Do you want to work for a company that Forbes’ named one of the best employers of 2023? Do you want to fast-track your career by working for one of LinkedIn’s top companies in the US? If so, keep reading!
Title of Job: Remote Medical Director CSI Companies is hiring a
Remote Medical Director for our Fortune 100 healthcare client in
Minnetonka, MN. This job can be worked from anywhere in the US if you have a Colorado Medical license, high speed internet, and a distraction-free home office area. Job Summary The Remote Medical Director is primarily responsible for all lines of business (Medicaid, CHP , MA, DSNP, IFP) regarding Utilization Management, Appeals, and Quality of Care Concern determinations.
You will primarily work with the UM nurses and coordinators but may also collaborate with Appeals Coordinators and the Care Management team.
Pay: $110/hour based on experience (overtime will be paid at 1.5 times the normal hourly pay rate).
Hours: Full Time - Monday-Friday, rotating weekends 8am-5pm MST
Why this Opportunity? - Top ranked company in Fortune’s 2022 “World’s Most Admired Companies” for over a decade consecutively.
- This healthcare client is ranked number one in key attributes of reputation:
- Innovation
- People management
- Social responsibility
- Quality of Management
- Financial soundness
- Long-term investment value
- Quality of products
- Services and global competitiveness.
Status: Contract to Hire position. This position will go permanent with this Fortune 100 company, and upon hire they will be eligible for outstanding benefits, 3 weeks of PTO, extremely low full coverage medical coverage, and much more! When you convert, this could very likely be eligible for pay increase as well.
Effective Date / Tentative Start Date: Interviewing Immediately
Job Duties: - Conduct Utilization Management reviews (concurrent and retrospective), including peer reviews as necessary
- Handle Appeals, including determination of appeals if not the decision-maker on the original Utilization Management decision
- Investigate Quality of Care concerns, review findings from nurse to determine if the standard of care was met, and present member cases to peer review
- Collaborate with Utilization Management Team (nurses and coordinators) and Appeals coordinators
- Provide consultations with Care Management team members on patient care issues
Requirements - Doctorate Degree, must have an active Colorado Medical License
- 5 years of clinical practice
- History of Utilization Management is helpful
- Primary Care background is preferred or specialty with primary care education
- Excellent communication skills, ability to engage in tough conversations without becoming emotional
- Ability to work collaborate with teams across the organization
- A reliable high-speed internet connection (the faster the better!)
- Ability to pass a background check and drug test
- Private, quiet, and distraction-free workspace in a room with a closed-door
Highly Preferred - Large corporation experience
- Health plan / managed care / healthcare industry experience.
WHO SHOULD APPLY? If you’re a licensed medical doctor and have experience in utilization management, case management, appeals, quality of care concerns we would love for you to apply!
Apply to become part of the team that is not only changing people’s lives for the better but changing the health care system for the next generations to come.
About Us The CSI Companies is a recruiting firm established in 1994 that has been awarded “Best of Staffing” for 8 years in a row. We provide outstanding services to the world’s leaders in the healthcare field as well as other organizations. For consideration, please submit your resume with all of your relevant experience included on it for immediate consideration. Only those candidates identified for an interview will be contacted.
Benefits Offered: - Weekly pay
- Medical, dental, and vision coverage
- Voluntary Life and AD&D coverage
- Paid Training
- Opportunity for advancement upon performance and availability
APPLY NOW and if qualified a recruiter will be in touch with you to schedule a phone screening!
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