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Utilization Management Medical Director Contractor

๐Ÿ•’ 20 days ago
Medicare Utilization ManagementClinical ReviewsPeer To Peer DiscussionsInter-rater Reliability

๐Ÿ“œ Description

  • Perform clinical reviews (i.e., part A, B, appeals, quality of care) and conduct peer to peer discussions.
  • Participate in inter-rater reliability activities.
  • Serve as a clinical resource and subject matter expert to both clinical and non-clinical staff.
  • Participate actively in acute and post-acute clinical rounds.

๐Ÿ› ๏ธ Requirements

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

โœจ Benefits

  • Flexible schedule.
Full job description

Seeking a part-time Contractor for the Utilization Management Medical Director role to perform clinical reviews and serve as a clinical resource within the Devoted Health Plan.

Description

  • Perform clinical reviews (i.e., part A, B, appeals, quality of care) and conduct peer to peer discussions.
  • Participate in inter-rater reliability activities.
  • Serve as a clinical resource and subject matter expert to both clinical and non-clinical staff.
  • Participate actively in acute and post-acute clinical rounds.

Requirements

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

Benefits

  • Flexible schedule.
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