Remote Medical Director Inpatient Concurrent Review
CorroHealth Inc
CorroHealth Inc. seeks a Medical Director, Concurrent Review to evaluate hospitalizations nationwide from a remote setting. You will review cases in real time and after discharge, advising on admission status and ensuring appropriate payments while supporting hospital clients. The role offers a fully remote, predictable schedule with a four-week training period, then an 18-25 hour per week evening shift. MD/DO with US license and acute-care experience required. #J-18808-Ljbffr
- ...CorroHealth is seeking a Medical Director, Concurrent Review, to evaluate hospitalizations nationwide. The role emphasizes using clinical expertise... ...admission status and provide expert recommendations. This remote position offers a predictable schedule and a path to...Remote work
- ...Humana Inc. is seeking a Medical Director to lead inpatient medical necessity reviews and complex case analyses, leveraging CMS regulations, Humana policies, and... ...unrestricted medical license, and board certification. Remote work with some travel supports Humana’s mission...Remote work
$223.8k - $313.1k
...of our caring community The Medical Director relies on medical background and reviews health claims. The Medical Director... ...to advancing the quality of inpatient care through clinical expertise... ...information. Travel: While this is a remote position, occasional travel to...Remote workFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to FridayWeekend work- Humana is seeking a Medical Director to provide expert inpatient medical necessity reviews, leveraging national guidelines, CMS regulations, Humana policies, and clinical... ..., with typical Monday-Friday hours and a remote work setup. Occasional travel to Humana offices...Remote workMonday to Friday
$190k - $200k
...healthcare management organization is seeking a Medical Director for a remote position. The role involves reviewing medical records, making decisions on service requests... ...0. Ideal for professionals with a background in inpatient care and strong communication skills. #J-18808-...Remote workContract work- ...Clinical Review Nurse - Concurrent Review TX All On-site Share... ...Location: 100% Remote - TX: RN only with TX... ...in by facilities for medical necessity. The nurse... ...Assists evaluating inpatient services to validate... ...Affairs and/or Medical Directors as needed to discuss...Remote workContract workWork from homeShift work
- ...Scope The Medical Director of Inpatient Dialysis at (Acute Care Facility) serves as a physician leader... ...and expectations. If applying for a remote or hybrid role, this includes remote... ...for you. While HiredScore assists in reviewing applications, all final decisions are...Remote workHourly payWork at office
- ...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,...Remote workLocal area
$26.01 - $56.14 per hour
...Management Nurse Consultant (RN) Remote | Concurrent Review | Utilization Management... ...across a broad range of medical specialties Evaluate... ...providers, care managers, medical directors, and interdisciplinary... ...Experience reviewing inpatient, outpatient, specialty, surgical...Remote workHourly payFull timeTemporary workWork experience placementWork at officeLocal areaWork from home$26.01 - $56.14 per hour
...Management Nurse Consultant (RN) – Concurrent Review Remote | Acute Inpatient Utilization Management | RN... ...continued hospital stays Evaluate medical necessity, severity of illness, intensity... ...decisions Partner with Medical Directors on complex cases and escalations Facilitate...Remote workHourly payFull timeTemporary workWork experience placementWork at officeLocal areaWork from home$215k - $269k
...Medical Director - Physical Health Charllotte, NC (Primarily remote, no expectation to be in the office routinely... ...based medical review processes and supports... ...including initial reviews, concurrent reviews, appeals, and... ...determinations for inpatient and outpatient...Remote workPermanent employmentFull timeWork at officeWeekend work- ...Epitec seeks a Registered Nurse Review Analyst to support inpatient precertification and utilization management in a fully remote environment. You will perform prospective, concurrent, and retrospective medical reviews to determine medical necessity, level of care, intensity...Remote work
$269.5k - $425.5k
A leading healthcare organization is seeking a Medical Director to oversee Clinical Review efforts. This role involves providing expertise in DRG coding and collaborating with diverse teams to improve health outcomes. Candidates must possess an MD or DO, board certification...Remote workFull time$220k - $230k
...Clinical Review Medical Director (Remote)Compensation and Benefits Salary: $220,000 – $230,000 Full benefits + 401(k) match Generous PTO Strong work-life balanceLocation: Remote | Full-TimePosition SummaryA growing healthcare organization is seeking a Clinical Review Medical...Remote work$280.84k - $393.18k
...Services, the Senior Medical Director Policy & Outcomes (Sr... ...directors, as well physician reviewers, working in the... ..., concurrent and retrospective reviewInpatient... ...variety of settings (inpatient, outpatient, subacute... ...schedule. (Mon & Fri - remote, Tues - Thurs onsite...Remote workTemporary workLocal area$222.75k - $267.3k
## Medical DirectorApply: Remote: Full time: Posted Yesterday: JR10012... ...patients. The Medical Director of Utilization and... ...Committee, the Peer Review and Patient Safety Committee... ...of prospective, concurrent, retrospective... ...years as a practicing inpatient and outpatient physician...Remote workFull timeWork at officeLocal areaFlexible hours- ...Integrated Resources, Inc ( IRI ) Title: Medical Director Location: REMOTE Duration: 06+ months (Potential... ...Medical Director’s work includes reviewing all submitted medical records,... ...compliant medical necessity reviews for inpatient services. Maintain accountability...Remote workContract work
$249.84k - $374.76k
...Description The Senior Medical Director is a strategic clinical and... ...management, prior authorization, concurrent review, case management, and care... ...care and reduce avoidable inpatient admissions, readmissions,... ...may be opportunity for remote work within all jobs posted...Remote work- ...Humana is seeking a Medical Director to authorize services and determine level of care within... ...clinical leadership. The position is fully remote and allows work from anywhere in the... ...post-residency clinical experience in inpatient or related rehabilitation settings,...Remote work
- ...Brighton Health Plan Solutions seeks a Medical Director to perform utilization review and medical necessity determinations for BHPS-administered self-funded... ...clinical decisions that guide member care. This remote role requires board-certified physicians with UR experience...Remote work
- ...Humana Inc. seeks a Medical Director to authorize services in acute inpatient rehab, guided by national guidelines, CMS policies, and Humana standards. The role... ...leadership across regions. The position is fully remote in the U.S. with a standard 40-hour workweek;...Remote work
- ...CAI is seeking a Medical Director to oversee utilization management, ensuring compliance with... ...current clinical standards. This full-time, remote role requires board-certified MD/DO... ...years of direct patient care. You will review cases, draft rationales, and...Remote workFull time
- ...Overview Clinical Review Nurse - Concurrent Review TX Location: 100% Remote - TX: RN only with TX license... ...in by facilities for medical necessity. The nurse gains... .... Assists evaluating inpatient services to validate the... ...Affairs and/or Medical Directors as needed to discuss...Remote workContract workShift work
- ...Position Title Clinical Review Nurse - Concurrent Review Work Location Remote-MS CST Assignment... ...delivered, evaluating medical necessity, and... ...Assists evaluating inpatient services to validate the... ...Affairs and/or Medical Directors as needed to discuss member...Remote workContract workFlexible hoursWeekend work
- ...Location: 100% remote, but candidates must be comfortable... ...hours. Description: The Medical Director (Utilization Management)... ...a specific focus on inpatient and post-acute care reviews. This physician leader ensures... ..., continued stays, concurrent review, and post-acute care...Remote workImmediate start
$262.15k - $393.22k
...Together.The Regional Medical Director, Non-Acute... ...and medical necessity reviews for complex outpatient... ...variation, and avoidable inpatient or post-acute utilization... ...the CDO, perform SNF concurrent review, peer-to-peer... ...requiring a combination of remote work, home-based...Remote workFull timeWork at officeLocal areaWork from home$190k - $200k
...seeking a board‑certified Medical Director (Internal Medicine or Family... ...our team. This role is fully remote and focuses on utilization management (UM), quality review, and clinical oversight for... ...improvement. Perform concurrent inpatient and post‑acute reviews, and...Remote workFull time- ...hiring a Physical Health Medical Director to work remotely in North Carolina. The... ...quality, evidence based medical review processes and supports... ...including initial reviews, concurrent reviews, appeals, and... ...of care determinations for inpatient and outpatient services...Remote workTemporary workWork experience placementWork at officeRelocationFlexible hoursWeekend work
$60k - $83.2k
...Requirements The Clinical Review Coordinator conducts all mandatory... ...review process. The role is remote work, but you must reside in... ..., providers, and other medical personnel. Protects the confidentiality... ...of readmission to acute inpatient care. Develops and...Remote workFull timeContract workFor contractorsWork at officeShift work$211.17k - $269.25k
The Medical Management Team provides guidance and oversight of... ...of the program, including concurrent reviews of inpatient and rehabilitation services. The Associate Medical Director assists with clinical oversight... ...This position is primarily remote, with occasional on-site...Remote workWork at officeRelocationFlexible hours
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