Remote Inpatient Utilization Review Medical Director
Humana, Inc.
A national healthcare organization is seeking a Medical Director to conduct inpatient medical necessity reviews while collaborating with healthcare providers. This role requires a physician with at least 5 years of post-residency experience and strong analytical skills. Responsibilities include performing clinical reviews, providing utilization management determinations, and ensuring compliance with regulatory requirements. The position includes standard work hours of Monday to Friday with occasional travel. Competitive compensation and a bonus incentive plan are offered. #J-18808-Ljbffr
- ...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 work
- ...healthcare organization is seeking an experienced Medical Director to conduct clinical reviews and guide decision-making in inpatient care. The role emphasizes collaboration and... ..., with a focus on hospital medicine and utilization review. Join a distinguished team to impact...Remote job
$223.8k - $313.1k
A leading U.S. healthcare company seeks a Medical Director to conduct inpatient medical necessity reviews. This role requires an MD or DO with over 5 years of clinical experience. Responsibilities include performing clinical assessments, collaborating with a multidisciplinary...Remote workWork from home- A leading U.S. healthcare company seeks a Medical Director to conduct inpatient medical necessity reviews and analyze complex hospital cases. The ideal candidate... ...and a strong commitment to patient outcomes. This remote position offers a competitive salary range and an...Remote work
- ...A leading U.S. healthcare company seeks a Medical Director in Tallahassee, Florida. The role includes clinical reviews and analysis of inpatient cases, requiring MD or DO credentials and 5+ years of experience. Ideal candidates possess strong analytical skills and can...Remote work
- A leading healthcare company is seeking a Medical Director to perform expert clinical reviews of inpatient medical records and support high-quality decision-making. This role requires an MD or DO with at least 5 years of clinical experience. Responsibilities include conducting...Remote work
$223.8k - $313.1k
A leading U.S. healthcare company is seeking a Medical Director to conduct inpatient medical necessity reviews and collaborate in a structured, team-oriented environment. This fully remote position calls for an MD or DO with at least five years of post-residency clinical...Remote work$223.8k - $313.1k
A leading healthcare company in New Jersey seeks a Medical Director to perform clinical reviews of inpatient medical records and assess medical necessity. Candidates... ...within a supportive team environment. This is a remote role with standard hours and occasional travel,...Remote work- A leading healthcare company is seeking a Medical Director to join their distinguished physician team. This role requires conducting expert clinical review of inpatient medical records and supporting high-quality decision-making. Ideal candidates have MD or DO qualifications...Remote work
- A leading healthcare company is seeking a Medical Director to oversee clinical reviews and decision-making for inpatient care. This role requires strong analytical skills and a background in clinical practice, specifically in Hospital Medicine or Critical Care. The ideal...Remote work
$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 work- A leading healthcare company is seeking a Medical Director to perform clinical reviews of inpatient medical records to assess medical necessity. This position requires... ...and flexible hours, supporting work-life balance. Remote work may apply with occasional travel for training...Remote workFlexible hours
$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$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- ...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
...leading healthcare company in Arizona is seeking a Medical Director to conduct clinical reviews of inpatient records and support decision-making for patient care... ...strong analytical and communication skills. This remote position involves collaboration with external providers...Remote jobMonday to Friday$223.8k - $313.1k
A leading healthcare organization is seeking a Medical Director to oversee clinical reviews, analyze hospital cases, and collaborate within a team-oriented environment. This position allows for impactful patient care decisions without the demands of bedside work. Required...Remote work$223.8k - $313.1k
...caring community The Medical Director relies on medical background and reviews health claims. The... ...advancing 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- ...Association Inc is seeking a Medical Director to enhance health outcomes via effective clinical reviews and provider collaboration. This... ...M.D or D.O. with a focus on utilizing evidence-based medicine to... ...skills. Enjoy the flexibility of remote work across the U.S. while...Remote job
- ...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
- ...Supervisor Of Behavioral Health Utilization Review Saint Luke's Crittenton Children's Center... ...Management and Reception teams of a 24/7 inpatient residential and hospital program. Additionally... ...~ Monday Friday, dayshift, 9am -5pm. Remote work not preferred, but occasional...Remote workMonday to FridayDay shift
- 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
$75k
...is seeking a Registered Nurse for the role of Utilization Review Specialist. The position involves conducting inpatient utilization reviews, using criteria like InterQual... ...0 annually, with additional benefits including medical, dental, and paid time off. #J-18808-Ljbffr...Remote job- Stryker Corporation is seeking a Medical Director to provide physician support for Enterprise Clinical... ...involves conducting clinical coverage reviews, collaborating with multidisciplinary... ...experience. The position offers remote work flexibility and comprehensive benefits...Remote job
- UnitedHealth Group is seeking a Medical Director who focuses on clinical coverage and medical claims reviews. This role involves collaboration with a multidisciplinary team... ...of clinical experience. Flexibility to work remotely within the U.S. is offered along with a...Remote job
$248.5k - $373k
...Territorial Epidemiologists is seeking a Medical Director to provide support for Enterprise... ...conducting clinical coverage and medical claims reviews to improve health outcomes. Prefer... ...The position allows flexibility to work remotely from anywhere in the U.S. The...Remote job$248.5k - $373k
Texas Health Institute is seeking a Medical Director in Boston, MA, to support Enterprise Clinical Services. This role focuses on clinical coverage and medical claims reviews, ensuring cost-effective quality medical care for members. The Medical Director will collaborate...Remote job- ...leading U.S. healthcare company is seeking a Medical Director to provide medical interpretation and... ...and Medicaid. Responsibilities include reviewing clinical scenarios and collaborating... ...delivery. This role is mostly remote but may require occasional travel to company...Remote work
- ...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 work
- ...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 work
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