Remote Medical Director, Inpatient Denials & Utilization
CorroHealth, Inc.
CorroHealth, Inc. is recruiting a Medical Director, Denials Management to evaluate hospitalizations nationwide from a remote location. You will review clinical cases and advise client hospitals on admission status, balancing clinical judgment with payer requirements.
The role offers a remote, full-time schedule with training, career growth, and uncapped bonus opportunities. Compensation includes salary plus bonus, with comprehensive benefits and a 40-hour workweek.
#J-18808-Ljbffr- ...Humana Inc is seeking a Medical Director to lead inpatient medical necessity reviews and utilization management with a focus on quality and physician collaboration. The... ...and support Humana’s care standards. This remote position requires MD or DO, board certification...Remote work
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...our caring community The Medical Director relies on medical background... ...to advancing the quality of inpatient care through clinical expertise... ..., or those experienced in Utilization Review are encouraged to... ...Medical Director. Work Style: Remote in the contiguous US, may...Remote workFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to FridayWeekend work$213.1k - $308.3k
...care for the most medically and socially complex... .... The Job The Utilization Management (UM) Physician Medical Director provides physician... ...requests, concurrent (inpatient) reviews, and... ...clinical outcomes, denial trends, and overturn... ...Mode - Mostly Remote: Employees who reside...Remote workFor contractorsWork at officeLocal areaRelocation- ...Bickham Services Unlimited, LLC is seeking a Medical Director, Utilization Management to lead clinical utilization reviews for inpatient and post-acute care, ensuring medical... ...policies, and evidence-based criteria. Remote opportunity in New Jersey for a board-certified...Remote work
- ...Clover Health is seeking a Medical Director, Utilization Management, to lead evaluation of outpatient referrals and inpatient admissions for medical appropriateness. The physician will apply Medicare Coverage Determinations and Clover policies to determine medical necessity...Remote work
- ...UnitedHealth Group is seeking an Inpatient Care Management Medical Director for Missouri. This role leads inpatient care utilization reviews, collaborates with nurses and staff, and... ...across the continuum of care. Remote work from anywhere in Missouri is possible...Remote work
- ...value to those who need it most. The Medical Director, Utilization Management, will be responsible for... ...evaluation of all outpatient referrals and inpatient direct admissions for medical... ...off policy. Additionally, we embrace a remote-first culture that supports collaboration...Remote workFull timeWork at officeLocal areaFlexible hours
$215k - $408.5k
...Remote Medical Director, Inpatient Medicare page is loaded## Remote Medical Director, Inpatient Medicarelocations: Remote-MO: Remote-FL: Remote-... ...business unit.* Provides medical leadership of all for utilization management, cost containment, and medical quality improvement...Remote workFull timePart timeWork at officeFlexible hoursWeekend work- ...of our caring community The Medical Director relies on medical background... ...to advancing the quality of inpatient care through clinical expertise... ..., or those experienced in Utilization Review are encouraged to... ...Medical Director. Work Style Remote in the contiguous US, may participate...Remote workWork at officeLocal areaWork from homeHome officeMonday to FridayWeekend work
- ...Clover Health is seeking a Lead Medical Director, Utilization Management, to guide medical necessity decisions for outpatient referrals and inpatient admissions. You will lead a team, develop... ...quality improvements, all within a remote-first framework supporting US operations...Remote work
- ...UnitedHealth Group, through Optum, seeks an Inpatient Care Management Medical Director in Missouri to lead acute care reviews and drive utilization management for a national scope. The... ...and markets. The position offers remote work within Missouri, requires an MD/DO...Remote work
$320k - $340k
...steps. Our partner is looking for a Lead Medical Director, Utilization Management based in the United States... ...reviews across outpatient referrals, inpatient admissions, and other care requests.... ...quality, access, and outcomes. This remote-first role combines hands-on clinical...Remote workFull timeWork at officeFlexible hours- ...Centene Corp. is seeking a Remote Medical Director for Inpatient Medicare to guide medical management, quality initiatives and credentialing for the unit. You will lead utilization management, cost containment and expert review of complex cases to ensure timely, compliant...Remote workFlexible hours
- ...Lead UM Medical Directors in making timely, evidence-based medical necessity decisions. Evaluate outpatient referrals and inpatient admissions for medical appropriateness. Key Responsibilities... ...complex cases, and chair the Utilization Management Committee. Partner...Remote workFlexible hours
- Medical Director, Utilization Management Location: New Jersey - Fully Remote Work Arrangement: Remote Job Type: Contract Contract Length: 6-9 months, with potential for... ...activities, with a primary focus on inpatient and post-acute care reviews. This position is...Remote workHourly payContract workImmediate start
- ...VetJobs seeks a Medical Director (BH, UM) based remotely with Hawaii licensure to lead clinical operations for... ...care management team across inpatient, partial hospitalization, and outpatient... ...include developing utilization management strategies, ensuring medically...Remote work
- ...Work Location : Remote (Oregon Headquarters... ...) Division: Utilization Management Physical... ...Reports To: Nursing Director - RN Work... ...with the YCCO Chief Medical Officer (CMO) and/... ...InterQual, Medicare. Inpatient Only List, HERC (Health... ...Contractors), and Denial Management....Remote workContract workFor contractorsCasual workWork at officeLocal areaFlexible hours
$238k - $357.5k
...together . We are currently seeking an Inpatient Care Management Medical Director to join our Optum team. This team... ...staff to manage inpatient care utilization at a hospital, market, regional or... ...’ll enjoy the flexibility to work remotely * from within the State of...Remote jobMinimum wageFor contractorsWork experience placementLocal area- ...JOB SUMMARY: This is a remote position ESSENTIAL DUTIES... ...Leadership Team Member. As a Medical Director, Denials Management you will have... ...across the country while utilizing your medical knowledge and... ...; emergency medicine; inpatient; acute care; board certified...Remote workFull timeWork at officeImmediate startWork from homeMonday to FridayShift work
- ...Clinical Supervisor, UM Denial Compliance Location: Los Angeles... ...Position Type: Hybrid (85% remote, 15% onsite in Burbank, CA) Company... ...standards for associated medical groups. Key... ...physician reviewers, medical directors, and other departments. Ensure...Remote workPermanent employmentTemporary work
$260k - $275k
...Medical Director – Health Plan – RemoteSalary Range: $260,000 – $275,000 per year Location: New York, NY Remote / Onsite: Remote – Monday through Friday, Business HoursPosition SummaryRCM... ...supporting appropriate healthcare utilization through Utilization Management,...Remote workContract workMonday to Friday- ...Job Description\n Utilization Management Medical Director Oncology\n\n\n \n \n Work Location: REMOTE (work from home)\n \n \n The Medical Director role provides clinical expertise in assessing the medical necessity, appropriateness, and efficiency of oncology care with...Remote workWork from home
- ...HireTalent is seeking a board-certified Neonatologist as Reviewing Medical Director to lead NICU utilization management and neonatal clinical operations in a fully remote capacity. This role focuses on evidence-based determinations for complex NICU cases within Medicaid...Remote work
- ...Population Health RN Inpatient Case ManagerAt... ...services are provided utilizing available... ...members, caregivers, medical home providers, and... ...to UM Manager and Director of Care Management... ...TAT, claims and the denial process.Current standards... ...for hybrid remote work.About UsInterpersonal...Remote workFull timeShift work
- ...Health System - Clinical Denial Unit Facility Address... ...per week) Local Remote only Why Jackson Jackson... ...internationally recognized academic medical system offering world-... ...within the entire Utilization Review team within... ...Emergency Dept area, Inpatient Utilization Review...Remote workDaily paidLocal areaFlexible hoursShift workDay shift
- ...Support utilization management processes and review authorizations for medical necessity. Perform peer-to-peer discussions with providers and mentor UM nurses.... ...-driven health insurance focused on seniors. Remote-first, mission-driven, and collaborative team....Remote work
$224k - $364k
~ Locations United States FL, United States (Remote) Job Description The Medical Director will work closely with the team to perform all types of utilization management (UM) reviews, including but not limited to Pre-service, Post-service, Concurrent Review and Appeals...Remote workTemporary workPart timeWork experience placementInternshipSeasonal work- ...seeking an enthusiastic and highly skilled Medical Director to join our growing team. To qualify... .... This pivotal role will oversee utilization reviews, prior authorizations, and make... ...a fast-paced startup environment. This remote leadership position requires strong communication...Remote work
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