Remote Medical Director - Acute Rehab & Utilization
Humana
Humana Inc. is seeking a Medical Director to authorize services, determine level of care, and site of service within a remote, nationwide role. The position emphasizes regulatory compliance, CMS guidelines, and efficient utilization management in post-acute care settings.
Qualified candidates will have an MD/DO, 5+ years of relevant clinical experience, board certification, and an unrestricted license. The role offers full-time hours, travel as needed, and involvement with Medicare Advantage and
#J-18808-Ljbffr- ...Medical Director, Utilization Management (Home Health, Acute & Post-Acute)HJ Staffing is seeking an experienced physician leader for a remote Medical Director, Utilization Management (Home Health, Acute & Post-Acute) role. In this position, you will serve as the primary...Remote workContract workPart timeLocal areaWork from home
- ...Remote Medical Director, Utilization ManagementImpresiv Health is seeking an experienced physician leader for a remote Medical Director, Utilization Management (Home Health, Acute & Post-Acute) role. In this position, you will serve as the primary clinical authority for...Remote workLocal areaImmediate startWork from home
- ...Humana Inc. seeks a Medical Director to authorize services in acute inpatient rehab, guided by national guidelines, CMS policies... ...standards. The role emphasizes utilization management, compliance, and... ...regions. The position is fully remote in the U.S. with a standard 40-...Remote work
- ...Oversee medical necessity reviews for home health, acute, post-acute, and outpatient services for Medicare Advantage... ...care and appropriate resource utilization. Apply CMS regulations, coverage... ...and medical policies in a fully remote, part-time physician leadership role...Remote workPart time
- ...Humana Inc. is seeking a Medical Director to authorize services, determine level of care, and site of service per CMS and Humana policies.... ...regulatory standards, with a focus on DSNP. The position is fully remote, 40 hours weekly, and may be performed from any location...Remote work
$223.8k - $313.1k
...our caring community The Medical Director uses their medical background... ...predominantly arise from post-acute care environments. The work includes... ...mentored training programs; utilize ongoing team support during... .... This is a full-time, remote position with a standard...Remote workFull timeTemporary workApprenticeshipLive inWork at officeWork from homeHome officeMonday to Friday$223.8k - $313.1k
...For our client, we are seeking a Medical Director - Acute Rehab to join the team of a leader in the Healthcare... ...adherence to timelines in a remote setting. Location: Remote - US based... ...in structured training programs and utilize ongoing team support Apply critical thinking...Remote workTemporary workVisa sponsorship$262.15k - $393.22k
...changing lives but saving them. Together.The Regional Medical Director, Non-Acute Utilization Management (RMD Non-Acute UM) is a market-facing physician... ...is a local-market position requiring a combination of remote work, home-based clinical visits, and regular in-person...Remote workFull timeWork at officeLocal areaWork from home$262.15k - $393.22k
...only changing lives but saving them. Together. ***Must reside in NC preferably Raleigh or Charlotte*** Remote Regional Medical Director, Non-Acute Utilization Management (RMD Non-Acute UM) is a market-facing physician leader responsible for optimizing clinical...Remote workWork at officeLocal area- ...CorroHealth is seeking a Medical Director, Concurrent Review, to evaluate... ...expert recommendations. This remote position offers a... ...path to expand knowledge in Utilization Review. Ideal candidates hold... ...US and have post-residency acute care experience. #J-18808-...Remote work
- ...Bickham Services Unlimited, LLC is seeking a Medical Director, Utilization Management to lead clinical utilization reviews for inpatient and post-acute care, ensuring medical necessity... ...policies, and evidence-based criteria. Remote opportunity in New Jersey for a board-...Remote work
- ...Staffing is seeking an experienced physician leader for a remote Medical Director, Utilization Management role. You will serve as the primary clinical authority for home health authorizations and support acute, post-acute, appeals, and reviews for Medicare Advantage populations...Remote work
- ...Humana is seeking a Medical Director to authorize services and determine level of care within the DSNP framework. The role emphasizes regulatory... ...with clinical leadership. The position is fully remote and allows work from anywhere in the United States with a 40-...Remote work
- ...Bickham Services Unlimited, LLC is seeking a Medical Director, Utilization Management to lead clinical utilization reviews and medical necessity determinations for inpatient and post-acute care. The role focuses on inpatient reviews, SNF/IRF/LTACH/home health, and ensuring...Remote workContract work
- ...Humana Inc. is seeking a Medical Director to authorize services and determine level of care for DSNP, applying CMS guidelines and Humana policies... ...with external physicians as needed. This fully remote position requires an MD or DO with 5+ years of clinical experience...Remote work
- ...HJ Staffing is urgently seeking a Medical Director of Utilization Management to join a leading Medicare Advantage... ...integrity of inpatient and post-acute care reviews, evaluating medical... ...regulatory compliance. Location: 100% Remote Schedule: Full-Time, Monday – Friday...Remote workFull timeMonday to Friday
$248.5k - $373k
...,000.00/yearJob Area: Medical & Clinical OperationsCompany... ...physician to join our Utilization Management team. Optum... ...and live.The Medical Director for Utilization... ...the flexibility to work remotely * from anywhere within... ...years of experience with acute admissions2+ years of...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...Location: 100% remote, but candidates must be comfortable working PST hours. Description: The Medical Director (Utilization Management) plays a critical role in leading and supporting... ...specific focus on inpatient and post-acute care reviews. This physician leader ensures...Remote workImmediate start
- ...Medical Director - Post Acute CareSign on bonus: $10,000Clinical Operations Medical DirectorCarelon Medical... ...ManagementPost Acute Care Benefit Utilization ManagementSchedule: 11:00AM-8:00PM CT... ...Board certified in Physical Medicine and Rehab is preferred.Job Level: Non-...Full timePart timeWork at officeLocal areaShift workWeekend work1 day per week
- ...Humana Inc. is seeking a Medical Director to oversee utilization management, determine service appropriateness, and ensure compliance with national guidelines... ...teams across inpatient, outpatient, and post-acute settings. Ideal candidates have 5+ years of direct clinical...Remote work
- Medical Director, Utilization Management Location: New Jersey - Fully Remote Work Arrangement: Remote Job Type: Contract Contract Length: 6-9 months, with potential for... ...activities, with a primary focus on inpatient and post-acute care reviews. This position is responsible for...Remote workHourly payContract workImmediate start
$216k - $300k
...We are currently seeking a full-time Medical Director and Attending Physician to serve local skilled... ...care, including diagnosing and treating acute and chronic conditions. Participate... ...Care Management, Transitional Care, Remote Patient Monitoring, and other quality...Remote workFull timeTemporary workLocal areaImmediate startNight shift2 days per week1 day per week- ...Humana Inc. seeks a Medical Director to authorize requested services, level of care, and site of service for Medicare/Medicare Advantage contexts. The role emphasizes regulatory compliance, clinical guidelines, and collaboration with internal teams to ensure quality outcomes...Remote work
- ...Medical Director/Attending Physician: Post-Acute & SNF (Full-Time) Newport, NH We are currently seeking a full-time Medical Director and Attending Physician... ...'s Chronic Care Management, Transitional Care, Remote Patient Monitoring, and other quality initiatives. Your...Remote workFull timeTemporary workLocal areaImmediate startNight shift2 days per week1 day per week
- ...Humana Inc. seeks a Medical Director to authorize services and determine level of care in a remote, US-based role. You will review complex clinical scenarios, interpret... ...and Humana policies, primarily focused on post-acute rehabilitation and Medicare Advantage...Remote work
$179.5k - $307.73k
Elevance Health is seeking an Associate Medical Director for Post Acute Care within Carelon Medical Benefits Management. The role supports medical... ...and providers, with a focus on post-acute care and utilization management. The position requires an MD/DO with ABMS/AOA...Remote jobRelocation package- Attending Physician - Post-Acute Care & SNF (PRN) We are currently seeking a PRN Attending... ...-driven care community. At Theoria Medical, relationships and continuity define great... ...Chronic Care Management, Transitional Care, Remote Patient Monitoring, and other quality initiatives...Remote workReliefLocal areaNight shift
$179.5k - $307.73k
...Clinical Operations Associate Medical DirectorSign on bonus: $10,... ...Benefits ManagementPost Acute Care Benefit Utilization ManagementSchedule: 11:00AM... ...Operations Associate Medical Director is responsible for... ...certified in Physical Medicine and Rehab is preferred.For candidates...Full timeWork experience placementWork at officeLocal areaShift workWeekend work- ...CAI is a global services firm seeking a Medical Director to ensure utilization management meets the highest clinical standards. The position is full-time and remote, enabling work from home while contributing to critical case reviews and policy development. The role...Remote workFull timeWork from home
$224k - $364k
~ Locations United States FL, United States (Remote) Job Description The Medical Director will work closely with the team to perform all types of utilization management (UM) reviews, including but not limited to Pre-service, Post-service, Concurrent Review and Appeals...Remote workTemporary workPart timeWork experience placementInternshipSeasonal work
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