Medical Director Utilization Management
Company: VirtualVocations
Location: Fairfax
Posted on: November 16, 2024
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Job Description:
A company is looking for a Medical Director, Utilization
Management - Remote.
Key Responsibilities
Conduct coverage reviews and render determinations for various
medical services, including spine surgery
Document clinical review findings and ensure compliance with
regulatory standards
Engage with providers in peer-to-peer discussions and coordinate
coverage reviews with clinical staff
Required Qualifications
Current, active and unrestricted medical license
Board Certification in an ABMS specialty (Family Medicine,
Orthopedic Surgery, Spine Surgery, Internal Medicine, or
PM&R)
5+ years of clinical practice experience post-residency
Sound understanding of Evidence Based Medicine (EBM)
Proficient with MS Office applications
Keywords: VirtualVocations, Bowie , Medical Director Utilization Management, Executive , Fairfax, Maryland
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