Remote Inpatient Utilization Review Medical Director
$223.8k - $313.1kJobleads-US
- Remote job
A major U.S. healthcare provider is seeking a Medical Director to conduct inpatient medical necessity reviews and support high-quality decision-making. This role is ideal for experienced physicians with backgrounds in Hospital Medicine or Critical Care. Candidates should possess an MD or DO and have at least 5 years of clinical experience. The position promotes collaboration within a structured environment. This is a remote position with occasional travel to meetings and training. A competitive compensation range of $223,800 - $313,100 per year is offered. #J-18808-Ljbffr Jobleads-US
- A leading healthcare organization seeks a Medical Director in Jackson, Mississippi. This role involves conducting clinical reviews of inpatient records and ensuring accurate decision-making based on national guidelines. Candidates should hold an MD or DO and have over 5...Remote job
$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... ...Travel: While this is a remote position, occasional travel...Remote workBi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaWork from homeHome officeMonday to FridayWeekend work- ...MedCAREERS seeks an Associate Medical Director Board Certified in Medical Oncology (or Hematology/Oncology) for a remote role across the USA. You will perform chart review and utilization review for health plan companies with experience in imaging cases. Must be board-...Remote jobFull timeImmediate start
$240.12k - $315.16k
...We're hiring an Associate Medical Director to join our Utilization Management Team. Oscar is the... ...medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and... ...Director.Work Location: This is a remote position, open to...Remote workFull timeImmediate startWork from homeHome office- ...Group’s Optum division seeks an Inpatient Care Management Medical Director to oversee acute level of care reviews for medical necessity across... ...staff to manage inpatient utilization at hospital, market, or... ...levels. The position offers remote work from anywhere in Florida...Remote job
$248.5k - $373k
...are currently seeking an Inpatient Care Management Medical Director to join our Optum team.... ...care and length of stay reviews for medical necessity for... ...manage inpatient care utilization at a hospital, market, regional... ...the flexibility to work remotely * from anywhere within...Remote workMinimum wageFull timeFor contractorsWork experience placementLocal areaHome office$80 - $120 per hour
...Remote | Utilization Management & Case Management Clinical Review Consultant We are sharing a specialised part-time consulting... ...management, case management, medical necessity review, care coordination... ...stay, observation status, and inpatient determinations Assess...Remote jobHourly payWeekly payContract workPart timeFor contractorsFlexible hoursNight shift$172.36k - $258.55k
Physician Advisor, Utilization Management (CA... ...License Required)remote type: Fully Remotelocations... ...works with Senior Medical Officers, Regional... ...complete clinical reviews for medical... ...Milliman guidelines for Inpatient, Outpatient,... ...assistance to Quality Director. 10. Works with...Remote work- ...Our partner is looking for a Medical Director (Utilization Management) based in United... .... You will evaluate inpatient admissions, continued stays... ...discussions requiring expert medical review. Your work will help... .... This is a fully remote, full-time leadership opportunity...Remote workFull timeWork at officeMonday to Friday
- ...Optum is seeking an Inpatient Care Management Medical Director in Florida to lead acute care reviews for medical necessity and manage inpatient utilization within the continuum of care. The role supports... ...national operations and allows remote work from anywhere in Florida....Remote job
- ...Group's Optum unit seeks an Inpatient Care Management Medical Director to oversee medical necessity reviews for inpatient care across a... ...from nurses and support staff. Remote work is available within... ...improving health outcomes and utilization efficiency. The role requires...Remote job
$275k - $325k
...growing, TOI is changing oncology for the better. Utilization Management Medical Director OncologyWork Location: REMOTE (work from home)California Nevada Arizona Oregon... ...focus on direct utilization management for case review and clinical decision making. In this...Remote workWork from home$248.5k - $373k
...48,500.00 - $373,000.00Job Area: Medical & Clinical OperationsCompany: UnitedHealth... .... Growing together.The Medical Director Oncology will provide utilization review determinations and support case... ...ll enjoy the flexibility to work remotely * from anywhere within the U.S....Remote workMinimum wageWork experience placementLocal area$248.5k - $373k
...$373,000.00Job Area: Medical & Clinical OperationsCompany... ...and medical claims reviews. Our role is to... ...care costs.The Medical Director provides physician support... ...knowledge in various utilization management activities... ...the flexibility to work remotely * from anywhere within...Remote workMinimum wageWork experience placementLocal area- ...Beacon Hill is seeking a Medical Director (MD/DO) for Raleigh, North Carolina... ...focus on physical health utilization management and clinical... ...-making. The candidate will review medical necessity criteria,... ...while accommodating primarily remote work with a North #J-18808-Ljbffr...Remote work
$248.5k - $373k
...,000.00/yearJob Area: Medical & Clinical OperationsCompany... ...physician to join our Utilization Management team. Optum... ...and live.The Medical Director for Utilization... ...the flexibility to work remotely * from anywhere within... ...processesParticipates in case review and medical necessity...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...Description: Manager of Clinical Utilization Management - Denial... ...CAPosition 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
$250k - $325k
...Description About the Role The Inpatient Medical Director provides physician leadership across... ...counterparts to drive clinical excellence, utilization management, and continuity of care... ...Working Conditions While this is a Remote - US Based position, this MD will...Remote work$78k - $88k
...Utilization Review Nurse- Remote It takes great medical minds to create powerful solutions that solve some of healthcare... ...complex cases to Medical Directors when needed. Engage with providers... ...background check. 3+ years of inpatient clinical experience. 1+ year in...Remote workFull timeContract workWork at officeWork from homeFlexible hours- ...Optum seeks an UM Medical Director, DME, remotely available within the United States. The role leads initial clinical reviews for benefit coverage determinations and collaborates with... ...business. The position involves utilization management activities, peer-to-peer discussions...Remote job
- ...Description Job Description Medical Director of Prior Authorization and Utilization Management - Palm Springs, California... ...prior authorization, concurrent review, and utilization management... ...position can be structured as a hybrid remote role - you would not necessarily...Remote workRelocation package
- ...Oscar Health is hiring an Associate Medical Director to lead the Utilization Management Team and determine the medical appropriateness of inpatient, outpatient, and pharmacy services. You... ...the Senior Medical Director. This remote role is open to physicians with...Remote job
- Valenz Health is seeking a Part-Time Medical Director to provide physician leadership for medical management and utilization review programs. You will align clinical decisions and... ..., and organizational standards in a fully remote role based in the United States. You will...Remote jobPart time
- Astrana Health, Inc. is seeking a California-licensed Medical Director - Utilization Management to provide clinical oversight and strategic leadership of utilization review operations. You will guide evidence-based decisions, mentor review teams, and ensure compliance...Remote job
- ...Medical Director, Utilization Management The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and... ...In this role you will deliver and collaborate on clinical review activities, which includes management of the physician...Full timePart timeWork at officeLocal areaWork from homeHome office2 days per week
- ...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
$275k - $325k
...Astrana is seeking a California-licensed Medical Director - Utilization (UM) to provide clinical oversight... ...leadership through our utilization review operations to ensure members receive... ...Conditions This position is fully remote, with some travel to SoCal required as...Remote workFull timePart timeShift work- ...Medical Director Utilization Management (Payer Side Experience Required)- (Remote) Duration: 30 Weeks with possible extension Location: Pittsburgh, PA Schedule: Monday Friday... ...responsible for conducting medical necessity reviews, appeals, and escalated case evaluations...Remote workFull timeContract workPart timePrivate practiceMonday to FridayFlexible hours
- ...outcomes. Our talented remote workforce spans the... ...benefits that include: Medical, dental and vision... ...Supervisor, Clinical Review plays a critical role... ...clinical staff who conduct utilization review and/or specialty... ..., swing bed, PEC, and inpatient psychiatric facilities...Remote workContract work
- ...Registered Nurse – Utilization Review (Remote) This is a fully remote Utilization Review RN role... ...lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation... ...(OBS). Minimum of 3 years acute medical Care Management/Utilization Review...Remote work
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