Remote Utilization Review Medical Director (DMEPOS)
$250kIntegra Partners
- Remote job
A national healthcare solutions provider is seeking a Utilization Review Medical Director to conduct clinical reviews of Durable Medical Equipment requests. This full-time role emphasizes adherence to workflow timelines and requires an MD or DO degree along with board certification. Responsibilities include evaluating clinical documentation and ensuring compliance with Medicare and Medicaid guidelines. The position offers a competitive salary of $250,000 annually and various benefits, with remote work opportunities available in Michigan and other states. #J-18808-Ljbffr Integra Partners
$250k
...The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment... ...Conduct timely clinical reviews of DMEPOS authorization requests using... ...Additional Expectations: Full-time remote role requiring consistent availability...Remote workFull timeTemporary workLocal area- ...S. healthcare organization is seeking an experienced Medical Director to conduct clinical reviews and guide decision-making in inpatient care. The role... ...clinical experience, with a focus on hospital medicine and utilization review. Join a distinguished team to impact patient...Remote job
- 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 job
- A national healthcare organization is seeking a Medical Director to conduct inpatient medical necessity reviews while collaborating with healthcare providers. This... ...include performing clinical reviews, providing utilization management determinations, and ensuring...Remote jobMonday to Friday
- A health insurance startup is looking for an experienced Medical Director to oversee utilization reviews and prior authorizations. This remote position demands a strong clinical background with a doctorate in medicine and board certification. The ideal candidate will have...Remote jobFlexible hours
- ...Medical Director Opportunity At Curative Curative is building the future of health insurance... ...for overseeing and performing utilization reviews, prior authorizations, and making crucial... ...peer-to-peer discussions. This is a remote position requiring a "roll up your sleeves...Remote workFull timeFlexible hours
- A leading healthcare company is seeking a Medical Director to perform clinical reviews and assess medical necessity for inpatient cases. This role offers the chance to collaborate with a team of physicians, making a significant impact on patient care. Requires an MD/DO...Remote jobWork from home
- 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
$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- A leading healthcare company is seeking a Medical Director to conduct clinical reviews of inpatient medical records. The candidate will analyze complex cases and ensure adherence to medical necessity guidelines. This position offers a chance to impact patient care through...Remote job
- A leading healthcare company is seeking a Medical Director in Denver, Colorado. The role involves conducting inpatient medical necessity reviews, ensuring compliance with regulations, and working collaboratively within a structured team. Ideal candidates have substantial...Remote jobFull time
$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 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- A leading healthcare provider is seeking a Medical Director to review health claims and ensure compliance with clinical standards. The ideal candidate... ...salary and is based in Sacramento, CA, with standard hours and some remote work flexibility. #J-18808-Ljbffr Humana IncRemote job
$223.8k - $313.1k
A leading healthcare company in Arizona is seeking a Medical Director to conduct clinical reviews of inpatient records and support decision-making for patient... ...and strong analytical and communication skills. This remote position involves collaboration with external...Remote jobMonday to Friday- A leading healthcare company is seeking a Medical Director to review inpatient medical claims and lead clinical decision-making without the irregular hours of bedside care. Candidates should have an MD or DO, with over 5 years of clinical experience and Board Certification...Remote job
- COMAGINE HEALTH in Nevada seeks a Supervisor, Clinical Review to supervise clinical staff conducting utilization reviews. Ideal candidates will have an active RN... ...skills are crucial. The position offers a remote work option along with comprehensive benefits, enhancing...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 job
- ...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 job
- ...Description: Manager of Clinical Utilization Management - Denial... ...Position 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
$223.8k - $313.1k
...part of our caring community The Medical Director relies on medical background and reviews health claims. The Medical... ...Medicine, or those experienced in Utilization Review are encouraged to apply.... ...information. Travel: While this is a remote position, occasional travel to...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to FridayWeekend work- ...will lead the operational areas of the Utilization Management (UM) program including... ...prospective, concurrent, and retrospective reviews. As a Medical Director, UM you ensure all patient care... .... Work Arrangement ~ Fully remote; must be willing to work rotational...Remote workContract workLocal areaFlexible hoursWeekend work
- ...JOB DESCRIPTION Medical Director - Utilization Management (Payer Side Experience Required)- (Remote) Duration: 30 Weeks with possible extension Location:... ...responsible for conducting medical necessity reviews, appeals, and escalated case evaluations using...Remote workFull timeContract workPart timePrivate practiceMonday to FridayFlexible hours
- ...healthcare organization is seeking a Medical Director for Utilization Management to ensure compliant care decisions... ...for Medicare Advantage members. This remote position requires expertise in... ...with MCG guidelines and utilization review. The ideal candidate will possess an...Remote work
$275k - $300k
...Oncology Institute of Hope and Innovation is seeking a Utilization Management Medical Director Oncology to work remotely from California, Nevada, Arizona, Oregon, or Florida. This role involves conducting medical reviews of oncology treatment plans and collaborating with...Remote job$248.5k - $373k
Stryker Corporation is seeking a Medical Director to provide physician support... ...clinical knowledge in utilization management activities, conducting coverage reviews, and collaborating with providers... ...experience. This position allows for remote work from anywhere in the U.S....Remote job$122.44k
...develop staff in administration of the Medical Review and Prior Authorization programs for commercial... ...companies. Location: This is a remote position. Typical work hours are from 8... ...0 years healthcare program management, utilization/case management, or medical review...Remote workContract workFor contractorsWork experience placementWork at officeLocal areaMonday to Friday- ...analytics, Guidehealth leverages remotely-embedded Healthguides™ and a... .... What You’ll Be Doing Utilization Review & Clinical Determinations Complete... ...services using appropriate medical criteria to support... ...Collaboration Partner with the Medical Director and Peer Reviewers for cases...Remote workBi-weekly payFull timeTemporary workFor contractorsLocal areaWork from home
- ...Medical Director Utilization Management Location: Remote Preference EST or nearby Pittsburgh PA, NY, WV Duration: 6+ Months Contract Role with possible extension... ...most current clinical standards. The incumbent reviews escalated cases electronically using Medical...Remote workContract workPrivate practice
- Medix™ is looking for experienced Utilization Management Medical Directors for a remote contract opportunity. This role is ideal for physicians with strong payer... ...experience who can thrive in a high-volume review environment. The position offers full-time flexible...Remote jobFull timeContract workFlexible hours
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