Remote Medical Director — Inpatient Concurrent Review
CorroHealth Inc
CorroHealth Inc. seeks a Medical Director, Concurrent Review to evaluate hospitalizations nationwide from a remote setting. You will review cases in real time and after discharge, advising on admission status and ensuring appropriate payments while supporting hospital clients.
The role offers a fully remote, predictable schedule with a four-week training period, then an 18-25 hour per week evening shift. MD/DO with US license and acute-care experience required.
#J-18808-Ljbffr- ...Medical Director Curative is seeking an enthusiastic and highly skilled... ...and performing utilization reviews, prior authorizations, and making... ...peer discussions. This is a remote position requiring a "roll... ...reviews (prospective, concurrent, and retrospective) for a wide...Remote workFull timeFlexible hours
$248.5k
...- $440,500/yearJob Area: Medical & Clinical OperationsCompany... ...are currently seeking an Inpatient Care Management Medical Director to join our Optum team.... ...care and length of stay reviews for medical necessity for... ...the flexibility to work remotely * from anywhere within the...Remote workMinimum wageFull timeFor contractorsWork experience placementLocal areaHome office$248.5k - $373k
...- $373,000/yearJob Area: Medical & Clinical OperationsCompany... ...are currently seeking an Inpatient Care Management Medical Director to join our Optum team.... ...care and length of stay reviews for medical necessity for... ...the flexibility to work remotely * from anywhere within the...Remote workMinimum wageFull timeFor contractorsWork experience placementLocal areaHome office- ...To support Utilization Management operations, the full-time Utilization Review Medical Director will conduct clinical reviews of Durable Medical Equipment (DME) requests remotely, ensuring compliance with Medicare and Medicaid guidelines while maintaining productivity...Remote workFull time
$280.84k - $393.18k
...Services, the Senior Medical Director Policy & Outcomes (Sr... ...directors, as well physician reviewers, working in the... ..., concurrent and retrospective reviewInpatient... ...variety of settings (inpatient, outpatient, subacute... ...schedule. (Mon & Fri - remote, Tues - Thurs onsite...Remote workTemporary workLocal area$250k - $325k
...Description Job Description Description About the Role The Inpatient Medical Director provides physician leadership across Astrana Health’s... ...Job Requirements and Working Conditions While this is a Remote - US Based position, this MD will need to reside SoCal to...Remote work$365k
...Description Medical Director - Palmer Lake CO Our Palmer Lake campus provides a comprehensive... ...including medical detox, residential/inpatient treatment, Partial Hospitalization... ...assurance program for medical services, and review of all medical policies and procedures...Flexible hours$248.5k - $373k
...500 - $373,000/yearJob Area: Medical & Clinical OperationsCompany:... ...coverage and medical claims reviews. Our role is to empower providers... ...care costs.The Medical Director provides physician support to... ...skills*All employees working remotely will be required to adhere to...Remote workMinimum wageFull timeWork experience placementLocal area$77.96k - $120.37k
...performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to... ...for the determination. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES... ...by the clinical review nurses, for inpatient records and documentation received with...Remote workMinimum wageFull timeContract workWork at officeLocal areaFlexible hoursNight shift$150 per hour
The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests... ...plans Working Conditions and Additional Expectations: Remote role requiring consistent availability during standard business...Remote workHourly payFull timeContract workTemporary workPart timeLocal area$77.96k - $120.37k
...performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to... ...for the determination. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES... ...by the clinical review nurses, for inpatient records and documentation received with...Remote workMinimum wageFull timeContract workWork at officeLocal areaFlexible hoursNight shift$103.46k - $127.82k
Clinical Director (Licensed) - Behavioral HealthLakewood, WashingtonTelecare... ...| 100% In-Person (No Remote/Hybrid)Lead Clinical... ..., WA.Pierce County E&T is an inpatient behavioral health program serving... ...trainingParticipate in incident reviews and continuous quality improvement...Remote workFull timeRelocation package$108.91k - $134.54k
Clinical Director (Licensed) - Behavioral HealthSedro-Woolley, WashingtonTelecare... ...| 100% In-Person (No Remote/Hybrid)Lead Clinical... ...Woolley, WA.North Sound E&T is an inpatient behavioral health program... ...trainingParticipate in incident reviews and continuous quality...Remote workFull timeRelocation package$248.5k - $373k
...Stay Billing Validation (SSBV) Medical Director to join our Clinical and... ...responsible for conducting facility inpatient payment integrity audits... ...cross-functional clinical reviews of nurses and do not... ...enjoy the flexibility to work remotely * from anywhere within the U...Remote workMinimum wageFull timeWork experience placementLocal area$248.5k - $373k
...3,000/yearJob Area: Medical & Clinical OperationsCompany... ...flexibility to work remotely * from anywhere... ...with medical director teams focusing on inpatient care management, clinical coverage review, member appeals clinical... ...understanding of and concurrence with evidence-based...Remote workMinimum wageFull timeWork experience placementWork at officeLocal area$386.5k
...579,500/yearJob Area: Medical & Clinical OperationsCompany... .... The Medical Director, Clinical AI Innovation... ...will expand to include Inpatient Level of Care. Clinical... ...flexibility to work remotely * from anywhere within... ...for nurses, physician reviewers, and AI enabled workflowsApply...Remote workMinimum wageFull timeWork experience placementLocal area- ...Medical Director The Medical Director, working together with a coder (DRG Integrity Specialist), will review inpatient charts to ensure the acuity and complexity of the patient's hospital... ..., focused individual able to work remotely or on-site Physical Requirements...Remote workWork at office
- ...Position Title : Clinical Review Nurse - Concurrent Review Work Location : Remote - Central, Mountain or... ...Review: Accessing medical management platforms... ...necessity reviews for inpatient; Review the member's current... ...the case for medical director review and communicate...Remote workTemporary work
$173k - $250k
...circumstances. Job Summary: The Medical Director will report to the Senior... ...daily medical necessity reviews, evaluation of medical... ...Investment in You: • Full-time remote work • Competitive... ...review of prior authorizations, concurrent reviews and retrospective medical...Remote workFull timeWork at officeFlexible hours$165 per hour
...Medical Director Nashville, Tennessee Steadfast Health was founded to establish a new standard... ...future Nashville locations, as well as inpatient consultation sites, to ensure effective... ...levels of experience and scope. Review clinical documentation and provide...Remote workPart timeFor contractorsLocal area10 hours per week- ...InformationAs part of the UT Southwestern Medical Center team in psychiatry, you will... ...are recruiting an outstanding Inpatient Psychiatry Medical Director. We are seeking a candidate who... ...Certified or Board Eligible will be reviewed on a case-by-case basis, with consideration...Full timeTraineeship
- ...provide comprehensive medical care along with support... ...: The Medical Director is the senior clinical... ...including clinic, home, inpatient, and SNF. Recognizes early... ...improvement, chart review, and audit readiness;... ...administrative, community, or remote environments,...Remote workFor contractorsWork at officeWork from home
- ...Job Description Hospice Director Inpatient Center Operations - Registered... ...Type: Full-Time Remote/Virtual Position: No Selected... ...hospice, home health, general medical surgical, oncology or patient... ..., implementation and review of the interdisciplinary plan...Remote workFull timeLocal areaFlexible hours
$223.8k - $313.1k
## Medical Director Behavioral Health, MedicaidApplylocations: Remote Nationwide: Remote Louisiana: Remote Indianatime type: Full... ...* Work includes computer-based review of moderately complex to complex... ...arising from outpatient or inpatient environments* Conducts discussions...Remote workWeekly payFull timeTemporary workWeekend work$27.02 - $48.55 per hour
...Position Purpose: Performs concurrent reviews, including... ...delivered, evaluating medical necessity, and contributing... .... Assists evaluating inpatient services to validate... ...and/or Medical Directors as needed to discuss... ...approach to work with remote, hybrid, field or office...Remote workHourly payFull timePart timeWork at officeFlexible hours- System Physician Advisor Medical Director Responsibilities and Job Description... ...supporting the organization in reviewing and refuting regulatory reviews for Inpatient medical necessity (e.g., Recovery... ...providers involved in remote utilization review and physician...Remote workContract workFor contractorsMonday to FridayWeekend work3 days per week
$210k
...hiring a Physical Health Medical Director to work remotely in North Carolina. The... ...quality, evidence based medical review processes and supports... ...including initial reviews, concurrent reviews, appeals, and... ...of care determinations for inpatient and outpatient services...Remote workTemporary workWork experience placementWork at officeRelocationFlexible hoursWeekend work- ...Health Plan is seeking an Inpatient Utilization Management... ...Clinician for a fully remote role in the United... ...will evaluate inpatient medical necessity, monitor... ...management and medical directors to drive optimal outcomes... ...years of utilization review experience with...Remote work
- ...Job Description Job Description Medical Director of Prior Authorization and Utilization... ...allowing for a focus on prior authorization, concurrent review, and utilization management This position can be structured as a hybrid remote role - you would not necessarily be...Remote workPermanent employmentTemporary workRelocation package
- ...careResponsible for a caseload of patientsIncorporate utilization review activates concurrently across the continuum of careActively track outcomes and... ...professional nursing (RN) experience in a Med/Surg inpatient setting--Must have 1 year of demonstrated experience in...Casual workShift workWeekend work
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