Remote Medical Director — Utilization & Care Standards

Integrated Resources, Inc.; United States; Remote; USD 192,864 - 195,619; Full time

Job summary

A healthcare management organization is seeking a Remote Medical Director to lead the review of medical records and provide expert decision-making. This role demands a blend of clinical experience, leadership, and the ability to guide a team while ensuring compliance with national guidelines and company policies. Ideal candidates will have significant clinical experience, an MD or DO degree, and a passion for quality in healthcare. The position offers a contract employment type and requires working 40 hours a week with some weekend coverage.

Qualifications

• 5+ years of direct clinical patient care experience post residency or fellowship.
• Current and unrestricted medical license.
• No current sanctions from governmental organizations.

Responsibilities

• Provide medical interpretation and determinations for services.
• Conduct medical necessity reviews for inpatient services.
• Communicate determinations clearly both verbally and in writing.

Skills

Excellent verbal and written communication skills

Analytic and interpretation skills

Education

MD or DO degree

Board Certification in an approved ABMS Medical Specialty

Job description

A healthcare management organization is seeking a Remote Medical Director to lead the review of medical records and provide expert decision-making. This role demands a blend of clinical experience, leadership, and the ability to guide a team while ensuring compliance with national guidelines and company policies. Ideal candidates will have significant clinical experience, an MD or DO degree, and a passion for quality in healthcare. The position offers a contract employment type and requires working 40 hours a week with some weekend coverage.