Remote Clinical Review Supervisor (Utilization & Quality)
Council Of State and Territorial Epidemiologists
The Council of 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 effective leadership in a remote work environment. The ideal candidate will possess a currently active RN license and 5 years of direct patient care experience, along with exceptional problem-solving and communication skills. This role supports quality management initiatives aimed at improving healthcare services while fostering a collaborative environment. #J-18808-Ljbffr
- ...to oversee inpatient medical necessity reviews and utilization management. This role requires strong analytical... ...skills, as well as 5+ years of clinical experience post-residency. Ideal candidates will have a dedication to quality care and enjoy working in a structured,...Remote work
- ...Medical Director to conduct inpatient medical necessity reviews while collaborating with healthcare providers. This... ...analytical skills. Responsibilities include performing clinical reviews, providing utilization management determinations, and ensuring compliance with...Remote workMonday to Friday
$223.8k - $313.1k
...is seeking a Medical Director to provide expert clinical reviews and advance patient outcomes. This remote position emphasizes collaboration and structured... ...abilities. Join a dedicated team focused on effective utilization management while enjoying a competitive...Remote work- ...Supervisor Of Behavioral Health Utilization Review Saint Luke's Crittenton Children's Center in... ...Friday, dayshift, 9am -5pm. Remote work not preferred, but... ...data to achieve quality outcomes and progression... ...care provider. ~ Review clinical charts in order to file...Remote workMonday to FridayDay shift
$78.7k - $134.9k
...connected care, where coordinated, quality service is the norm and every member feels valued. The Supervisor, Quality Reviewers is responsible for leading day-to-day clinical review and medical record... ...record retrieval work including remote electronic health record (EHR)...Remote workWork experience placementWork at office3 days per week$65k - $75k
...will communicate with insurance companies and clinical teams while conducting reviews to ensure optimal client coverage. Candidates should... ...’s degree in Mental Health, with experience in utilization review preferred. This remote role offers a pay range of $65-75k, Monday to...Remote jobFull timeMonday to Friday$223.8k - $313.1k
A leading U.S. healthcare company seeks a Medical Director to conduct inpatient medical necessity reviews. This role requires an MD or DO with over 5 years of clinical experience. Responsibilities include performing clinical assessments, collaborating with a multidisciplinary...Remote workWork from home- Dane Street, LLC is seeking a Clinical QA Supervisor responsible for overseeing the review of physician reports and accompanying medical records. This role includes managing QA staff to ensure accuracy and consistency in reporting. The ideal candidate should possess an...Remote job
- ...A leading U.S. healthcare company seeks a Medical Director in Tallahassee, Florida. The role includes clinical reviews and analysis of inpatient cases, requiring MD or DO credentials and 5+ years of experience. Ideal candidates possess strong analytical skills and can...Remote work
- ...inpatient medical necessity reviews and analyze complex hospital... ...candidate will have extensive clinical experience, excellent communication... ...to patient outcomes. This remote position offers a competitive... ..., aimed at improving the quality of inpatient care. #J-18808-LjbffrRemote work
- ...A leading healthcare firm in Michigan is seeking a Medical Director to oversee clinical reviews and support decision-making in inpatient care. The ideal candidate will have significant post-residency experience, a medical license, and board certification. Responsibilities...Remote work
$223.8k - $313.1k
A leading healthcare company is seeking a Medical Director to conduct clinical reviews and assess medical necessity in a remote role. The ideal candidate will have a medical degree, extensive clinical experience, and strong analytical skills. Responsibilities include reviewing...Remote work- 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...Remote work
- ...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 work
$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 work$223.8k - $313.1k
...healthcare company in New Jersey seeks a Medical Director to perform clinical reviews of inpatient medical records and assess medical necessity.... ...to work within a supportive team environment. This is a remote role with standard hours and occasional travel, offering a competitive...Remote work- ...healthcare company is seeking a Medical Director to oversee clinical reviews and decision-making for inpatient care. This role requires strong... ...of 5 years post-residency experience and a commitment to quality and collaborative care. This position offers competitive compensation...Remote work
$223.8k - $313.1k
A leading healthcare organization is seeking a Medical Director to oversee clinical reviews, analyze hospital cases, and collaborate within a team-oriented environment. This position allows for impactful patient care decisions without the demands of bedside work. Required...Remote work$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 work- ...Colorado. The role involves conducting inpatient medical necessity reviews, ensuring compliance with regulations, and working... ...collaboratively within a structured team. Ideal candidates have substantial clinical experience, MD or DO qualifications, and strong analytical...Remote workFull time
- ...healthcare company is seeking a Medical Director to conduct clinical reviews of inpatient records and ensure quality decision-making. Ideal candidates will have a... ...strong analytical and communication skills. This remote role offers a chance to impact patient outcomes...Remote work
$223.8k - $313.1k
...Medical Director to conduct inpatient medical necessity reviews and collaborate in a structured, team-oriented environment. This fully remote position calls for an MD or DO with at least five years of post-residency clinical experience and strong analytical and communication...Remote work$223.8k - $313.1k
...company in Arizona is seeking a Medical Director to conduct clinical reviews of inpatient records and support decision-making for patient... ...experience and strong analytical and communication skills. This remote position involves collaboration with external providers and...Remote workMonday to Friday- 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
- ...Medical Director to oversee inpatient medical reviews and collaborate with healthcare... ...possess an MD or DO with over 5 years of clinical experience and a strong ability to analyze... ...complex medical cases. This position is remote, emphasizing teamwork in decision-making...Remote work
$223.8k - $313.1k
...seeks a Medical Director to oversee inpatient medical necessity reviews and collaborate with a dedicated team of physicians. Candidates... ...hold an MD or DO, with at least 5 years of post-residency clinical experience. This role involves analyzing complex cases, conducting...Remote work- ...conducting inpatient medical necessity reviews and analyzing complex hospital cases to... ...an MD or DO and have over five years of clinical experience. The position requires strong... ...communication skills, with the opportunity to work remotely while occasionally traveling for...Remote work
- ...healthcare company is seeking a Medical Director to oversee inpatient care and conduct medical necessity reviews. This remote position allows physicians to leverage their clinical expertise while impacting patient outcomes without irregular hours. Ideal candidates will have...Remote work
$248.5k - $373k
...requires an M.D. or D.O. and at least 5 years of clinical practice. You will conduct clinical reviews, ensure the provision of quality medical care, and communicate with healthcare providers. The position allows for remote work from anywhere within the U.S. and offers a...Remote job- ...Director based in Boston, MA, to enhance clinical coverage and reviews that improve health outcomes. This... ...with healthcare teams to ensure high-quality medical care and supporting members’... ...related fields. This position offers a remote working option and a competitive...Remote job
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