Remote Medical Director - Utilization and Care Management
$91 - $114 per hourPersonify Health
Personify Health is seeking a part-time Medical Director based in California, United States. The role involves reviewing medical necessity for claims and collaborating with external physicians. Candidates must have an MD or DO degree, board certification, and over five years of clinical patient care experience. This position offers a competitive hourly rate from $91 to $114, alongside mentorship and professional development opportunities. Join us in our mission to enhance healthcare outcomes with personalized health solutions. #J-18808-Ljbffr
$275k - $300k
...delivering highly specialized, value-based cancer care in the community setting. TOI offers cutting-... ..., TOI is changing oncology for the better. Utilization Management Medical Director Oncology Work Location: REMOTE (work from home) California Nevada Arizona...Remote workWork from home- ...Crains Cleveland is seeking a Cardiovascular Utilization Management Reviewer to join their Utilization Management... ...leverage your expertise in cardiology in a fully remote setting, contributing to case reviews and patient care improvement. Ideal candidates hold an MD/DO/...Remote workFull timePart timeFlexible hours
$250k
...The Utilization Review Medical Director is responsible for conducting clinical reviews... ...support Integra’s Utilization Management (UM) operations. This full... ..., clinical standards of care, and regulatory updates relevant... ...: Full-time remote role requiring consistent...Remote workFull timeTemporary workLocal area- ...CenCal Health is seeking a Medical Director to oversee clinical management and ensure quality care for its members. Reporting to... ...involves clinical oversight in utilization management and care strategies... .... This role is hybrid or remote, and requires local residency...Remote workLocal areaRelocation
$110 - $130 per hour
A healthcare staffing company is seeking a Medical Director to lead utilization management and quality improvement for Medicare inpatient care. This remote role requires board-certified physicians with active medical licenses in FL and TX. Key responsibilities include...Remote work$248.5k - $373k
...medicine physician to join our Utilization Management team. Optum is a clinician‑led care organization that is changing... ...clinicians work and live. The Medical Director for Utilization Management will... ...enjoy the flexibility to work remotely * from anywhere within the U.S...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home$101.74k - $163.8k
...Manager, Clinical Utilization Management & Transitions of Care Requisition Number: RNINP002821 Posted: April 28, 2026 Full‑Time Remote Salary range: $101,740 USD to $163,80... ...management inpatient medical necessity reviews... ...Collaborate with the Director of Clinical...Remote workFull timeTemporary workPart timeWork experience placementWork at officeTrial periodFlexible hours$250k - $350k
...Healthcare, an Essen Health Care company, is a specialized medical group dedicated to... ...care, longitudinal care management, remote monitoring, and real-... ...quality, reduce avoidable utilization, and expand access for... ...Title: Medical Director – Intention MA Location...Remote work- Magellan Health, Inc. is seeking a remote Louisiana Licensed Care Manager to support mental health and substance abuse services. You will monitor inpatient... ...in collaborating with clinical teams to ensure effective utilization of care. #J-18808-Ljbffr Magellan Health, Inc.Remote job
$75 - $85 per hour
...Description Job Title: Manager, Clinical Resource/Case... ...Management Location: Remote Type: Contract | 27... ...to lead Case Management, Utilization Review, and Social Work in an acute care hospital. The role... ...firms in the US providing Medical, Clinical and Non-Clinical...Remote workContract workTraineeshipMonday to FridayShift workRotating shiftDay shift$268k - $414k
...Capacity Path is seeking a Behavioral Medical Director to oversee the Utilization Management Program. This position involves... ..., ensuring the quality of care and implementing evidence-based treatments... ...offers the flexibility to work remotely and includes a competitive salary...Remote work$84k - $105k
...Transformcap is seeking a Medical Director to provide clinical support for its clinical utilization management programs. This position involves... ...of 5 years of patient care experience and specialty in... ...required. The position offers remote work with a salary range of...Remote work$170 - $175 per hour
...CAI is seeking a qualified Medical Director to perform utilization management responsibilities in a remote role. The ideal candidate will have at least 5 years of clinical experience and strong decision-making skills. Responsibilities include reviewing escalated cases,...Remote workHourly pay$261.5k - $326.85k
...Job Description Location: Remote with ~40% domestic and... ...Shape the future of cancer care as a Medical Director, Skin/IO at Natera. In this... ...organizations on clinical utility, interpretation, and impact... ...considerations. Effective project management and ability to balance...Remote workWork at officeImmediate startWorldwide- ...A healthcare organization is seeking a Medical Director for Utilization Management to ensure compliant care decisions for Medicare Advantage members. This remote position requires expertise in clinical decision-making, particularly with MCG guidelines and utilization...Remote work
$275k - $300k
...Oncology Institute of Hope and Innovation is seeking a Utilization Management Medical Director Oncology to work remotely from California, Nevada, Arizona, Oregon, or... ...with healthcare providers to optimize patient care. Ideal candidates will possess a medical degree...Remote work- ...Availity is seeking a Medical Director to lead the Utilization Management team for their Auth AI platform. Responsibilities include overseeing a team, ensuring... ..., analytic reasoning, and leadership skills. This remote role offers a competitive salary, benefits including...Remote work
$91 - $114 per hour
...Care Management California, United States Because health is personal.... ...lead healthier lives. The Medical Director relies on their medical background... ..., and research to utilization review. The Medical Director... ...health industries and to work remotely, it has been demonstrated that...Remote workHourly payFull timePart timeWork from home- ...Medical Director ID 2026-25149 Category... ...Defense and Community Care Network/Department of... ...Veterans Affairs. This remote-based civilian position... ...years of experience in managed care environments.... ...management domains including Utilization Management, Case Management...Remote workWeekday work
$110.88 - $124.74 per hour
A community-based healthcare organization is seeking a Medical Director of Utilization Management to oversee and coordinate clinical management, ensuring... ...experience and a current NY Physician license. The position is remote, allowing for a flexible schedule, and involves...Remote workHourly payDaily paidFlexible hours$238k - $357.5k
...organization that delivers care, aided by technology to... ...healthier lives. The Medical Director Oncology will provide utilization review determinations and... ...support case and disease management teams to achieve optimal... ...the flexibility to work remotely from anywhere within the...Remote workFull timeLocal area- ...seeking a Part-Time Behavioral Medical Director to provide oversight for the Utilization Management Program. This position involves... ...ensure the integrity of quality care delivery. The ideal... ...license in Minnesota. Flexible remote work options are available, along...Remote workPart timeFlexible hours
$275k
...Remote Medical Director, Hematology/Oncology (Utilization Management & Clinical Strategy) Full-Time | Remote (Post-Onboarding) | U.S. Licensed MD/DO A nationally recognized... ...role focused on utilization management, oncology care determinations, and strategic program development...Remote workFull timeRelocation packageMonday to Friday$202k - $303k
...Medical Director The Medical Director participates in the broad array of activities of the Medical Services area... ...including, but not limited to, Medical and Pharmacy Utilization Management, quality management, member care management, and medical policy processes, and...Remote workContract workWork at officeLocal areaWork from homeHome officeAfternoon shift- ...financial barriers and make care truly accessible: one... ...and highly skilled Medical Director to join our growing... ...and performing utilization reviews, prior authorizations... .... This is a remote position requiring a... ...optimize utilization management processes and improve...Remote workFull timeFlexible hours
- ...healthcare company in Washington, D.C. is seeking a Medical Director to oversee inpatient medical necessity reviews and utilization management. This role requires strong analytical and... ...will have a dedication to quality care and enjoy working in a structured, team-oriented...Remote job
$27.72 - $46.2 per hour
...Job Category: Clinical Care Banner Health was... ...a Behavioral Health Utilization Care Manager, you will be assigned... ...concurrent reviews for medical necessity. You will be... ...location will be entirely remote. This position does... ...with medical directors. Within the scope of...Remote workFull timeWork experience placementWork at officeMonday to FridayShift work- ...Columbus, Ohio is seeking a Medical Director for National OP Medicare to... ...service authorization and utilization management. This role requires strong... ...on Medicare and post-acute care scenarios. The ideal candidate... ...and may involve remote work. #J-18808-Ljbffr Humana...Remote work
$211.17k - $269.25k
...Medical Director-Physical Health (Full-time Remote, North Carolina Based) Posted on January 13, 2026 Locations... ...the Physical Health Medical Management Team, providing clinical oversight... ...related to clinical quality, utilization management, and care coordination. This position...Remote workFull timeWork at officeRelocationHome officeFlexible hoursWeekend work- A leading healthcare organization is seeking a Per Diem Medical Director to oversee Utilization Management. The role involves collaborating with physicians, enhancing care quality, and developing policies within a managed care environment. Candidates should have at least...Remote workHourly payDaily paid
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