Remote Inpatient Utilization Review Medical Director
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- Remote job
A leading healthcare organization seeks a Medical Director in Jackson, Mississippi. This role involves conducting clinical reviews of inpatient records and ensuring accurate decision-making based on national guidelines. Candidates should hold an MD or DO and have over 5 years of clinical experience. The position offers the opportunity to impact patient care without the demands of bedside work, all while collaborating with a dedicated team. A competitive salary range and the chance to participate in a bonus plan are included. #J-18808-Ljbffr Jobleads-US
$223.8k - $313.1k
A major U.S. healthcare provider is seeking a Medical Director to conduct inpatient medical necessity reviews and support high-quality decision-making. This role... ...collaboration within a structured environment. This is a remote position with occasional travel to meetings and...Remote job$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- ...seeking an enthusiastic and highly skilled Medical Director to join our growing team. This... ...responsible for overseeing and performing utilization reviews, prior authorizations, and making... ...peer-to-peer discussions. This is a remote position requiring a "roll up your sleeves...Remote workFull timeFlexible hours
- ...MedCAREERS seeks an Associate Medical Director Board Certified in Medical Oncology (or Hematology/Oncology) for a remote role across the USA. You will perform chart review and utilization review for health plan companies with experience in imaging cases. Must be board-...Remote jobFull timeImmediate start
- ...Group’s Optum division seeks an Inpatient Care Management Medical Director to oversee acute level of care reviews for medical necessity across... ...staff to manage inpatient utilization at hospital, market, or... ...levels. The position offers remote work from anywhere in Florida...Remote work
$248.5k - $373k
...are currently seeking an Inpatient Care Management Medical Director to join our Optum team.... ...care and length of stay reviews for medical necessity for... ...manage inpatient care utilization at a hospital, market, regional... ...the flexibility to work remotely * from anywhere within...Remote workMinimum wageFull timeFor contractorsWork experience placementLocal areaHome office$240.12k - $315.16k
...We're hiring an Associate Medical Director to join our Utilization Management Team. Oscar is the... ...medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and... ...Director.Work Location: This is a remote position, open to...Remote workFull timeImmediate startWork from homeHome office$172.36k - $258.55k
Physician Advisor, Utilization Management (CA... ...License Required)remote type: Fully Remotelocations... ...works with Senior Medical Officers, Regional... ...complete clinical reviews for medical... ...Milliman guidelines for Inpatient, Outpatient,... ...assistance to Quality Director. 10. Works with...Remote work- ...Our partner is looking for a Medical Director (Utilization Management) based in United... .... You will evaluate inpatient admissions, continued stays... ...discussions requiring expert medical review. Your work will help... .... This is a fully remote, full-time leadership opportunity...Remote workFull timeWork at officeMonday to Friday
$80 - $120 per hour
...Remote | Utilization Management & Case Management Clinical Review Consultant We are sharing a specialised part-time consulting... ...management, case management, medical necessity review, care coordination... ...stay, observation status, and inpatient determinations Assess...Remote jobHourly payWeekly payContract workPart timeFor contractorsFlexible hoursNight shift$110 - $130 per hour
...healthcare staffing company is seeking a Medical Director to lead utilization management and quality improvement for Medicare inpatient care. This remote role requires board-certified... ...responsibilities include performing reviews of inpatient and post-acute services,...Remote work- ...Optum is seeking an Inpatient Care Management Medical Director in Florida to lead acute care reviews for medical necessity and manage inpatient utilization within the continuum of care. The role supports... ...national operations and allows remote work from anywhere in Florida....Remote job
- ...Group's Optum unit seeks an Inpatient Care Management Medical Director to oversee medical necessity reviews for inpatient care across a... ...from nurses and support staff. Remote work is available within... ...improving health outcomes and utilization efficiency. The role requires...Remote job
$275k - $325k
...growing, TOI is changing oncology for the better. Utilization Management Medical Director OncologyWork Location: REMOTE (work from home)California Nevada Arizona Oregon... ...focus on direct utilization management for case review and clinical decision making. In this...Remote workWork from home$190k - $200k
...healthcare management organization is seeking a Medical Director for a remote position. The role involves reviewing medical records, making decisions on service requests... ...0. Ideal for professionals with a background in inpatient care and strong communication skills. #J-18808-...Remote workContract workTemporary work$248.5k - $373k
...48,500.00 - $373,000.00Job Area: Medical & Clinical OperationsCompany: UnitedHealth... .... Growing together.The Medical Director Oncology will provide utilization review determinations and support case... ...ll enjoy the flexibility to work remotely * from anywhere within the U.S....Remote workMinimum wageWork experience placementLocal area$248.5k - $373k
...$373,000.00Job Area: Medical & Clinical OperationsCompany... ...and medical claims reviews. Our role is to... ...care costs.The Medical Director provides physician support... ...knowledge in various utilization management activities... ...the flexibility to work remotely * from anywhere within...Remote workMinimum wageWork experience placementLocal area- ...Description: Manager of Clinical Utilization Management - Denial... ...CAPosition Type: Hybrid (85% remote, 15% onsite in Northridge, CA... ...managing daily tasks, performance reviews, and any necessary... ...collaboration with physician reviewers, medical directors, and other relevant...Remote workPermanent employmentFull timeTemporary workFlexible hours
$250k - $325k
...Description About the Role The Inpatient Medical Director provides physician leadership across... ...counterparts to drive clinical excellence, utilization management, and continuity of care... ...Working Conditions While this is a Remote - US Based position, this MD will...Remote work- ...Beacon Hill is seeking a Medical Director (MD/DO) for Raleigh, North Carolina... ...focus on physical health utilization management and clinical... ...-making. The candidate will review medical necessity criteria,... ...while accommodating primarily remote work with a North #J-18808-Ljbffr...Remote work
$219k - $286.9k
Oscar Health is hiring a Physician Reviewer to join our Utilization Management team. You will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing... ...evidence-based guidelines. This remote role in the United States offers work...Remote jobWork from home- ...Optum seeks an UM Medical Director, DME, remotely available within the United States. The role leads initial clinical reviews for benefit coverage determinations and collaborates with... ...business. The position involves utilization management activities, peer-to-peer discussions...Remote work
- ...Description Job Description Medical Director of Prior Authorization and Utilization Management - Palm Springs, California... ...prior authorization, concurrent review, and utilization management... ...position can be structured as a hybrid remote role - you would not necessarily...Remote workRelocation package
$248.5k - $373k
...,000.00/yearJob Area: Medical & Clinical OperationsCompany... ...physician to join our Utilization Management team. Optum... ...and live.The Medical Director for Utilization... ...the flexibility to work remotely * from anywhere within... ...processesParticipates in case review and medical necessity...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...Description Job Description Medical Director of Prior Authorization and Utilization Management - Palm Springs, California... ...prior authorization, concurrent review, and utilization management... ...position can be structured as a hybrid remote role - you would not necessarily...Remote workPermanent employmentTemporary workRelocation package
$275k - $325k
...Astrana is seeking a California-licensed Medical Director - Utilization (UM) to provide clinical oversight... ...leadership through our utilization review operations to ensure members receive... ...Conditions This position is fully remote, with some travel to SoCal required as...Remote workFull timePart timeShift work$236.5k
...clinical professional on our Medical Management/Health... ...the Chief Medical Director to direct and coordinate... ...leadership of all for utilization management, cost containment... ...~ Performs medical review activities pertaining... ...approach to work with remote, hybrid, field or...Remote workFull timePart timeWork at officeFlexible hoursWeekend work$78k - $88k
...Utilization Review Nurse- Remote It takes great medical minds to create powerful solutions that solve some of healthcare... ...complex cases to Medical Directors when needed. Engage with providers... ...background check. 3+ years of inpatient clinical experience. 1+ year in...Remote workFull timeContract workWork at officeWork from homeFlexible hours- ...Oscar Health is hiring an Associate Medical Director to lead the Utilization Management Team and determine the medical appropriateness of inpatient, outpatient, and pharmacy services. You... ...the Senior Medical Director. This remote role is open to physicians with...Remote job
- Valenz Health is seeking a Part-Time Medical Director to provide physician leadership for medical management and utilization review programs. You will align clinical decisions and... ..., and organizational standards in a fully remote role based in the United States. You will...Remote jobPart time
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