Medical Director, Utilization Management
Bickham Services Unlimited is hiring for Medical Director, Utilization Management in Not specified. Executive level. First seen September 25, 2026; open as of November 6, 2026. Jobs taken straight from company career pages — no aggregator in between.
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- Company
- Bickham Services Unlimited
- Where
- Not specified
- Level
- Executive
- First seen
- September 25, 2026
- Listed via
- BambooHR
What the posting says
This position is responsible for ensuring timely, consistent, and appropriate medical necessity determinations based on member benefit plans, medical policies, clinical criteria, CMS regulations, and evidence-based practices. Key Responsibilities - Conduct timely utilization reviews and medical necessity determinations for inpatient admissions and continued stays. - Review post-acute care services, including SNF, IRF, LTACH, and home health . - Evaluate the appropriateness of acute and post-acute services using MCG, InterQual, CMS criteria, commercial medical policies, and member benefit…
Read more and apply on Bickham Services Unlimited's site
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