Medical Director: Inpatient Utilization & Review (Contract)

Integrated Resources, Inc.; United States; On-site; USD 179,088 - 192,864; Full time

Job summary

A healthcare organization is looking for a Medical Director to oversee medical necessity reviews and ensure compliance with national guidelines. The ideal candidate must have an MD or DO degree, board certification, and at least 5 years of clinical experience. Responsibilities include conducting reviews, maintaining quality metrics, and engaging in team collaborations. This contract role offers a pay range of $130-$140 per hour, with a structured working schedule from Monday to Friday and occasional weekend duties.

Qualifications

• 5+ years of direct clinical patient care experience post residency or fellowship.
• Current and unrestricted license in at least one jurisdiction.
• No sanctions from Federal or State Governmental organizations.

Responsibilities

• Conduct comprehensive medical necessity reviews for inpatient services.
• Maintain accountability for productivity, quality, and compliance metrics.
• Communicate determinations clearly both verbally and in writing.

Skills

Excellent verbal and written communication skills

Analytic and interpretation skills

Adaptability and willingness to learn

Education

MD or DO degree

Current and ongoing Board Certification in an approved ABMS Medical Specialty

Job description

A healthcare organization is looking for a Medical Director to oversee medical necessity reviews and ensure compliance with national guidelines. The ideal candidate must have an MD or DO degree, board certification, and at least 5 years of clinical experience. Responsibilities include conducting reviews, maintaining quality metrics, and engaging in team collaborations. This contract role offers a pay range of $130-$140 per hour, with a structured working schedule from Monday to Friday and occasional weekend duties.