Remote Medical Director: Inpatient Utilization Review
Humana Inc
Denver, CO
- Remote job
Humana Inc. is seeking a Medical Director to lead inpatient medical necessity reviews, applying national guidelines, CMS regulations, Humana policies, and clinical standards. You will analyze complex hospital cases, craft clear utilization determinations, and communicate outcomes to external providers, working in a structured, multidisciplinary environment. This role emphasizes collaboration, integrity, and ongoing credentialing, with standard hours Monday–Friday and occasional travel as needed. #J-18808-Ljbffr Humana Inc
Vacancy posted 13 hours ago
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