Remote Inpatient Care Management Medical Director
RXinsider
UnitedHealth Group's Optum is seeking an Inpatient Care Management Medical Director to oversee hospital-level reviews for medical necessity across the continuum of care. You will collaborate with nurses and staff to optimize inpatient utilization for local, regional, or national markets and engage in telephonic outreach to treating providers.
The role requires an active medical license (MD/DO), ABMS/AOA board certification, and 3+ years of practice post-residency.
#J-18808-Ljbffr$237.9k
...Job Summary The Medical Director of Adolescent Inpatient Psychiatry and Substance Use Disorder Medical Management services leads and provides clinical care to service line(s) in the department of Behavioral Health Services (BHS). This role supervises other physicians...SuggestedFull timeTraineeshipWork at officeRelocation package$275k - $315k
...Title: Medical Director of Utilization Management Summary: Step into a strategic leadership... ...rationales in enterprise care management software.... ...Scope: Experience with inpatient/outpatient UM, medical necessity... ...with a hybrid schedule (3 days remote / 2 days onsite)...Remote workFull timeWork at officeMonday to FridayShift work2 days per week- ...Humana is seeking a Medical Director to authorize services and determine level of care within the DSNP framework. The role emphasizes... .... The position is fully remote and allows work from anywhere in... ...clinical experience in inpatient or related rehabilitation settings...Remote work
- ...focuses on enhancing quality and guiding care decisions for patients across a... .... You will collaborate with medical directors on inpatient care management, clinical coverage reviews, member... ...while maintaining flexibility with remote work across the United #J-18808-LjbffrRemote work
$223.8k - $313.1k
...Become a part of our caring community The Medical Director relies on medical background... ...advancing the quality of inpatient care through clinical expertise... ...-reasoned utilization management determinations.... ...Travel: While this is a remote position, occasional travel...Remote workFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to FridayWeekend work- ...Staffing is urgently seeking a Medical Director of Utilization Management to join a leading Medicare Advantage... ...the clinical integrity of inpatient and post-acute care reviews, evaluating medical necessity... ...compliance. Location: 100% Remote Schedule: Full-Time, Monday –...Remote workFull timeMonday to Friday
- ...Scope The Medical Director of Inpatient Dialysis at (Acute Care Facility) serves as a physician leader for the care... ...other physician leaders to optimize management of cost controls and efficiencies... ...expectations. If applying for a remote or hybrid role, this includes remote...Remote workHourly payWork at office
- ...Humana Inc. in the United States seeks a Medical Director to oversee preauthorization reviews, applying medical judgment in inpatient and post-acute settings, with emphasis... ...Medicare guidelines, and coordination with care management teams. You will analyze complex clinical...Remote work
- ...hiring a Physical Health Medical Director to work remotely in North Carolina. The... ...the Physical Health Medical Management Team, providing clinical oversight... ...management, and care coordination. This position... ...care determinations for inpatient and outpatient services...Remote workTemporary workWork experience placementWork at officeRelocationFlexible hoursWeekend work
$213.1k - $383.58k
...1977 as the Senior Care Action Network, SCAN... ...care for the most medically and socially complex... ...Utilization Management (UM) Physician Medical Director provides physician-... ...requests, concurrent (inpatient) reviews, and retrospective... ...Mode - Mostly Remote: Employees who reside...Remote workFor contractorsWork at officeLocal areaRelocation- ...networks.Be part of an exceptional health care experience. Join the inspired,... ...motivated physician to serve as Associate Medical Director for its Inpatient Rehabilitation Centers in Allentown... ..., therapy, administration, and case management teams, this individual will help...Full timeLocal areaShift work
$262.15k - $393.22k
...the mold in conventional health care, committed to serving seniors... ...preferably Raleigh or Charlotte*** Remote Regional Medical Director, Non-Acute Utilization Management (RMD Non-Acute UM) is a market-... ...variation, and avoidable inpatient or post-acute utilization. Pharmacy...Remote workWork at officeLocal area$262.15k - $393.22k
...mold in conventional health care, committed to serving... ...them. Together.The Hybrid Remote Regional Medical Director is a market-facing physician... ...partners closely with Network Management, Quality, Risk Adjustment,... ...): Working knowledge of inpatient/outpatient utilization...Remote workFull timeWork at officeLocal area$365k
...Description Job Description Medical Director - Palmer Lake CO Our... ...medical detox, residential/inpatient treatment, Partial Hospitalization... ...to receive individualized care based on their clinical... ..., withdrawal assessment and management of complications, detoxification...Flexible hours- ...seeks a Physical Medicine & Rehabilitation physician to serve as Medical Director for an inpatient rehab facility near Chattanooga, TN. This full-time role combines clinical leadership with hands-on patient care in a well-established program. Expect about 20%...Full time
$133.17 per hour
...Connecticut’s most comprehensive health system Assistant Medical Director - General Psychiatry Inpatient Unit Hartford HealthCare, Westport, CT Job Description... ...Director for the unit and participate in patient care, resident supervision, and medical student teaching, joining...Hourly payFull timeFreelanceWork at officeRelocationMonday to FridayNight shiftWeekend work- ...Geisinger is seeking a Medical Director to lead medical management for the Health Plan across a regional network.... ...continuous improvement in quality of care and services, acting as a medical... ...region. The position emphasizes inpatient medical management, development of...Remote work
$300k
...Massachusetts Chan Medical School (UMass Chan... ...Facility Medical Director (FMD) for The Cape... ...clinical leader for both inpatient and partial... ...-quality clinical care and treatment across... ...utilization management, risk management,... ...eligible for a hybrid/remote schedule combining...Remote workDaily paidContract workLocumH1bNight shiftWeekend workDay shift$270k - $300k
...Inpatient Psychiatry – Southwestern Massachusetts – Regional Medical Director ~ Providence, Rhode Island Brown University Health has openings for board certified... ..., psychological, and social dimensions of care. About the Position: ~ Supervising providers...FreelanceH1b- ...CVS Health is seeking a Medical Director (Behavioral Health) to provide psychiatric leadership, oversee utilization management, and drive high-quality care across a multidisciplinary team. This remote-based role prefers Ohio residing physicians. You will participate...Remote workWeekend work
$236.5k
Position Purpose:Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and... ...quality and cost-effectiveness of care and service for members.Provides... ...flexible approach to work with remote, hybrid, field or office work schedules...Remote workFull timePart timeWork at officeFlexible hoursWeekend work- ...Services Unlimited, LLC is seeking a Medical Director, Utilization Management to lead clinical utilization reviews for inpatient and post-acute care, ensuring medical necessity determinations... ..., and evidence-based criteria. Remote opportunity in New Jersey for a board...Remote work
- Humana is seeking a Medical Director to review complex outpatient cases, determine authorizations, and support utilization management. You will apply clinical guidelines and CMS policies... ..., and contribute to value-based care.This remote role requires MD/DO, board...Remote work
- ...is seeking a qualified Psychiatric Mental Health Nurse Practitioner (CRNP-PMH) to provide psychiatric care and medication management to our clients. This is a remote/hybrid, 1099 independent contractor opportunity serving Maryland-based clients.Responsibilities include...Remote workFor contractorsFlexible hours
$200k - $250k
...Medical Director, Utilization ManagementWe are seeking a Medical Director, Utilization Management to lead utilization management, coverage determinations... ...members receive the right care at the right time. This... ...combination of onsite and remote daysMonday through Friday,...Remote workHourly payFull time$243k - $269k
...we support patient care, research,... ...drive groundbreaking medical discoveries and invite... ...SummarySite Medical Director of Infection... ...FTE) and providing inpatient and outpatient Infectious... ...Infection Control Manager and Infection... ...benefits package.Remote TypeOnsiteWork Location...Remote workFull timeLocal area- ...Independent Contractor - Medical Director | Colorado Market Quick... ...~ Flexible Schedule ~ Remote - Must live in CO ~ Pay:... ...replacement therapy, weight management and comprehensive wellness solutions... ...delivering evidence-based care through a team of highly...Remote workFor contractorsLive inFlexible hours
- ...individualized, high-quality care through evidence-based... ...provide psychiatric assessment, medication management, individual therapy, group therapy... ...as our Consulting Medical Director of Psychiatry. This... ...consulting schedule Primarily remote, with occasional in-person...Remote workFor contractorsCasual workFlexible hours
$248.5k - $373k
...73,000.00/yearJob Area: Medical & Clinical OperationsCompany... ...to join our Utilization Management team. Optum is a clinician-led care organization that is... ...work and live.The Medical Director for Utilization... ...the flexibility to work remotely * from anywhere within the...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...hospital in Northern Mississippi. Wear many hats - Outpatient, Inpatient, Medical Director, APP supervision, Nursing Home, and more. Great opportunity... ...responsibilities in addition to providing direct patient care. Serve as Medical Director for extended care facility with...Local area
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