Job Description:
A health plan is looking for a Medical Director to support utilization management reviews and approvals. More specifically, this professional will ensure medical decisions are rendered by qualified medical personnel and medical care meets quality standards. The Medical Director will also lead the prior authorization medical necessity review process and develop utilization management criteria and clinical protocols to ensure utilization management, case and disease management regulatory requirements and accreditation standards are met. This opportunity is anticipated to be 6+ months in duration and is work-from-home.
Requirements:
- Active and unrestricted Doctor of Medicine license in the state of California
- 2+ years of experience working in managed care, physician group management or integrated healthcare system management
- 2+ years of experience working with utilization management care reviews and approvals
- 5+ years of experience practicing medicine
Contact:
Karrie Ruch
+1 (312) 884-0418
kruch@jacobsononline.com
Refer a Colleague:
Do you know someone who would be interested in this project? Submit your referral directly by emailing the Jacobson contact listed above or submitting them through this form. If your referral is hired for a contract assignment and meets all other eligibility criteria, you will receive a referral bonus!
