State Licensed Medical Director

Job Summary

A company is looking for a Medical Director, Utilization Management.

Key Responsibilities

• Conduct second level reviews for compliance with Medicare/CMS guidelines
• Act as a liaison between medical staff and third-party payers to promote appropriate levels of care
• Develop and implement utilization management protocols and assist in physician education

Required Qualifications

• 3-5 years of experience in clinical care, quality management, or utilization and case management
• Completion of medical school and specialty residency, preferably in internal medicine
• Board Certification and current, non-restricted clinical practice licensure
• Preferred subspecialty or post-residency fellowship
• Experience as a Physician Advisor is preferred