United HealthCare
Utilization Review
Job Description
Medical Director Remote
Enjoy the opportunity to use your clinical knowledge while working in the comfort of your home. As Medical Director, you will be working remotely with a team of your colleagues to provide utilization management services to one or more of the company’s clients.
Primary Responsibilities:
- Work to improve quality and promote evidence-based medicine
- Support internal case management, utilization management and social work teams both individually and in IDT setting
Prior Authorization, Utilization Management and Utilization Review - Support vendor relationships to improve care of our members
Support initiatives that enhance quality throughout our national network - Ensure the right service is provided at the right time for each member
- Work within medical director teams focusing on inpatient care management, clinical coverage review, member appeals clinical review, medical claim review and provider appeals clinical review
Work Schedule
Full Time: 40 hours/week (8-5)
One weekend day, either Saturday or Sunday, is required approximately once per year. One holiday approximately once per year.
Salary + Benefits
Salary Range: $230 - $250K
Salary will be determined based on experience. Health Insurance for an individual is covered at 90%. Couples and families are covered at 75% of the premium. Dental, vision, profit sharing, and 401K matching are offered.
Requirements
Board Certification
- Active, unrestricted license in at least one state
- Highly recommended 5 years of clinical experience (residency years included)
Specialties Needed
- Internal Medicine + Sub-specialties
- Family Practice
- Emergency Medicine
- OB-GYN
- General and sub-specialty surgery
- Pediatrics (if you are comfortable doing adult cases as well)
Contact Information
Kristin Nelson, DO: requests you first send Dr. Michelle Mudge-Riley your resume