- Conduct timely clinical reviews of DMEPOS authorization requests using applicable criteria including LCDs Medicaid Manuals InterQual MCG internal medical policies and health plan requirements.
- Function within a real-time review queue maintain continuous case throughput in alignment with organizational turnaround productivity standards.
- evaluate clinical documentation identify missing elements render determinations supported by clear clinical rationale.
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· Company Description · Please, review and apply for this position through the QCI system following the link below (Copy and Paste): · *You can apply through Indeed using mobile devices with this link. · Additional Information · ...
Troy, MI, USA, Troy, MI $220,000 - $420,000 (USD) per year1 week ago
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· The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests to support Integra's Utilization Management (UM) operations. This full-time, salaried role functions within a structured, high-volume ...
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We're people who are fueled by passion, not by profit. · VitalCore Health Strategies (VCHS) has an opening for a Medical Director / Physician at Oakland County Jail in Pontiac, MI. · ...
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Oakland County Government is seeking a visionary Medical Director to serve as the chief medical advisor for the Oakland County Health Division and a trusted clinical leader across the organization. · ...
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Luv-N-Care Animal Hospital is preparing for a thoughtful relaunch under new medical leadership. · This role offers a unique opportunity to build and lead a team from the ground up, · establish medical standards, and shape clinic culture from day one. · The hospital is currently c ...
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This role offers a unique opportunity to build and lead a team from the ground up establish medical standards and shape clinic culture from day one. · To support this relaunch we are offering a base salary range of $180,000–$200,000 plus a Medical Director stipend $50,000 sign-on ...
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+Job summary · Medical Director and Adult Outpatient Psychiatrist · +ResponsibilitiesPerforms all duties and responsibilities required of a psychiatrist. · Provides quality and cost-effective care for the designated patient population in accordance with accepted medical standards ...
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We are seeking an experienced Medical Director to join our team at VCA Beech Road Animal Hospital in Redford, MI. · Practice medicine while establishing the direction and medical quality of the hospital. · Support in Operations, Marketing, Human Resources, · ...
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· Overview · Company Summary · If you are searching for a fulfilling place to develop your career and an opportunity to make a difference in helping others, then keep reading on. Here at AAC, we have a progressive culture; we listen to your ideas, value a work/life balance, inve ...
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Join us as Medical Director at VCA Beech Road Animal Hospital in Redford, MI. You'll quickly discover that you're well supported by world-class medicine, technology, facilities, and a talented team. · A Doctor of Veterinary Medicine (DVM) degree from an accredited university or e ...
Redford Charter Township Full time1 month ago
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If you are a committed Maternal Fetal Medicine Specialist seeking to positively impact the lives of patients and their families, we invite you to consider the Medical Director position. · This role entails providing physician leadership and oversight for our Maternal Fetal Medic ...
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The Medical Director will function as the Medical Director and Clinical Psychiatrist for DWIHN's Direct Outpatient Clinics. · Performs all duties and responsibilities required of a psychiatrist. · Provides quality care to DWIHN members. · Leders clinical activities programs clini ...
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· Medical Director and Adult Outpatient Psychiatrist · Under the general supervision of the Chief Medical Director, the employee will function as the Medical Director and Clinical Psychiatrist for DWIHN's Direct Outpatient Clinics. This position will perform 80% direct care fun ...
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The Medical Director provides medical direction, guidance, planning, and supervision for all outpatient behavioral health programs at DWIHN's Direct Outpatient Clinics. · ...
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We are seeking a Physician Medical Director to join our team in Warren, MI.At Concentra, our Medical Directors spend most of their time clinically treating patients; the remaining time is focused on quality improvements and building the center business with the Center Leadership ...
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Permanent Medical Director Maternal Fetal Medicine · Livonia, Michigan · Position Type: · Permanent · Specialty: · Maternal Fetal Medicine · Location: · Livonia, MI (West Michigan regional coverage) · Shift: · Days + Shared Call · Start Date: · TBD · End Date: · Permanent Hire · ...
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Utilization Review Medical Director - Troy - Integra Partners
Description
The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests to support Integra's Utilization Management (UM) operations.
This full-time, salaried role functions within a structured, high-volume authorization review queue and requires adherence to workflow timelines, clinical accuracy standards, and productivity expectations.
The Medical Director ensures determinations are made in accordance with Medicare and Medicaid guidelines, health plan–specific criteria, internal policies, and regulatory requirements.
The Utilization Review Medical Director's responsibilities include but are not limited to:
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Chief Medical Director
Only for registered members Troy, MI, USA, Troy, MI
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Utilization Review Medical Director
Full time Only for registered members Troy
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Medical Director
Only for registered members Pontiac
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Medical Director
Full time Only for registered members Pontiac
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Medical Director
Only for registered members Pontiac
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Medical Director
Only for registered members Pontiac, MI
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Medical Director
Only for registered members Pontiac, MI
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Medical Director
Full time Only for registered members Southfield
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Medical Director
Only for registered members Southfield
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Medical Director
Only for registered members Detroit
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Medical Director
Only for registered members Redford Charter Township
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Medical Director
Only for registered members Riverview
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Medical Director
Full time Only for registered members Redford Charter Township
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Medical Director
Full time Only for registered members Livonia
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Medical Director
Full time Only for registered members Detroit
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Medical Director
Only for registered members Detroit, MI, US
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Medical Director
Only for registered members Detroit
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Medical Director
Only for registered members Detroit, MI
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Physician Medical Director
Only for registered members Warren
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Medical Director Physician
CommonSpirit Health- Salt Lake City
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Medical Director Physician
Med Ninjas- Livonia