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Medical Director Clinical Review / Remote

$220k - $230k

RCM Health Care Services

Job Description

Clinical Review Medical Director (Remote)
Compensation and Benefits


Salary:

  • $220,000 - $230,000
  • Full benefits + 401(k) match
  • Generous PTO
  • Strong work-life balance
Location:
  • Remote | Full-Time
Position Summary
A growing healthcare organization is seeking a Clinical Review Medical Director to support DRG validation, utilization review, and peer review activities in a fully remote setting.

Responsibilities

Key Duties:
  • Perform DRG clinical validation reviews
  • Review readmissions and level of care cases
  • Support UM (initial & appeals) and peer review activities
  • Develop clear, evidence-based clinical rationales
  • Contribute to quality initiatives and reviewer training
Qualifications

Licenses and Certification:
  • MD or DO with active U.S. license
  • Board certified
Skills:
  • Perform DRG clinical validation reviews
  • Review readmissions and level of care cases
  • Support UM (initial & appeals) and peer review activities
  • Develop clear, evidence-based clinical rationales
  • Contribute to quality initiatives and reviewer training

About Us
RCM Healthcare Services' mission is to provide opportunities for qualified candidates across medical professions. We deliver timely results and have built a reputation of trust with our clients and candidates. Since 1975, we have been providing staffing solutions to many of the finest healthcare institutions across the nation and careers for thousands of candidates. As professional career opportunity matchmakers, we follow up and follow through to help our clients and candidates reach their career and life goals. We proudly hold the Joint Commission Gold Seal of Approval as well.


Equal Employment Opportunity & Reasonable Accommodation RCM Technologies
is an equal opportunity employer and values diversity. We are committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state laws. If you require a reasonable accommodation to apply for or perform this role, please contact us and we will engage in an interactive process to support your needs.
Vacancy posted 3 days ago
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