Virtual Neonatal Medical Director: NICU Utilization

HireTalent; United States; Remote; USD 250,000 - 350,000; Full time

Job summary

HireTalent is seeking a Neonatologist Reviewing Medical Director to provide clinical leadership for NICU utilization management and neonatal operations in a virtual US role. You will review complex NICU cases, apply Medicaid criteria, and collaborate with providers to ensure high-quality newborn care.

The ideal candidate is board-certified in Neonatal-Perinatal Medicine with 5+ years of NICU experience, capable of timely, well-supported medical necessity determinations and cross-state

Qualifications

• MD or DO degree required.
• Board-certified in Neonatal-Perinatal Medicine.
• Active medical license in OK and/or SC.
• Minimum 5 years of post-training Neonatal-Perinatal Medicine experience.
• Experience conducting NICU utilization management reviews.

Responsibilities

• Review NICU admissions, continued stays, level-of-care requests, transfers and discharge-related services.
• Assess maternal, delivery, newborn and NICU documentation for complex neonates.
• Apply evidence-based guidelines and Medicaid requirements when making determinations.
• Document clear medical necessity rationales for reviews.
• Support DRG validation reviews and NICU level-of-care determinations.
• Collaborate with providers and internal teams to ensure timely reviews.

Skills

NICU utilization management

Clinical leadership

Peer discussions

Regulatory compliance

Education

MD/DO

Neonatal-Perinatal Medicine board certification

Job description

HireTalent is seeking a Neonatologist Reviewing Medical Director to provide clinical leadership for NICU utilization management and neonatal operations in a virtual US role. You will review complex NICU cases, apply Medicaid criteria, and collaborate with providers to ensure high-quality newborn care.

The ideal candidate is board-certified in Neonatal-Perinatal Medicine with 5+ years of NICU experience, capable of timely, well-supported medical necessity determinations and cross-state