Medical Director of Utilization Management

Wellpath / Correct Care Solutions; Freehold (NJ); On-site; USD 199,992 - 249,995; Full time

Benefits offered by this job

DailyPay, receive your money as you earn it

Tuition Assistance

Employee Assistance Program (EAP)

Company paid life insurance

Health Spending Accounts (HSA)

Wellness program

Preferred banking partnership and discounted rates for loans

Job summary

A healthcare organization in Freehold, New Jersey is seeking a Medical Director for Utilization Management. The role involves leading utilization reviews, guiding medical staff, and optimizing care delivery. Candidates must have an M.D. or D.O. degree, and one year of utilization management experience is required. Strong communication and organizational skills are essential. This position is based in Lemoyne, Pennsylvania at the Regional Office and includes a competitive salary with extensive benefits including wellness programs and tuition assistance.

Qualifications

• One year of experience in utilization management is required.
• Excellent communication and organizational skills required.
• Experience in performance and/or quality improvement preferred.

Responsibilities

• Lead and oversee utilization review, case management, and quality improvement.
• Provide guidance to medical staff for quality patient care.
• Evaluate and recommend policy improvements related to utilization review.

Skills

Communication skills

Organizational skills

Education

Medical Doctor (M.D.) or Osteopathic Doctor (D.O.) from an accredited university

Job description

A healthcare organization in Freehold, New Jersey is seeking a Medical Director for Utilization Management. The role involves leading utilization reviews, guiding medical staff, and optimizing care delivery. Candidates must have an M.D. or D.O. degree, and one year of utilization management experience is required. Strong communication and organizational skills are essential. This position is based in Lemoyne, Pennsylvania at the Regional Office and includes a competitive salary with extensive benefits including wellness programs and tuition assistance.