Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Inpatient Utilization Review Medical Director

$223.8k - $313.1k

Humana Inc

A leading U.S. healthcare company seeks a Medical Director to conduct inpatient medical necessity reviews and collaborate in a team-oriented environment. Candidates should possess an MD or DO, along with a minimum of five years post-residency clinical experience. This remote opportunity allows for a significant impact on patient outcomes while enjoying supportive benefits and competitive compensation ranging from $223,800 to $313,100 per year. #J-18808-Ljbffr Humana Inc

Vacancy posted 7 hours ago
Similar jobs that could be interesting for youBased on the Remote Inpatient Utilization Review Medical Director in Oklahoma City, OK vacancy
  •  ...healthcare organization is seeking an experienced Medical Director to conduct clinical reviews and guide decision-making in inpatient care. The role emphasizes collaboration and...  ..., with a focus on hospital medicine and utilization review. Join a distinguished team to impact... 
    Remote job

    Humana Inc

    Columbus, OH
    8 hours ago
  • A leading 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 communication skills, as well as 5+ years of clinical experience post-residency... 
    Remote job

    Humana Inc

    Washington DC
    1 day ago
  • A national healthcare organization is seeking a Medical Director to conduct inpatient medical necessity reviews while collaborating with healthcare providers. This...  ...include performing clinical reviews, providing utilization management determinations, and ensuring... 
    Remote job
    Monday to Friday

    Humana Inc

    Nashville, TN
    1 day ago
  • A leading healthcare company is seeking a Medical Director to perform clinical reviews and assess medical necessity for inpatient cases. This role offers the chance to collaborate with a team of physicians, making a significant impact on patient care. Requires an MD/DO... 
    Remote job
    Work from home

    Humana Inc

    Providence, RI
    7 hours ago
  • A leading healthcare company is seeking a Medical Director to conduct clinical reviews of inpatient medical records. The candidate will analyze complex cases and ensure adherence to medical necessity guidelines. This position offers a chance to impact patient care through... 
    Remote job

    Humana Inc

    Boston, MA
    3 days ago
  • A leading healthcare company is seeking a Medical Director in Denver, Colorado. The role involves conducting inpatient medical necessity reviews, ensuring compliance with regulations, and working collaboratively within a structured team. Ideal candidates have substantial... 
    Remote job
    Full time

    Humana Inc

    Denver, CO
    3 days ago
  •  ...leading healthcare provider is seeking a Medical Director to review health claims and ensure compliance...  .... This role involves conducting inpatient medical necessity reviews and requires...  ...Sacramento, CA, with standard hours and some remote work flexibility. #J-18808-Ljbffr... 
    Remote job

    Humana Inc

    Sacramento, CA
    1 day ago
  • $223.8k - $313.1k

    A leading U.S. healthcare company seeks a Medical Director to enhance inpatient care quality. This role involves performing expert clinical reviews, analyzing hospital cases for necessity, and collaborating in a structured team environment. Candidates should have an MD... 
    Remote job

    Humana Inc

    Annapolis, MD
    1 day ago
  • A leading healthcare company is seeking a Medical Director to review inpatient medical claims and lead clinical decision-making without the irregular hours of bedside care. Candidates should have an MD or DO, with over 5 years of clinical experience and Board Certification... 
    Remote job

    Humana Inc

    Raleigh, NC
    8 hours ago
  • $223.8k - $313.1k

    A leading U.S. healthcare company is seeking a Medical Director to perform expert clinical reviews of inpatient medical records and advance high-quality healthcare decision-making. Ideal candidates are experienced physicians with backgrounds in critical care or inpatient... 
    Remote job

    Humana Inc

    Atlanta, GA
    3 days ago
  • $223.8k - $313.1k

     ...leading healthcare company in Arizona is seeking a Medical Director to conduct clinical reviews of inpatient records and support decision-making for patient care...  ...strong analytical and communication skills. This remote position involves collaboration with external providers... 
    Remote job
    Monday to Friday

    Humana Inc

    Phoenix, AZ
    8 hours ago
  • $223.8k - $313.1k

     ...caring community The Medical Director relies on medical background and reviews health claims. The Medical...  ...the quality of inpatient care through clinical...  ...those experienced in Utilization Review are encouraged...  ...Travel: While this is a remote position, occasional travel... 
    Remote work
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Local area
    Work from home
    Home office
    Monday to Friday
    Weekend work

    Humana Inc

    Sacramento, CA
    1 day ago
  • $250k

    A national healthcare solutions provider is seeking a Utilization Review Medical Director to conduct clinical reviews of Durable Medical Equipment requests...  ...salary of $250,000 annually and various benefits, with remote work opportunities available in Michigan and other... 
    Remote job
    Full time

    Integra Partners

    Troy, MI
    2 days ago
  • A health insurance startup is looking for an experienced Medical Director to oversee utilization reviews and prior authorizations. This remote position demands a strong clinical background with a doctorate in medicine and board certification. The ideal candidate will have... 
    Remote job
    Flexible hours

    Valid8 Financial, Inc.

    Austin, TX
    2 days ago
  •  ...Financial Resources Inc. seeks a Physician for Concurrent Inpatient Review. This remote full-time role involves evaluating hospitalizations, conducting...  ...offers comprehensive training, benefits including medical and dental coverage, as well as opportunities for professional... 
    Remote job
    Full time

    Healthcare Financial Resources Inc.

    New York, NY
    1 day ago
  • $250k

     ...The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests to support...  ...Conditions and Additional Expectations: Full-time remote role requiring consistent availability during standard... 
    Remote work
    Full time
    Temporary work
    Local area

    Integra Partners

    Troy, MI
    3 days ago
  •  ...Medical Director Opportunity At Curative Curative is building the future of health insurance...  ...for overseeing and performing utilization reviews, prior authorizations, and making crucial...  ...peer-to-peer discussions. This is a remote position requiring a "roll up your sleeves... 
    Remote work
    Full time
    Flexible hours

    Curative

    Austin, TX
    2 days ago
  • $77.91k

    E2E Alignment Healthcare USA, LLC is seeking an Inpatient Review Nurse to join its remote Utilization Management team. This position involves reviewing inpatient admissions, coordinating care, and ensuring quality and cost-effective patient outcomes. The ideal candidate... 
    Remote job

    E2E Alignment Healthcare USA, LLC

    California, MO
    3 days ago
  •  ...solutions provider is seeking an experienced Inpatient RN Utilization Reviewer to manage a complex inpatient caseload remotely. The ideal candidate will possess strong clinical...  ...include applying clinical criteria for medical necessity, coordinating care transitions, and... 
    Remote job
    Contract work

    US Tech Solutions

    Oklahoma City, OK
    17 hours ago
  • Wisconsin Psychiatric Association Inc is looking for a Cardiovascular Utilization Management Reviewer to contribute to patient care in a non-clinical setting. This remote role allows for collaboration with a dynamic team and offers both part-time and full-time options,... 
    Remote job
    Full time
    Part time

    Wisconsin Psychiatric Association Inc

    New York, NY
    1 day ago
  • A leading healthcare company seeking a Medical Director to conduct clinical reviews and evaluate health claims. This role requires a physician with significant...  ...skills. Responsibilities include reviewing inpatient medical records and ensuring compliance with healthcare... 

    Humana Inc

    Austin, TX
    2 days ago
  • $223.8k - $313.1k

    A leading healthcare organization is seeking a Medical Director to lead clinical review of inpatient medical records, ensuring compliance with guidelines and regulations. Candidates must have an MD or DO, along with at least 5 years of clinical experience. This role involves... 

    Humana Inc

    Albany, NY
    4 days ago
  • $223.8k - $313.1k

     ...caring community The Medical Director National OP Medicare...  ...medical background and reviews preauthorization...  ...predominantly arise from inpatient or post‑acute care environments...  ...in daily utilization management and coverage...  ...Travel: While this is a remote position, occasional... 
    Remote job
    Bi-weekly pay
    Full time
    Temporary work
    Apprenticeship
    Work from home
    Home office

    Humana Inc

    Oklahoma City, OK
    5 days ago
  • Now Hiring: Medical Director - Utilization Management 100% Remote | Must work PST hours Medicare Advantage | Inpatient & Post-Acute Focus We’re looking for an experienced Medical Director...  ...You’ll Do Conduct medical necessity reviews for inpatient admissions, continued... 
    Remote work
    Immediate start

    Appworkshub

    New York, NY
    2 days ago
  • COMAGINE HEALTH in Nevada seeks a Supervisor, Clinical Review to supervise clinical staff conducting utilization reviews. Ideal candidates will have an active RN...  ...skills are crucial. The position offers a remote work option along with comprehensive benefits, enhancing... 
    Remote work

    COMAGINE HEALTH

    Las Vegas, NV
    17 hours ago
  •  ...State and Territorial Epidemiologists is seeking a Clinical Review Supervisor to provide operational supervision of clinical staff conducting utilization reviews and specialty review activities. This fully remote position requires a strong background in health care and... 
    Remote job

    Council of State and Territorial Epidemiologists

    Las Vegas, NV
    1 day ago
  • Stryker Corporation is seeking an Inpatient Care Management Medical Director to join their team, responsible for managing inpatient care utilization and conducting reviews for medical necessity. This...  ...the flexibility to work remotely from anywhere in the U.S. The... 
    Remote job

    Stryker Corporation

    Kansas City, MO
    4 days ago
  •  ...Epidemiologists is looking for a Clinical Review Supervisor to oversee clinical staff conducting utilization reviews. This fully remote position requires strong leadership in a healthcare...  ...experience. Outstanding benefits include medical insurance, paid time off, and a retirement... 
    Remote job

    Council of State and Territorial Epidemiologists

    Seattle, WA
    1 day ago
  • $248.5k - $373k

     ...Inpatient Care Management Medical Director Optum is a global organization that delivers...  ...care and length of stay reviews for medical necessity for...  ...to manage inpatient care utilization at a hospital, market,...  ...the flexibility to work remotely from anywhere within the... 
    Remote job
    Minimum wage
    For contractors
    Work experience placement
    Local area
    Home office

    UnitedHealth Group

    Saint Louis, MO
    1 day ago
  • $280k

     ...those who need it most. The Medical Director, Utilization Management, will be...  ...outpatient referrals and inpatient direct admissions for medical...  ...Health’s medical policies reviews to determine medical...  ...Additionally, we embrace a remote-first culture that supports... 
    Remote work
    Full time
    Work experience placement
    Work at office
    Local area
    Flexible hours

    Clover Health

    United States
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Inpatient Utilization Review Medical Director. Be the first to apply!