain and update DME denial rationales + Represent EviCore in audits or case discussions specifically arranged around Medicare or Medicaid policies regarding DME and IRF issues/decisions Work with pathways team and provide clinical support for development of DME clinical pathways Create quarterly DME IRR quiz and hold quarterly debrief with physicians after quiz is completed Assist in case audits to assess the accuracy of Associate Medical Directors’ & Medical … Sign In to View