This role provides expert clinical oversight for inpatient utilization review, ensuring that hospital-based care is medically necessary, guideline-aligned, and cost-effective
Job Summary
This role provides expert clinical oversight for inpatient utilization review, ensuring that hospital-based care is medically necessary, guideline-aligned, and cost-effective.
The Medical Director works collaboratively with physicians, utilization management teams, and external providers to review complex cases, make well-reasoned clinical determinations, and support high-quality patient outcomes.
This position offers the opportunity to impact clinical decision-making in a structured, supportive environment, with clear processes and peer collaboration.
Matching Summary
This role provides expert clinical oversight for inpatient utilization review, ensuring that hospital-based care is medically necessary, guideline-aligned, and cost-effective.
Skills & Requirements
Must-have
clinical oversight
medical necessity review
guideline-aligned care
cost-effective care
complex case review
structured clinical analysis
Nice-to-have
collaborative physician work
peer collaboration
positive stakeholder engagement
structured supportive environment
Key Requirements
Physician with hospitalist experience
Physician with intensivist experience
Physician with emergency physician experience
Physician with prior utilization review experience