About Corizon Health
Correctional healthcare is not just a job. It’s a calling.
By choosing a career with Corizon Health, you are choosing the opportunity to truly make a difference in the health, well-being, and future of the patients you serve. We take pride in being a pioneer provider of correctional healthcare. As a Corizon Health professional, you have access to the resources and support to enhance your skills, build a solid foundation to reach your career potential, and contribute to the care and well-being of an underserved population. There is no greater calling. Join Corizon Health today and be part of our legacy of innovation and clinical expertise.
The Medical Director of Utilization Management is responsible for the evaluation of all outpatient referrals and inpatient direct admissions for medical appropriateness.
He or she will utilize Interqual reviews as provided by Corizon Health’s utilization management nurses along with Corizon Health’s standard medical guidelines to determine whether a request will be approved as an offsite encounter or if an alternate treatment plan should be employed; alsotaking severity of illness, acuity and risk of mortality into account in making such determinations.
Experience & Requirements
US Residency completion required, and Board Certification preferred
Five (5) years of progressively related work experience preferred
Strong written and verbal communication skills
Team oriented and a collaborative mindset
Requires broad clinical knowledge with good clinical background, analytical and decision making skills
Knowledge of health care delivery system
Knowledge of utilization management, InterQual, DRGs
Active licenses in multiple state contracts where services are provided
Benefits for you: Opportunities for growth and advancement, Paid time off, Medical, Dental, and Vision insurance, Tuition assistance, 401(K) with company match, free online Continuing Education program, and Comprehensive onboarding.
Background check, security clearance, and drug screening required.
Join Our Talent Community
Job Locations US-MD-Hanover
Category Clinical & Operations Leadership
Position Type Regular Full-time
Shift / Schedule Weekday Day
Location ID 91200