Remote Medical Director — Acute Rehab & Utilization

Humana Inc; Salem (OR); Remote; USD 224,000 - 313,000; Full time

Job summary

Humana Inc. is seeking a Medical Director to authorize services and determine level of care in post-acute and inpatient rehabilitation settings. You will review clinical records, discuss determinations with external physicians, and ensure alignment with CMS and Humana policies.

The role entails remote work across the United States with a 40-hour schedule. The position emphasizes utilization management, quality improvement, and collaboration with clinical leadership to support patient care and

Qualifications

• MD or DO degree required.
• Board certification in an ABMS/AOA specialty.
• Current unrestricted medical license in at least one state.

Responsibilities

• Provide medical interpretation and determinations on acute inpatient rehabilitation authorization requests in alignment with guidelines and CMS requirements.
• Collaborate with team members and leadership to support the review process and quality outcomes.
• Participate in structured training programs and utilize team support during daily work.
• Maintain high standards in documentation and decision-making within a compliant environment.
• Work independently to meet enterprise expectations and timelines.
• This is a full-time, remote position; 40 hours per week; eligible to work from any location in the United States.

Skills

Analytic skills

Interpretation skills

Communication

Decision making

Quality management

Utilization management

Medicare knowledge

Education

MD or DO degree

Board Certified

Active medical license

Job description

Humana Inc. is seeking a Medical Director to authorize services and determine level of care in post-acute and inpatient rehabilitation settings. You will review clinical records, discuss determinations with external physicians, and ensure alignment with CMS and Humana policies.

The role entails remote work across the United States with a 40-hour schedule. The position emphasizes utilization management, quality improvement, and collaboration with clinical leadership to support patient care and