Remote Inpatient Utilization Review Medical Director
$223.8k - $313.1kHumana Inc
- Remote job
A leading healthcare company in Arizona is seeking a Medical Director to conduct clinical reviews of inpatient records and support decision-making for patient care. The role requires an MD or DO with over five years of clinical experience and strong analytical and communication skills. This remote position involves collaboration with external providers and regulatory adherence, with standard working hours from Monday to Friday. The compensation ranges from $223,800 to $313,100 annually, potentially including bonuses. #J-18808-Ljbffr Humana Inc
- 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
- 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 jobWork from home
$223.8k - $313.1k
A leading U.S. healthcare company seeks a Medical Director to conduct inpatient medical necessity reviews and collaborate in a team-oriented environment. Candidates... ...years post-residency clinical experience. This remote opportunity allows for a significant impact on patient...Remote job- 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
- 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 jobFull time
- ...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
$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$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- 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
$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 workBi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to FridayWeekend work$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 jobFull time- ...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 jobFull time
- 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 jobFlexible hours
$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 workFull timeTemporary workLocal area- ...seeking an enthusiastic and highly skilled Medical Director to join our growing team. This... ...responsible for overseeing and performing utilization reviews, prior authorizations, and making... ...peer-to-peer discussions. This is a remote position requiring a "roll up your sleeves...Remote workFull timeFlexible hours
- 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 jobFull timePart time
- 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...
- 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 workImmediate start
- 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
- ...Description: Manager of Clinical Utilization Management - Denial... ...Position Type: Hybrid (85% remote, 15% onsite in Northridge, CA... ...managing daily tasks, performance reviews, and any necessary... ...collaboration with physician reviewers, medical directors, and other relevant...Remote workPermanent employmentFull timeTemporary workFlexible hours
- 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
- ...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
- ...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
- Medix™ is seeking an experienced RN for a Utilization Review role, allowing you to work from the comfort of home. In this contract-to-hire position, you'll review inpatient treatment plans and communicate with medical teams to ensure appropriate care levels. Ideal candidates...Remote jobContract workWork from home
- Overview Medical Review Institute of America (MRIoA) is a nationally... ...specializing in utilization management and clinical review... ...Physician Advisor (UM Medical Director) - Full‑time, remote (United States) Role... ...past 2 years) worked in an inpatient/hospital setting. Highly...Remote workFull timeFlexible hoursShift workWeekend work
- ...outcomes. Our talented remote workforce spans the... ...that include: Medical, dental and vision insurance... ...Supervisor, Clinical Review plays a critical role... ...staff who conduct utilization review and/or specialty... ..., swing bed, PEC, and inpatient psychiatric facilities...Remote workContract work
- ...will lead the operational areas of the Utilization Management (UM) program including... ...prospective, concurrent, and retrospective reviews. As a Medical Director, UM you ensure all patient care... .... Work Arrangement ~ Fully remote; must be willing to work rotational...Remote workContract workLocal areaFlexible hoursWeekend work
- ...JOB DESCRIPTION Medical Director - Utilization Management (Payer Side Experience Required)- (Remote) Duration: 30 Weeks with possible extension Location:... ...responsible for conducting medical necessity reviews, appeals, and escalated case evaluations using...Remote workFull timeContract workPart timePrivate practiceMonday to FridayFlexible hours
- ...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... ...with MCG guidelines and utilization review. The ideal candidate will possess an...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 Florida. This role involves conducting medical reviews of oncology treatment plans and collaborating with...Remote job
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