Kristine Midcap, DO
Wheeling
Summary
Accomplished Medical Director specializing in compliance and patient care management. Strong background in overseeing clinical operations and implementing effective protocols to ensure high standards of care.
Overview
31
31
years of professional experience
Work History
Medical Director
Humana, Inc.
Louisville
03.2026 - Current
- Review clinical cases and determine medical necessity of services for Medicare members.
- Ensure compliance with review policies, procedures and regulatory standards.
- Apply clinical guidelines, CMS policies and Medicare/Medicare Advantage requirements.
- Apply clinical guidelines, CMS policies and Medicare/Medicare Advantage requirements.
- Maintain active board certification in Primary Care Specialty.
Medical Director
Valley Hospice
Rayland
02.2023 - 02.2026
- Oversaw clinical operations, ensuring compliance with healthcare regulations to maintain high standards of care.
- Delivered and managed medical care for patients, supporting a daily average census of 200+.
- Developed and implemented patient care protocols for hospice services.
- Collaborated with interdisciplinary teams to enhance patient treatment plans.
- Guided and supported medical staff in daily operations, fostering a collaborative environment.
- Facilitated staff training sessions on palliative care best practices.
- Managed relationships with external healthcare providers and stakeholders.
- Monitored performance of health care providers against established standards.
Emergency Medicine Physician
Team Health Holdings Inc.
Weirton
01.2012 - 02.2023
- Managed 20-bed emergency department and fast track at level IV trauma center.
- Evaluated patients and provided direct care along with diagnostic interpretation of medical tests.
- Supervised clinical education for emergency medicine residents and medical students, fostering their development and preparedness.
- Maintained board certification in emergency medicine since 2008.
- Directed workflow of nurses and residents to optimize patient care processes.
- Collaborated with diverse coworkers to ensure high-quality patient outcomes.
- Maintained extensive knowledge of medications, medical algorithms, and advancements in medicine.
Emergency Medicine Physician/Ultrasound Director
Emergency Medicine Physicians, Inc.
Wheeling
06.2007 - 12.2012
- Provided emergency treatment in the emergency department and responded to to in hospital emergencies.
- Directed ultrasound teaching, credentialing, and quality review for all providers in the emergency department.
- Supervised professional and non-professional personnel, providing essential medical instruction to enhance team capabilities.
- Participated in quality improvement initiatives in the emergency department, supporting trauma accreditation process.
- Managed a group of 12 emergency medicine residents as a Core Faculty member for the Emergency Medicine Residency Program.
- Provided instruction and mentorship to emergency medicine students at WVSOM.
Pharmaceutical Sales Representative
Sanofi US/Bock Pharmacal
Wheeling
11.1995 - 08.1999
- Established professional relationships with primary care, OB/GYN, and cardiologists across multi-state territory, enhancing collaboration and trust.
- Educated physicians and pharmacists on drug use, benefits, dosage and risks.
- Identified new opportunities and strengthened relationships, contributing to increased market share through exceptional customer service.
- Achieved multiple sales-based incentive awards by effectively adapting strategies to meet demands of rapidly changing, competitive environment.
- Transformed low performing territory into top regional territory within first two years.
- Assisted in the training of newly hired representatives.
Education
Emergency Medicine Residency
Ohio Valley Medical Center
Wheeling05-2007
Traditional Rotating Internship
Ohio Valley Medical Center
Wheeling05-2004
Doctor of Osteopathic Medicine, DO -
West Virginia School of Osteopathic Medicine
Lewisburg, WV05-2003
Bachelor of Arts - Biology
University of Toledo
Toledo, OH12-1994
Timeline
Medical Director
Humana, Inc.
03.2026 - Current
Medical Director
Valley Hospice
02.2023 - 02.2026
Emergency Medicine Physician
Team Health Holdings Inc.
01.2012 - 02.2023
Emergency Medicine Physician/Ultrasound Director
Emergency Medicine Physicians, Inc.
06.2007 - 12.2012
Pharmaceutical Sales Representative
Sanofi US/Bock Pharmacal
11.1995 - 08.1999
Emergency Medicine Residency
Ohio Valley Medical Center
Traditional Rotating Internship
Ohio Valley Medical Center
Bachelor of Arts - Biology
University of Toledo
Doctor of Osteopathic Medicine, DO -
West Virginia School of Osteopathic Medicine