Remote Part-Time Medical Director - Utilization Management

Jobgether SRL; United States; Remote; USD 120,000 - 180,000; Part time

Job summary

Jobgether SRL is seeking a remote, part-time physician leader to oversee medical necessity reviews across home health, acute, post-acute and outpatient services for Medicare Advantage populations.

You will collaborate with treating physicians, nursing teams and external agencies to promote evidence-based care and appropriate resource utilization, applying CMS rules, coverage determinations and MCG criteria in a flexible remote role.

Responsibilities

• Oversee medical necessity reviews for home health, acute, post-acute, and outpatient services for Medicare Advantage populations.
• Collaborate with treating physicians, nursing teams, and external agencies to promote evidence-based care and appropriate resource utilization.
• Apply CMS regulations, coverage determinations, MCG criteria, and medical policies in a fully remote, part-time physician leadership role.

Job description

Jobgether SRL is seeking a remote, part-time physician leader to oversee medical necessity reviews across home health, acute, post-acute and outpatient services for Medicare Advantage populations.

You will collaborate with treating physicians, nursing teams and external agencies to promote evidence-based care and appropriate resource utilization, applying CMS rules, coverage determinations and MCG criteria in a flexible remote role.