Remote Utilization Management Medical Director (Part-Time)

Devoted Health; United States; Remote; USD 30,000 - 60,000; Part time

Benefits offered by this job

Flexible schedule

Fully remote work

Job summary

Devoted Health is seeking a part-time contractor to perform clinical reviews (Part A, B, appeals, quality of care) and conduct peer-to-peer discussions. The candidate should have broad state licensure coverage and Medicare Utilization Management experience, and be comfortable with learning new technologies.

You will serve as a clinical resource to both clinical and non-clinical staff, participate in inter-rater reliability activities and active rounds in acute and post-acute care.

Qualifications

• Broad state licensure coverage.
• Medicare Utilization Management experience.
• Comfort with learning and adapting to new technologies.
• Willingness to obtain other state licenses.

Responsibilities

• Perform clinical reviews (Part A, B, appeals, quality of care) and conduct peer to peer discussions.
• Participate in inter-rater reliability activities.
• Serves as a clinical resource and subject matter expert to both clinical and non-clinical staff throughout the Devoted Health Plan.
• Active participation in acute and post acute clinical rounds.

Skills

Broad state licensure coverage

Medicare Utilization Management

Adapt to new technologies

Willingness to obtain other state Lics

Job description

Devoted Health is seeking a part-time contractor to perform clinical reviews (Part A, B, appeals, quality of care) and conduct peer-to-peer discussions. The candidate should have broad state licensure coverage and Medicare Utilization Management experience, and be comfortable with learning new technologies.

You will serve as a clinical resource to both clinical and non-clinical staff, participate in inter-rater reliability activities and active rounds in acute and post-acute care.