Remote Medical Director, Inpatient Denials Management
$225kCorroHealth
- Remote job
A healthcare solutions provider is seeking a Medical Director for Inpatient Denials Management. This remote role involves evaluating hospitalizations nationwide and performing clinical reviews to ensure appropriate admission status. Candidates should hold an MD or DO degree and possess an active medical license in the US. The position offers a competitive salary starting from $225k with comprehensive benefits and emphasizes work/life balance in a supportive environment. #J-18808-Ljbffr CorroHealth
$225k
A healthcare solutions provider is seeking a Medical Director for Inpatient Denials Management. This remote role involves evaluating hospitalizations nationwide and performing clinical reviews to ensure appropriate admission status. Candidates should hold an MD or DO degree...Remote work- Optum is hiring Medical Directors to support inpatient care management in remote, full-time roles. These positions are ideal for physicians who want to apply their clinical expertise in a strategic, administrative setting that improves care outcomes. You will conduct acute...Remote jobFull time
- Optum is seeking a Medical Director to lead inpatient care management from a remote location. This role emphasizes applying clinical expertise in a strategic, administrative capacity to improve patient outcomes. The position focuses on acute level-of-care reviews, collaboration...Remote jobMonday to Friday
- ...Care Manager Clinical DenialsThe Care Manager Clinical Denials (CM-CD) is responsible for the management of clinical audits and denials related to inpatient medical necessity and/or level of care, and coding. The CM-CD reviews patient medical records and all other pertinent...Remote workWork experience placementWork at office
- ...primary care, wellness, disease management and population health... ...College of Medicine; McGovern Medical School at The University of Texas... ...The Care Manager Clinical Denials (CM-CD) is responsible for the... ...audits and denials related to inpatient medical necessity and/or level...Remote workWork experience placementWork at officeFlexible hours
- System Physician Advisor Medical Director Responsibilities and... ...to case/utilization management and revenue cycle... ...medical necessity/status denials or governmental non-... ...reviews for Inpatient medical necessity (e.... ...providers involved in remote utilization review and...Remote workContract workFor contractorsMonday to FridayWeekend work3 days per week
- ...hiring a Physical Health Medical Director to work remotely in North Carolina. The... ...the Physical Health Medical Management Team, providing clinical oversight... ...care determinations for inpatient and outpatient services... ...Review Approval and Denial of Service and Level of Care...Remote workTemporary workWork experience placementWork at officeRelocationFlexible hoursWeekend work
- A national healthcare organization is seeking a medical professional to lead and coordinate medical management efforts. Responsibilities include utilization management, medical quality improvement, and collaboration with clinical teams to optimize patient care. The ideal...Remote jobFull timeFlexible hours
- ...Clinical Supervisor, UM Denial Compliance Location... ...Type: Hybrid (85% remote, 15% onsite in Burbank... ...standards for associated medical groups. Key... ...licensed denial unit staff, managing daily tasks, performance... ...reviewers, medical directors, and other departments...Remote workPermanent employmentTemporary work
$365k
...Description Medical Director - Palmer Lake CO Our Palmer Lake campus provides a comprehensive... ...including medical detox, residential/inpatient treatment, Partial Hospitalization... ...medication, withdrawal assessment and management of complications, detoxification...Flexible hours$237.9k
Job Summary The Medical Director of Adolescent Inpatient Psychiatry and Substance Use Disorder Medical Management services leads and provides clinical care to service line(s) in the department of Behavioral Health Services (BHS). This role supervises other physicians and...Full timeTraineeshipWork at officeRelocation package- Sr Project Manager Clinical/Inpatient/Ambulatory - Cerner/Epic Remote 12+ months This position requires extensive knowledge, skills and abilities in project management... ...Business and Practice Management, Electronic Medical Record (EMR), or Call center Customer Relationship...Remote jobWork at office
- ResPro Health is seeking a detail-oriented Medical Billing Manager to review, research, and resolve... ...services rendered. The role supports a remote yet collaborative healthcare team, emphasizing... ...following up on claims, investigating denials, communicating with carriers, and...Remote job
- UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure appropriate utilization... ...The role involves collaboration with medical directors and case managers to coordinate... ...weekend requirements; you can work remotely from anywhere in the U.S. The salary...Remote jobFull timeWeekend work
- ...UnitedHealth Group seeks an Inpatient Care Management Medical Director to review acuity and length of stay for medical necessity. The role collaborates... ...evidence-based guidelines and telephonic outreach. Remote role within Florida with rotation holidays and call coverage...Remote workHome office
- ...Humana is seeking a Behavioral Health Medical Director to lead behavioral health care... ...regulatory compliance and utilization management across inpatient and outpatient settings. The role requires... ...years in project management. Fully remote with occasional travel; standard...Remote work
- ...Description Job Description Hospice Director Inpatient Center Operations - Registered Nurse... ...Delaware Position Type: Full-Time Remote/Virtual Position: No Selected... ...experience in hospice, home health, general medical surgical, oncology or patient...Remote workFull timeLocal areaFlexible hours
- ...Medical DirectorThe Medical Director relies on medical background and reviews health claims... ...advancing the quality of inpatient care through clinical... ...well-reasoned utilization management determinations.... ....Travel: While this is a remote position, occasional travel...Remote workBi-weekly payTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to FridayWeekend work
$248.5k - $373k
...$373,000.00Job Area: Medical & Clinical OperationsCompany... ...together.The Medical Director for the Oncogenetic... ...for utilization management related to advanced molecular... ...flexibility to work remotely * from anywhere within... ...director teams focusing on inpatient care management,...Remote workMinimum wageWork experience placementLocal area- ...enjoy the flexibility to work remotely from anywhere within the U.S... ...are currently looking for Medical Directors that can work daytime in any... ...reviews - authorizations and denial reviews Conduct peer to peer... ...guidance to maximize cost management through close coordination with...Remote jobLocal areaWeekend workAfternoon shift
$250k - $325k
...Description About the Role The Inpatient Medical Director provides physician leadership across... ...with hospitalists, specialists, care management, and health plan counterparts to drive... ...Working Conditions While this is a Remote - US Based position, this MD will need...Remote work$190k - $200k
We're seeking a board‑certified Medical Director (Internal Medicine or Family Practice... ...our team. This role is fully remote and focuses on utilization management (UM), quality review, and clinical... ...improvement. Perform concurrent inpatient and post‑acute reviews, and review...Remote workFull time$211.17k - $269.25k
Medical Director - Physical Health (Full‑time Remote, North Carolina‑Based) Alliance Health Occupation: Medical and Health Services Managers • Location: Charlotte, NC • Job Type: Full Time (30 Hours... ...level‑of‑care determinations for inpatient and outpatient services....Remote jobHourly payPermanent employmentFull timeWork at officeLocal areaWork from homeRelocationFlexible hours$236.5k
...members as a clinical professional on our Medical Management/Health Services team. Centene is a... ...Position Purpose Assist the Chief Medical Director to direct and coordinate the medical... ..., and a flexible approach to work with remote, hybrid, field or office work schedules...Remote jobFull timePart timeWork at officeFlexible hoursWeekend work$248.5k - $373k
...improve evidence-based care. This full-time role offers remote work flexibility within the United States and... ...unrestricted license in your state. You will collaborate with medical director teams on inpatient care management, clinical coverage reviews, and provider appeals....Remote jobFull time$300k
...of Massachusetts Chan Medical School (UMass Chan) seeks... ...the Facility Medical Director (FMD) for The Cape Cod... ...leader for both inpatient and partial hospitalization... ...including utilization management, risk management,... ...eligible for a hybrid/remote schedule combining regularly...Remote workDaily paidContract workLocumH1bNight shiftWeekend workDay shift$275k - $325k
...affiliate locations of care across five states and growing, TOI is changing oncology for the better. Utilization Management Medical Director OncologyWork Location: REMOTE (work from home)California Nevada Arizona Oregon FloridaThe Medical Director role provides clinical...Remote workWork from home$160k - $175k
...Description Description: Assistant Medical Director (Hybrid) Canaan, CT About... ...across Mountainside's inpatient continuum of care. Working... ...evaluations, medication management, and clinical leadership while... ...(four days on-site, one day remote) Your Role: Provide psychiatric...Remote workMonday to Friday$210.4k - $331.1k
...Job Description Our Medical Affairs team advances patient care by... ...Regional Medical Scientific Director, RMSD, is a credentialed (i.e... ...knowledge, including quality management. Excellent interpersonal,... ...Flexible Work Arrangements: Remote Shift: Not Indicated Valid...Remote workFull timeFor contractorsWork at officeLocal areaRelocationVisa sponsorshipFlexible hoursShift work$99.44k
...databases and reports. The job involves project management, end user training, form modeling,... ...billing and payer claim files; track denials with Finance. 6. Reporting. Create... ...center network — ODBC, client installs, remote access — and maintain test environments....Remote workFull timeWork at office
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