Remote Medical Director, Utilization Management
Clover Health
New York, NY
- Remote job
Clover Health is seeking a Medical Director, Utilization Management, to lead evaluation of outpatient referrals and inpatient admissions for medical appropriateness. The physician will apply Medicare Coverage Determinations and Clover policies to determine medical necessity and alternative plans. The role focuses on guiding UM processes, mentoring staff, and advancing Clover’s clinical guidelines while maintaining licensure and board-certification standards across the organization. #J-18808-Ljbffr Clover Health
Vacancy posted 5 days ago
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