Remote Medical Director, Utilization Mgmt & Mentorship

Clover Health; United States; Remote; USD 180.000 - 240.000; Vollzeit

Benefits dieser Stelle

Remote-first culture

Zusammenfassung

Clover Health is seeking a physician to lead and review utilization management activities in a remote-first environment with a focus on seniors' health. You will review medical necessity, authorize UM decisions, and mentor UM nurses while engaging in peer-to-peer discussions with providers to improve care and outcomes.

The role requires board-certified MD/DO with US license and at least five years of clinical experience plus UM review exposure.

Qualifikationen

• MD/DO with board certification and valid U.S. license.
• Five years clinical experience plus one year UM review experience.

Aufgaben

• Support utilization management processes and review authorizations for medical necessity.
• Perform peer-to-peer discussions with providers and mentor UM nurses.

Kenntnisse

Board certification

US license

Clinical experience

Ausbildung

MD/DO

Jobbeschreibung

Clover Health is seeking a physician to lead and review utilization management activities in a remote-first environment with a focus on seniors' health. You will review medical necessity, authorize UM decisions, and mentor UM nurses while engaging in peer-to-peer discussions with providers to improve care and outcomes.

The role requires board-certified MD/DO with US license and at least five years of clinical experience plus UM review exposure.