Medical Director, Utilization Management
Remote regions
USBenefits
Unlimited PTO
Similar Jobs
See allMedical Director, Utilization Management (Home Health, Acute & Post-Acute)
Jobgether
US
Utilization Management
Clinical Leadership
Lead RN, Utilization Management
Clover Health
US
Nursing
Utilization Management
Leadership
Utilization Management Coordinator
University of Utah Health Plans
Medical Terminology
Utilization Review
Customer Service
Utilization Review Nurse I LVN/LPN
Personify Health
US
Clinical Review
Utilization Management
Microsoft Office
Medical Reviewer
Palmetto GBA
US
Utilization Management
Medical Review
Microsoft Office
Role Overview:
- Support utilization management processes and review authorizations for medical necessity.
- Perform peer-to-peer discussions with providers and mentor UM nurses.
Qualifications:
- MD/DO with board certification and valid U.S. license.
- Five years clinical experience plus one year UM review experience.
About Clover:
- Data-driven health insurance focused on seniors.
- Remote-first, mission-driven, and collaborative team.
Benefits:
- Medical, dental, vision, 401k, flexible PTO, parental leave.
Clover Health
Clover Health is reinventing health insurance by combining data with human empathy to keep members healthier. It is a mission-driven company focused on providing high-quality, affordable healthcare for America's seniors.