Virtual Neonatologist Medical Director: NICU Utilization

HireTalent; Oklahoma; Remote; USD 250,000 - 360,000; Full time

Job summary

HireTalent is seeking a Neonatologist Reviewing Medical Director to provide expert clinical leadership for NICU utilization management and neonatal operations in a virtual setting. You will review complex NICU cases, apply Medicaid criteria, and support pediatric providers and internal teams to ensure high-quality newborn care.

The ideal candidate is board-certified in Neonatal-Perinatal Medicine with substantial NICU UM experience and a track record of timely, evidence-based determinations

Qualifications

• MD or DO degree with neonatal specialization.
• ABP-certified in Neonatal-Perinatal Medicine.
• Active unrestricted medical license in OK and/or SC.
• Ability to obtain additional state licenses as needed.
• Minimum 5 years post-training Neonatal-Perinatal practice.
• Direct NICU patient care experience.
• Experience conducting NICU utilization reviews in health plans or IRBs.
• Credentialing requirements must be met.
• No current sanctions.

Responsibilities

• Review NICU admissions, 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 criteria to determinations.
• Document clear medical necessity rationales.
• Evaluate gestational age, respiratory support, nutrition, acuity, and discharge readiness.
• Support DRG validation and NICU level-of-care decisions.
• Prioritize reviews to meet regulatory and operational timelines.
• Escalate high-risk cases per policy.

Skills

NICU utilization management

Clinical leadership

Medical necessity determinations

Medicaid knowledge

Documentation & communication

Education

MD or DO

Neonatal-Perinatal Medicine board certification

Job description

HireTalent is seeking a Neonatologist Reviewing Medical Director to provide expert clinical leadership for NICU utilization management and neonatal operations in a virtual setting. You will review complex NICU cases, apply Medicaid criteria, and support pediatric providers and internal teams to ensure high-quality newborn care.

The ideal candidate is board-certified in Neonatal-Perinatal Medicine with substantial NICU UM experience and a track record of timely, evidence-based determinations