Remote Medical Director, Acute Rehab & Utilization

Humana Inc; Montpelier (VT); Remote; USD 224,000 - 313,000; Full time

Benefits offered by this job

Medical, dental and vision benefits

401(k) retirement savings plan

Paid time off and holidays

Job summary

Humana Inc. is seeking a Medical Director to authorize services and determine levels of care for DSNP within a fully remote role across the United States. You will review complex clinical scenarios, communicate with external physicians, and apply CMS and Humana guidelines while maintaining compliance.

The role emphasizes utilization management, quality outcomes, and collaboration with multidisciplinary teams, with a standard 40-hour weekly schedule and possible travel for training.

Qualifications

• MD or DO degree and medical license in at least one jurisdiction.

Responsibilities

• Provide medical interpretation and determinations on acute inpatient rehabilitation authorization requests.

Skills

MD/DO degree

Clinical experience

Board certification

Medical license

Analytic & interpretation skills

Managed care knowledge

Utilization management experience

Specialty in PM&R/IM/Family/ geriatr/病

Education

MD or DO degree

Board Certification in ABMS or AOA

Job description

Humana Inc. is seeking a Medical Director to authorize services and determine levels of care for DSNP within a fully remote role across the United States. You will review complex clinical scenarios, communicate with external physicians, and apply CMS and Humana guidelines while maintaining compliance.

The role emphasizes utilization management, quality outcomes, and collaboration with multidisciplinary teams, with a standard 40-hour weekly schedule and possible travel for training.