Remote Utilization Management Medical Director (Part-Time)
Devoted Health
- Remote job
Devoted Health is seeking a part-time contractor to perform clinical reviews (Part A, B, appeals, quality of care) and conduct peer-to-peer discussions. The candidate should have broad state licensure coverage and Medicare Utilization Management experience, and be comfortable with learning new technologies. You will serve as a clinical resource to both clinical and non-clinical staff, participate in inter-rater reliability activities and active rounds in acute and post-acute care. #J-18808-Ljbffr Devoted Health
- ...Job Description \n Utilization Management Medical Director Oncology\n \n \n \n \n Work Location: REMOTE (work from home)\n \n \n The Medical Director role provides clinical expertise in assessing the medical necessity, appropriateness, and efficiency of oncology...Remote workWork from home
$275k - $315k
...Job Description Title: Medical Director of Utilization Management \n \n Summary: Step into a strategic leadership position as the Clinical Lead... ...75,000 - 315,000 / year \n High-impact leadership role with a hybrid schedule (3 days remote / 2 days onsite)\n...Remote workWork at officeMonday to FridayShift work2 days per week$236.5k
...Assist the Chief Medical Director to direct and coordinate... ...the medical management, quality... ...leadership of all for utilization management, cost... ...services, ensuring timely and quality decision... ...to work with remote, hybrid, field or... ...including full-time or part-time status....Part timeRemote workFull timeWork at officeFlexible hoursWeekend work- ...Role - Medical Director Client - Highmark (working with preferred... ...) Location - Remote Employment -... ...Behavioral Health (open to part-time). Medical Director Job... ...physician team, ensures that utilization management responsibilities are...Part timeRemote workContract workPrivate practice
$180 per hour
...REMOTE MEDICAL DIRECTOR – UTILIZATION MANAGEMENT & APPEALS $180/hour | W-2 Contract | Monday–Friday | 100% Remote | Potential Extension The Jacobson Group is seeking a Medical Director to support a health plan's Utilization Management and Appeals programs. This...Part timeRemote workContract workWork at officeMonday to Friday- Oversee medical necessity reviews for home health, acute, post-acute, and outpatient... ...evidence-based care and appropriate resource utilization. Apply CMS regulations, coverage... ..., and medical policies in a fully remote, part-time physician leadership role. #J-18808-Ljbffr...Part timeRemote job
- ...seeking an experienced physician leader for a remote Medical Director, Utilization Management (Home Health, Acute & Post-Acute) role.... ...Remote (Must be available during Eastern Time / EST business hours) Employment Type: Part-Time / Contract (6-Month Contract with...Part timeRemote workFull timeContract workLocal areaWork from home
$275k - $325k
...states and growing, Starling Oncology is changing oncology for the better. For more information, visit Utilization Management Medical Director Oncology Work Location: REMOTE (work from home) California Nevada Arizona Oregon Florida The Medical Director role provides...Remote workWork from home$248.5k - $373k
...00/yearJob Area: Medical & Clinical OperationsCompany... ...GroupWellMed, part of the Optum... ...to join our Utilization Management team. Optum is a... ...live.The Medical Director for Utilization Management... ...to work remotely * from anywhere within... ...based on full-time employment. We comply...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- GuideWell Mutual Holding Corporation is seeking a Medical Director to lead all utilization management reviews (Pre-service, Post-service, Concurrent Review and Appeals) and to collaborate with physician providers and Case Managers on complex cases. The ideal candidate holds...Remote job
- CAI is seeking a Medical Director to lead utilization management with adherence to the highest clinical standards. This remote, full-time role demands physician expertise and collaboration with multidisciplinary teams to ensure compliant medical decision-making.Requirements...Remote jobFull time
- CAI is seeking a Medical Director for a remote, full-time role to oversee utilization management in accordance with current clinical standards. The candidate will perform electronic reviews, determine medical necessity, and guide case determinations with a focus on adherence...Remote jobFull time
- CAI is seeking a Medical Director to ensure utilization management is performed per current clinical standards. This full-time, remote role requires leadership in medical reviews, policy adherence, and collaboration with the CMDM team. Responsibilities include case determinations...Remote jobFull time
- SCAN is seeking an Utilization Management Physician Medical Director to lead medical necessity determinations, prior authorizations, and reviews. This physician will influence policy, provide clinical mentorship, and ensure compliant, evidence-based decision-making while...Remote job
- CAI is seeking a Medical Director for a fully remote, full-time role to ensure utilization management aligns with top clinical standards. You will lead medical policy reviews, determine medical necessity, and guide the CMDM team.The position emphasizes physician expertise...Remote jobFull time
$225k - $275k
...Job Description Job Description Medical Director (Utilization Management) - Remote Role! Compensation: $225,000 to $275,000/year Schedule: Full-time (Remote) Job Summary: The Utilization Management Medical Director is a key physician responsible for advancing...Remote workFull timeFlexible hours- Medical Director, Utilization Management Location: New Jersey - Fully Remote Work Arrangement: Remote Job Type: Contract Contract Length: 6-9 months, with potential for... ...reviews. This position is responsible for ensuring timely, consistent, and appropriate medical necessity...Remote workHourly payContract workImmediate start
- HJ Staffing is urgently seeking a Medical Director of Utilization Management to join a leading Medicare Advantage Health Plan. This physician... ...outcomes and regulatory compliance. Location: 100% Remote Schedule: Full-Time, Monday - Friday (Must work PST hours ) Job...Remote workFull timeMonday to Friday
$248.5k - $373k
...WellMed, part of the Optum family of businesses... ...physician to join our Utilization Management team. Optum is a... ...work and live. The Medical Director for Utilization Management... ...flexibility to work remotely * from anywhere... ...annually based on full-time employment. We comply...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home$207.17k - $336.75k
...Associate Medical Director - Part Time Work from home within Oregon, Washington... ...with clinical staff on case management reviews and provide peer-... ...understanding of care management, utilization management and quality... ...part of a team. #LI-Remote Pay ranges vary based...Part timeRemote workLive inImmediate startWork from homeFlexible hours- CAI is seeking a Medical Director to oversee utilization management, ensuring adherence to current clinical standards in a fully remote, full-time capacity across the United States.The role requires an MD/DO with board certification and an active state license (PA/NY/WV...Remote jobFull time
$174.07k - $374.92k
Ladders, a leader in healthcare, seeks a Medical Director - Keystone Market to guide clinical decision-making and medical management across a defined market. This remote leadership role focuses on utilization review, prior authorization support, and quality oversight while...Remote jobVisa sponsorship$120 - $135 per hour
...ll Be Doing Cardiovascular Utilization Management Reviewer (Interventional... ...Management team as a Field Medical Director, Cardiovascular Specialist... ...excellence. This position is 100% Remote and can be completed from... ...schedule and both part-time and full-time options available...Part timeRemote jobFull timeWork at officeFlexible hours- ...nirvanaHealth, operating under RxAdvance Corp., is seeking a Utilization Management Nurse for a part-time remote role. The position focuses on prospective, concurrent, and retrospective medical necessity reviews and care coordination to ensure quality, cost-effective...Part timeRemote work
- ...Dane Street is looking for an Associate Medical Director to serve the needs of one of our larger... ...Labor and Industries. This is a part-time position, not likely to require more than... ...ability to apply critical thinking, manage time efficiently, and meet specific deadlines...Part timeRemote workWork from home
$225.7k - $428.9k
...professional on our Medical Management/Health Services team... ...We're Hiring: Full time Medical Director Centene Corporation... ...of all for utilization management, cost containment... ...to work with remote, hybrid, field or office... ...including full-time or part-time status. Total...Part timeRemote workFull timeWork at officeFlexible hoursWeekend work- ...nirvanaHealth, a RxAdvance Corp. company, seeks a part-time Utilization Management Nurse for a remote role in the United States. You will perform prospective, concurrent, and retrospective medical necessity reviews and care coordination to ensure quality, cost efficiency...Part timeRemote workWeekend work
- ...Providence Jobs is seeking a Senior Utilization Management Assistant for a remote, part-time role. You will support the Care Management team and assist in coordinating patient care across the unit. Shifts include night and evening hours; 8-hour blocks, with multiple shifts...Part timeRemote workShift workNight shiftAfternoon shift
$213.1k - $383.58k
...care for the most medically and socially complex... ...serve.The JobThe Utilization Management (UM) Physician Medical Director provides physician... ...program delivers timely, clinically sound,... ...yearWork Mode - Mostly Remote: Employees who... ...to become part of a team that makes...Remote workFor contractorsWork at officeLocal areaRelocation- ...Business Development Director or Senior BD... ...a really exciting time to join the organisation... ...really impressive medical, scientific/... ...level. This is a remote, working from home... ...decision maker Utilizing Salesforce to keep... ...required to inform Management of current status...Part timeRemote workContract workWork from home
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