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
$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... ...Role Overview Perform expert clinical review of...SuggestedBi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeMonday to FridayWeekend work$223.8k - $313.1k
...us put health first The Medical Director relies on fundamentals of CMS... ...Guidance on following and reviewing Home Health, SNF, DME, dual... ...to advanced skills utilizing Microsoft Office and Internet... ...Qualifications ~ Experience in an inpatient environment and/or related...SuggestedFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeMonday to Friday$227.6k
...a physician team, ensures that utilization management responsibilities are... ...clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate... ...require a physician subject matter expert. Other duties as assigned....SuggestedFor contractorsPrivate practiceWork at officeLocal area$24 - $33 per hour
...power prosperity around the world. As a QuickBooks Live Expert you are the center of that mission, providing... ...business owners on bookkeeping best practices and optimal utilization of the QuickBooks Online platform Review information input by small business owners for...SuggestedPart timeWork at officeWork from homeFlexible hours$202k - $303k
...Summary: 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...SuggestedRemote work- ...seeking a highly skilled and experienced Expert Workfront Architect (Adobe Practice) to... ...best practices and business requirements, utilizing features like scenarios, modules, and... ...platform’s effectiveness. Conduct regular reviews and assessments to ensure the platform...Work experience placementLocal areaRemote work
- ...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
$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$70k - $78k
...Assurance (NCQA) and Patient Centered Medical Home (PCMH), works with the providers,... ...teams, coordinates various aspects of utilization and review and management. Working collaboratively... .... Working collaboratively with the Director of Practice Operations and service line...Work at officeLocal areaWork from home- ...catheters. # Intrapleural therapies are administered in the inpatient setting. # Roswell Park and SPHP are collaboratively pursuing... ...Board of Internal Medicine with subspecialty certification in Medical Oncology and Hematology, or actively in progress. # Values patient...Full timeContract workWork at officeRelocationRelocation packageMonday to FridayWeekend work
- ...Provide a short description of the Position: Act as Expert Network Administrator working for NYS Information Technology Services on behalf... ...field devices for installation by Agency business users. 4. Review the network architecture and gear currently in place and provide...Remote work
$230.9k - $384.8k
...SUMMARY The Specialty Care Field Medical, Director is responsible for providing... ...required Subject matter expert recognized across internal... ...technical skills Rapidly adopt and utilize new digital technology and... .... Subject to further legal review and statutory or regulatory...Permanent employmentH1bLocal areaRemote workVisa sponsorshipWork visaRelocation packageFlexible hours$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- ...services. Must be able to respect confidential information. Adept at utilizing most current technology and thorough knowledge of core operation systems. Demonstrate a willingness to learn and become expert in new technologies and applications as they come into the...
- 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
$120 - $135 per hour
...week. As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you... ...a resource to Initial Clinical Reviewers. What You Will Be Doing:... ...completed by the subject matter expert. Provides clinical rationale...Full timePart timeWork at officeImmediate start$50k - $120k
...Why OWG Surrogacy? 1. Competitive Base Compensation Earn $50,000 – $120,000+ depending on your experience, location, and medical history. 2. Comprehensive Bonus & Benefit Package ($8,000 – $12,000+) We offer a strong and well-structured benefit package, including...Relocation package$46.2k - $85.8k
...exceptional travel services to corporate business customers. The successful candidate will advise on and arrange travel logistics, utilizing their GDS expertise in Sabre. Applicants should have over 5 years of experience in travel, a passion for high-quality client...Remote workNight shiftWeekend workAfternoon shift$120k - $140k
...for an accommodation or an alternative application process. Medical Director Troy, NY, US 6 days ago Requisition ID: 1973 Salary Range:... ...Practitioners in accordance with New York State requirements Review and co-sign documentation as required Provide consultation on...Full timeContract workPart time$202k - $303k
...seeking a licensed physician in New York to assist the Chief Medical Director in directing and coordinating medical management, quality... ...credentialing functions. The role involves providing leadership in utilization management and developing educational programs for...- Whiteman Osterman & Hanna LLP is seeking a Paralegal in Albany, New York, focusing on financial services. Responsibilities include reviewing legal documents, drafting financial statements, and organizing client communications. The ideal candidate should have strong...Hourly payWork at office
- ...ASP.NET, Web API for n-tier web deployment. 7.5 10 2. 84 months Experience developing and maintaining web applications that utilize modern client-side technologies such as HTML5, XML, JSON, AJAX, JavaScript, jQuery, Bootstrap and Cascading Style Sheets. 7.5 1...
$59.07k - $88.6k
...authorizations, this position will use their clinical expertise by reviewing medical necessity, responding to authorization concerns and/or... ...capital city, Albany Medical Center offers a full range of inpatient and outpatient care and is home to the region’s largest hospital...Contract workShift work- ...leading health insurance provider in New York is seeking a Medical Director to ensure compliance with CMS Medicare guidance and evaluate... ...services for Medicare and Medicaid members. The role involves reviewing clinical cases, applying clinical guidelines, and...Remote job
$82.5k - $166.1k
...focusing on customer success in utilizing Oracle's solutions. Using Oracle... ...guide customers through workflow reviews and is responsible for achieving... ...includes the following: # Medical, dental, and vision insurance, including expert medical opinion # Short term disability...Temporary workWork experience placementLocal areaRemote workFlexible hours$52k - $65k
...right mattress matters, and so does the right career. Our Sleep Experts® are at the heart of what we do: helping customers find their... ...employer matching ~ Mental health and life resources ~ Medical, dental, prescription, and vision plans ~ Get paid on-demand...$86.4k
...vision. A core responsibility will be attending sprint/milestone reviews with the Delivery team to ensure successful implementation.... ...team to executive levels. Actively anticipate future needs and utilize metrics and qualitative input to identify asset improvement opportunities...For contractorsWork at officeLocal areaRemote work$70.07k - $108.61k
...onboarding - Regular Rounding with direct reports - Prepare performance reviews for any direct reports - Develop and maintain employee’s annual... ...five years of experienceworking in a management capacity in a medical office or clinical setting.* Must project a professional image,...Work at officeShift work- ...managing VAD catheters. Intrapleural therapies are provided in an inpatient setting. Collaborative clinical trials are being pursued... ...Board of Internal Medicine with subspecialty certification in Medical Oncology and Hematology, or be in the process of obtaining it....Full timeContract workWork at officeRelocationRelocation packageMonday to FridayWeekend work
$94.96k - $147.18k
...general direction of the System Director of Sourcing, Contracting and... ...responsible for evaluating medical products, services, and... ...management while continuously reviewing and improving processes that... ...staff to ensure cost‑effective utilization of products, services, and...Contract workShift work
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