Inpatient Medical Director: Utilization Review Expert
$223.8k - $313.1kHumana
A leading healthcare organization is seeking a Medical Director to lead clinical review of inpatient medical records, ensuring compliance with guidelines and regulations. Candidates must have an MD or DO, along with at least 5 years of clinical experience. This role involves analysis of complex cases and collaboration with other physicians while offering flexibility in work hours and the chance to impact patient outcomes without the demands of bedside care. The pay range is $223,800 - $313,100 annually, including potential bonuses. #J-18808-Ljbffr
- Unity House of Troy Inc. is looking for a Clinical Compliance & Utilization Review Specialist to conduct Utilization Review for New York State... ...to clinical staff. Benefits include 13 paid days off, medical insurance, and discounts on childcare. Apply today to be part...Suggested
$223.8k - $313.1k
...community The Behavioral Health Medical Director is responsible for... ...grievance and appeal and policy review. The Behavioral Health... ...includes some experience in an inpatient environment and/or related... ...focusing on quality management, utilization management, case management,...SuggestedBi-weekly payFull timeTemporary workApprenticeshipRemote workWork from homeHome officeWeekend work$223.8k - $313.1k
...our caring community The Medical Director National OP Medicare relies on medical background and reviews preauthorization requests for... ...predominantly arise from inpatient or post-acute care environments... ...requirements in daily utilization management and coverage determination...SuggestedBi-weekly payFull timeTemporary workApprenticeshipRemote workWork from homeHome office$95 - $100 per hour
...be a key member of the utilization management team. We... ...as the Physician match reviewer in Imaging cases, that... ...initially meet the applicable medical necessity guidelines,... ...by the subject matter expert. Discusses... ...assist the Senior Medical Director in research activities...SuggestedPart timeWork at officeImmediate start$223.8k - $313.1k
...help us put health first The Medical Director relies on fundamentals of... ...Guidance on following and reviewing Home Health, SNF, DME, dual... ...Intermediate to advanced skills utilizing Microsoft Office and... ...Qualifications Experience in an inpatient environment and/or related...SuggestedFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeMonday to Friday$38 - $41 per hour
...The Analytical Science Clinical Data Review Supervisor is responsible for supervising... ...appropriate internal and client-facing teams. Utilize the Laboratory Information Management... ...full-time benefits, including comprehensive medical coverage, dental, and vision options ~...Hourly payFull timeMonday to FridayWeekend workDay shift- ...Hospitals & Clinics is seeking a Board Certified or Eligible Cardiac Hospitalist in Albany, NY. This role involves exclusively providing inpatient cardiac care, focusing on acute cardiac conditions while collaborating with multidisciplinary teams. Compensation includes a base...
- ...ICU Medical Director Opportunity St. Peters Health Partners Medical Associates, P.C. is a leading... ...inquiries, and conducting quality case reviews. Collaborate with the Chief Medical... ...offers a comprehensive range of inpatient and outpatient services and diverse outreach...Full timeContract workWork experience placementLocumPrivate practiceWork at officeLocal areaWorldwideRelocationRelocation packageShift workWeekend work1 day per week
$202k - $303k
...Title This position assists the Chief Medical Director to direct and coordinate the medical... ...Provides medical leadership of all for utilization management, cost containment, and medical... ...activities. Performs medical review activities pertaining to utilization review...$170 - $175 per hour
...Medical Director Req number: R7707 Employment type: Full time... ...Medical Director to ensure utilization management responsibilities... ...ll Do Conduct electronic review of escalated cases against medical... ...a physician subject matter expert What You'll Need...Hourly payFull timePrivate practiceWork at officeLocal areaRemote workWorldwide- ...dashboards and analytics in all environments prior to business owner review/approval. • Mentor State staff and other contract resources as... ...and problem resolution. • Research and develop solutions utilizing new product functionality to integrate into Human Services Cluster...Contract work
$270k - $340k
...individuals facing cancer. As a Performance Suite Medical Director in Medical Oncology, you will play a... .... Unlike traditional medical review roles that emphasize volume throughput, this position integrates utilization management with collaborative engagement...Immediate start$4,000 per month
...University is seeking a Subject Matter Expert (SME) on a contractual basis to support the... ..., and inclusion (JEDI) principles. Utilize Excelsior’s course shell and instructional... ...laws. For further information, please review the Know Your Rights notice from the Department...Local area- ...Colonie is seeking a licensed physician to assist the Chief Medical Director in directing medical management and quality improvement... ...certification in psychiatry. The successful candidate will engage in utilization review, support quality improvement strategies, and collaborate...Remote job
$79.1k - $158.2k
...health record across services. Utilizing effective consulting skills... ...activities and workflow reviews, facilitate business process... ...Work alongside Oracle clinical experts, implementation consultants,... ...includes the following: # Medical, dental, and vision insurance...Contract workTemporary workWork experience placementLocal areaRemote workFlexible hours$230.9k - $384.8k
...Oncology Field Medical, Director (MD), Solid Tumors and Early Pipeline... ...required ~ Subject matter expert recognized across internal and... ...skills Rapidly adopt and utilize new digital technology and other... .... Subject to further legal review and statutory or regulatory...Permanent employmentH1bLocal areaRemote workVisa sponsorshipWork visaRelocation packageFlexible hours$120 - $135 per hour
...Doing: As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer... ...a resource to Initial Clinical Reviewers. What You Will Be Doing:... ...completed by the subject matter expert. Provides clinical rationale...Work at officeImmediate start$74.68k - $88.8k
...gain customer acceptance of the FUJIFILM Medical Systems solution. Participates in teaching... .... The ability to walk long distances and utilize stairs. Close Vision: The ability to see... ...affirmative program/plan is available for review upon formal request by employees and...Work at officeLocal areaRemote workLong distanceFlexible hours- ...Job Title: French Language Expert Job Type: Contractor Location: Remote Job Summary: Join our customer's team as a... ...high-quality, real-world input. Key Responsibilities: # Review and correct machine-generated French transcriptions, ensuring grammatical...For contractorsRemote work
$160k - $230k
...Heart. The Opportunity Subject Matter Expert - Cloud Native Are you an expert at... ...Establish and uphold technical standards, peer review processes, and best practices across... ...awards in addition to a full range of medical, financial, and/or other benefits (including...Work at officeLocal areaRemote workRelocation package3 days per week$130.84k - $209.35k
...00 The Clinical Chemistry Director possesses the character, competence... ..., (4) Result reports are reviewed to evaluate laboratory... ...Coordinate the interaction of medical staff and clinical chemistry... ...limited to the clinical laboratory utilization committee. Serves as a...Contract workLocal areaImmediate startShift work- ...Exciting leadership opportunity in the Albany, NY area. *The Medical Director position is a critical component for continued growth. *... ...NPs, perform some QA functions which may include reviewing & approving treatment plans and assist leadership in the development...Casual workRemote work
$115 per hour
...Maximus is currently hiring for a Part-Time Medical Director to join our State East team. This is a part-time, fully remote opportunity. The... ...be responsible for conducting quarterly audits of clinical reviews and overseeing physician panels to include review, audit, and...Full timePart timeCurrently hiringRemote workHome officeMonday to Friday$200k
...Maryland and Puerto Rico. Join us! POSITION OVERVIEW The Medical Director engages in the professional, organizational, and... ...provided. Meets with all scheduled patients efficiently and reviews scheduling with supervisor daily. Develops and reviews all...Full timeLocal area- ...feasibility, protocol writing or optimization, medical monitoring and pharmacovigilance. Parexel... ...in learning more about the Medical Director role. *Candidates with a subspecialty in... .... In addition, you will also: Review all individual adverse experience reports...Contract workRemote work
$176.6k - $294.3k
...SUMMARY The Specialty Care Field Medical, Director is responsible for providing... ...experience Subject matter expert recognized across internal... ...skills Rapidly adopt and utilize new digital technology and other... .... Subject to further legal review and statutory or regulatory...Permanent employmentH1bLocal areaRemote workVisa sponsorshipWork visaRelocation packageFlexible hours$90k - $120k
...**Key Responsibilities:** - Conduct thorough initial exams and re-exams, including comprehensive medical histories and focused physical examinations, while reviewing pertinent imaging and reports. - Skillfully take and analyze diagnostic imaging|X-rays to inform your...Full time$22.75 per hour
...readers and the community. As Café Team Expert (CTE), you are an integral leader for the... ...customers, acting as a role model to the team. Review category sales, inventory quantities and... ...sex, sexual orientation, marital status, medical condition as defined by applicable law,...Hourly payFull timeLocal areaFlexible hoursShift workAfternoon shiftEarly shift- Albany Med Health System is looking for a skilled Hospital Coder to join their Health Information Services team. In this role, you will utilize your expertise to ensure accurate coding and compliance with healthcare regulations, contributing to high-quality patient care....Remote jobHourly pay
- ...developing a communication process to keep others up-to-date on project results • Stay current with customer needs and strategies; utilizing formal and informal written communication methods (for example, emails, newsletters, PowerPoint presentations, executive updates,...
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