Remote Medical Director, Psychiatry & Utilization Management
Curative HR LLC
Curative is seeking an enthusiastic and highly skilled Medical Director to join our growing team. To qualify for this position, you must be board certified in Psychiatry. This pivotal role will oversee utilization reviews, prior authorizations, and make medical necessity determinations in a fast-paced startup environment. This remote leadership position requires strong communication with practitioners, collaboration with care teams, and a focus on evidence-based care while balancing cost #J-18808-Ljbffr
$332.3k - $377.4k
...Colorado, is seeking an experienced Medical Director with expertise in Utilization Management (UM), Care Management (CM) and... ..., Pediatrics, Family Practice, Psychiatry or Emergency Medicine.... ...expectations. If applying for a remote or hybrid role, this includes remote...Remote workHourly payLocal areaRelocation package- ...Psychiatrist to serve as Behavioral Health Medical Director in a fully remote capacity across the United States. You will guide medical management, utilization, quality improvement, and... ...optimize member care. Board-certified psychiatry and an unrestricted state license...Remote work
- ...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 care with...Remote workWork from home
- ...Centene Corp. is seeking a Behavioral Health Medical Director to lead Utilization Management optimization remotely from Missouri. The role reports to the Chief Medical... ...Ideal candidates will be board-certified in Psychiatry with an active MD/DO license and UM experience....Remote workFull time
- ...Support utilization management processes and review authorizations for medical necessity. Perform peer-to-peer discussions with providers and mentor UM nurses.... ...-driven health insurance focused on seniors. Remote-first, mission-driven, and collaborative team....Remote work
$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- ...leading health care company is seeking a Behavioral Medical Director to oversee utilization management. This remote role involves direct interaction with behavioral... ...or Osteopathy degree, be board certified in Psychiatry, and possess a thorough understanding of recovery...Remote work
- ...HJ 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...Remote work
$240k
...983, we’re a clinically driven, tech-enabled utilization management company offering expert clinical reviews, regulatory... ...and training opportunities An award-winning remote work environment Position Summary Our Medical Director, also known as a Physician Advisor, is...Remote workFull timeTemporary workWork at officeWork from homeShift workRotating shiftWeekend work$215k - $408.5k
...Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement... ...leadership of all for utilization management, cost containment... ...American Board of Psychiatry and Neurology. Certification... ...to work with remote, hybrid, field or...Remote workFull timePart timeWork at officeFlexible hoursWeekend work$248.5k - $373k
...$373,000.00/yearJob Area: Medical & Clinical OperationsCompany... ...medicine physician to join our Utilization Management team. Optum is a clinician-... ...work and live.The Medical Director for Utilization Management... ...the flexibility to work remotely * from anywhere within the...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...HJ Staffing is urgently seeking a Medical Director of Utilization Management to join a leading Medicare Advantage Health Plan. This physician leader will... ...optimal outcomes and regulatory compliance. Location: 100% Remote Schedule: Full-Time, Monday – Friday (Must work PST...Remote workFull timeMonday to Friday
- ...Clover Health is seeking a Lead Medical Director, Utilization Management, to guide medical necessity decisions for outpatient referrals and inpatient... ...committees, and drive quality improvements, all within a remote-first framework supporting US operations. #J-18808-LjbffrRemote work
- ...Medical Director (BH, UM) - Honolulu, HIThis is a remote position requiring active Hawaii licensure.... ...multiple health plans managed by the Clinical Center... ...Develops and implements a Utilization Management program and... ...specialties are Psychiatry, Psychiatric sub-specialty...Remote workFull timeContract workPart timeInternshipImmediate startFlexible hours
$320k - $340k
...listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Lead Medical Director, Utilization Management based in the United States.... ...quality, access, and outcomes. This remote-first role combines hands-on clinical judgment...Remote workFull timeWork at officeFlexible hours$320k - $340k
...those who need it most. The Utilization Management team supports access to... ...through timely, evidence-based medical necessity decisions and... ...policies. The Lead Medical Director, Utilization Management, will... ...Additionally, we embrace a remote-first culture that supports...Remote workFull timeWork experience placementWork at officeLocal areaFlexible hours- ...is seeking a board-certified Psychiatrist to serve as Medical Director. You will oversee utilization reviews, prior authorizations, and medical-necessity determinations... ...practitioners to ensure evidence-based care. This remote position supports cross-functional teams in a fast-...Remote job
- 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
- 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
- Curative is seeking a Medical Director, board-certified in Psychiatry, to oversee utilization reviews, prior authorizations, and medical necessity determinations. This remote role focuses on evidence-based care, resource optimization, and collaboration with clinicians...Remote job
- ...Jobgether SRL is seeking a remote, part-time physician leader to oversee medical necessity reviews across home health, acute, post-acute and outpatient services... ...evidence-based care and appropriate resource utilization, applying CMS rules, coverage determinations and MCG...Remote workPart timeFlexible hours
- ...Medical Review Institute of America is seeking a Medical Director (Physician Advisor) to lead clinical utilization management, peer review activities, and clinical quality management. This remote role reports to MRIoA leadership and offers a comprehensive compensation...Remote work
- ...Centene Corp. seeks a Medical Director (PRN) to assist the CMO in directing physician utilization management for the health plan units. The role is roughly 20 hours per week with Thursdays and Fridays as the highest priority. Board-certified MD/DO with Indiana license...Remote workPart timeRelief
$217.6k - $294.4k
...care easier and lives better. As a member of the Utilization Management (UM) team, our Associate Medical Director BH and UM Medical Directors provides leadership,... ...of our 4 states. Board Certification in general psychiatry or child psychiatry required with preference for...Remote workPart timeImmediate startWork from homeFlexible hours- ...VetJobs seeks a Medical Director (BH, UM) based remotely with Hawaii licensure to lead clinical operations for... ...of an interdisciplinary care management team across inpatient, partial hospitalization... ...include developing utilization management strategies, ensuring medically...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 extension Schedule: Standard business hours; schedule to be determined with the client Start Date: Immediate...Remote workHourly payContract workImmediate start
$206.31k
...Medical Director, Utilization ManagementJob Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full Time Salary Range: $20... ...Family Medicine, Emergency Medicine or Psychiatry. Clinical License to practice or an Administrative...Full timeLocal area$238k - $357.5k
...currently seeking an Inpatient Care Management Medical Director to join our Optum team. This team is... ...support staff to manage inpatient care utilization at a hospital, market, regional or... ...’ll enjoy the flexibility to work remotely * from within the State of Missouri...Remote jobMinimum wageFor contractorsWork experience placementLocal area$300k
...of Massachusetts Chan Medical School (UMass Chan)... ...the Facility Medical Director (FMD) for The Cape Cod... ...includes Department of Psychiatry support for clinical,... ...areas including utilization management, risk management, support... ...for a hybrid/remote schedule combining regularly...Remote workDaily paidContract workLocumH1bNight shiftWeekend workDay shift- CVS Health is seeking a Medical Director to lead medical management for Medicaid populations with a national scope, primarily supporting Aetna Better Health of Louisiana. In this remote role, you will oversee utilization management, prior authorizations, and peer-to-peer...Remote job
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