Top 722 Urac Jobs | SimplyHired

Psychiatrist Medical Director
The Jacobson Group —Remote
- From $150 an hour
- Temporary
- Remote
- Medicine
- Psychiatry
- Addiction Medicine
- Health insurance
- Dental insurance
Quick Apply
Care Coordinator
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- Full-time
- Background check
- 5 years
- HIPAA
- Disability insurance
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Customer Support Specialist
Argus Medical Management, LLC —Anaheim, CA
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- Weekends as needed
- Remote
- Spanish
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- English
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Director of Compliance
PROVIDER RESOURCES INC —Remote
- $165,000 - $190,000 a year
- Full-time
- Remote
- Senior level
- Leadership
- 10 years
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Client Coordinator
MES Solutions —Atlanta, GA
- $17 an hour
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- Microsoft Excel
- Microsoft Outlook
- Medical office experience
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Board-Certified Physician for Disability Appeal Reviews
Emperion —Remote
- Part-time
- Remote
- Physical & Rehabilitation Medicine
- Mid-level
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Administrative Analyst (Remote)
American Specialty Health Incorporated —Remote
- $16.36 - $17.00 an hour
- Full-time
- Remote
- Microsoft Word
- Mid-level
- Administrative experience
- Work from home
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Manager of Compliance Audit
PROVIDER RESOURCES INC —Remote
- $105,000 - $155,000 a year
- Full-time
- Remote
- 5 years
- Senior level
- Analytics
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Healthcare Quality Management Specialist (Remote)
MRIoA —Remote
- Full-time
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- Microsoft Word
- Background check
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- Paid holidays
- Health insurance
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Liability Program Coordinator (IME Scheduler)
Insight Service Group (ISG) —Remote
- Full-time
- Remote
- HIPAA
- English
- Mid-level
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Endocrinologist - Independent Reviewer for Disability Appeals
Emperion —Remote
- $100 - $1,000 an hour
- Part-time
- Remote
- Mid-level
- 3 years
- Communication skills
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Senior Director, Clinical Quality
Omada Health —Remote
- $212,000 - $307,750 a year
- Remote
- Medicine
- PMP
- Senior level
- Health insurance
- Dental insurance
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Utilization Management Physician Reviewer (Weekends)
Toney HealthCare Consulting, LLC —Remote
- $175 - $200 an hour
- Part-time
- Remote
- Medicine
- 3 years
- Senior level
- Health insurance
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7d
Medical Director Associate (contract)
Elevance Health —Remote
- $89.44 - $170.79 an hour
- Contract
- Remote
- Medicine
- HIPAA
- Analysis skills
- Health savings account
- Disability insurance
9d
Pharmacist
Medical Reducing Inc. —Las Vegas, NV
- Part-time
- Mid-level
- Outpatient experience
- In-person
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9d
Prescription Access Liaison
VytlOne —Tallahassee, FL
- Full-time
- Hospital
- Ability to walk for extended periods
- Mid-level
- AD&D insurance
- Disability insurance
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Medical Staff Coordinator
Aya Healthcare —Reno, NV
- $22 - $25 an hour
- Contract
- Background check
- Hospital
- HIPAA
- Health insurance
- Dental insurance
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3d
Prescription Access Liaison
VytlOne —Thibodaux, LA
- $22 - $26 an hour
- Full-time
- Hospital
- Ability to walk for extended periods
- Mid-level
- Health savings account
- AD&D insurance
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8d
Prescription Access Liaison (PAL)- SUNY Downstate
VytlOne —Brooklyn, NY
- $28 - $30 an hour
- Weekends as needed
- Spanish
- Mid-level
- High school diploma or GED
- AD&D insurance
- Disability insurance
Quick Apply
Manager of Clinical Care Coordination, DME Respiratory
Integrated Home Care Acquisition —Miramar, FL
- Hybrid work
- Nursing
- Master's degree
- Home Health
- Wellness program
- Paid holidays
Quick Apply

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Psychiatrist Medical Director

The Jacobson Group -
Remote

Quick Apply

Job Details

Temporary | Part-time | Contract
From $150 an hour

Benefits

Health insurance
Dental insurance
401(k)
Vision insurance
Referral program

Qualifications

Inpatient experience
Psychiatry
Outpatient experience
Outpatient facility experience
Clinical case management
Case management
Utilization management
Post residency experience
Resource utilization in healthcare
Medical License
Medical management
Disease state management
Working with individuals with mental health conditions

Full Job Description

Job Description:

We are seeking experienced Behavioral Health Medical Director for PART-TIME- (3 days a week) fully remote opportunities supporting managed care and utilization management operations. This roles focus heavily on adult psychiatry and substance abuse cases, providing clinical oversight, medical necessity determinations, peer-to-peer consultations, and collaboration with multidisciplinary medical management teams. The position support utilization management, quality management, case management, disease management, accreditation activities, and integrated behavioral healthcare initiatives within a managed care environment.

Responsibilities:

Conduct medical necessity and coverage reviews for behavioral health and substance abuse cases utilizing InterQual and ASAM guidelines
Review prior authorizations, concurrent reviews, appeals, grievances, and case management activities
Participate in peer-to-peer discussions with providers regarding treatment determinations and level of care decisions
Collaborate with CMOs, Medical Directors, utilization management leadership, and clinical teams on behavioral health initiatives
Support accreditation and regulatory compliance efforts including NCQA and URAC standards
Provide consultation and clinical guidance to utilization management, quality management, disease management, and case management teams
Document clinical findings, determinations, and outcomes in accordance with regulatory and accreditation standards
Participate in committees, focused studies, physician-to-physician communications, and special projects related to behavioral health management
Educate providers regarding medical policy, benefit interpretation, and behavioral health best practices
Support integrated behavioral healthcare management strategies across the organization

Requirements:

MD or DO degree required
Board Certification in Psychiatry required
Minimum 5 years of post-residency clinical experience including inpatient and outpatient behavioral health care
Minimum 3-5 years of managed care, utilization management, quality management, or medical management experience required
Experience with utilization management, case management, disease management, and behavioral health reviews required
Strong understanding of InterQual, ASAM, medical necessity criteria, and accreditation standards preferred
Experience conducting peer-to-peer reviews and appeals/grievance determinations preferred
Candidates who are open to getting Pennsylvania licensed, can currently hold their Texas OR Ohio OR New Jersey OR Minnesota OR Illinois OR Florida OR Delaware OR Colorado OR Pennsylvania OR Arizona OR Alabama OR Currently have their unrestricted Pennsylvania (PA) medical license.

Key Skills:

Behavioral Health Psychiatry Utilization Management Managed Care InterQual ASAM Peer-to-Peer Reviews Appeals & Grievances Quality Management Case Management Disease Management Medical Necessity Reviews Accreditation Support Substance Abuse Treatment Behavioral Health Operations

Pay Range: 150

Compensation varies based on experience, schedule availability, and employment structure.

Benefits:
Our comprehensive benefits package includes:
o Medical insurance
o Dental insurance
o Vision insurance
o 401(k) retirement savings plan

Contact:
Karrie Ruch
+1 (312) 884-0418
[email protected]

Refer a Colleague:
If you know someone who may be interested in this opportunity, please email the Jacobson contact listed above or submit a referral through our referral program. If your referral is hired for a contract assignment and meets all eligibility requirements, you may qualify for a referral bonus.

Equal Opportunity Employer:
The Jacobson Group is an Equal Opportunity Employer. We welcome applicants of all backgrounds and experiences. Applicants requiring accommodation in the application process may contact [email protected] or call +1 (800) 466-1578.

Pay: From $150.00 per hour

Application Question(s):

What health plan lines have you supported (Commercial / Medicare / Medicaid)? (Multi-select)

Any prior NCQA / URAC accreditation support experience?

Experience:

Utilization management: 3 years (Required)

License/Certification:

Board Certified in Psychiatry (Required)

Work Location: Remote

Quick Apply

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Medical Director Associate (contract)

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Prescription Access Liaison (PAL)- SUNY Downstate

Manager of Clinical Care Coordination, DME Respiratory

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