Medical Review Institute of America

Associate Medical Director - Utilization Review

SALT LAKE CITY, UTPosted 30+ days ago

Job summary

  • Job post source

    This job is directly from Medical Review Institute of America

  • Job overview

    The Associate Medical Director - Utilization Review is responsible for leveraging medical expertise to authorize services and levels of care based on clinical guidelines and regulatory compliance, impacting patient care decisions within the company.

  • Responsibilities and impact

    The role involves reviewing medical records using clinical guidelines, conducting peer-to-peer calls with providers, supporting internal workflows, and ensuring compliance with national and contractual standards.

  • Experience and skills

    Candidates must have an MD or DO with board certification in Family or Internal Medicine, at least 5 years of recent patient care including 3 years inpatient acute care, strong computer literacy, and ability to obtain multiple state licenses.

  • Work environment and culture

    The position requires strict adherence to a structured 40-hour weekly schedule with no flexibility, emphasizing professionalism, integrity, and collaboration within a structured environment.

  • Company information

    Medical Review Institute of America specializes in utilization review and medical decision-making services, adhering to national healthcare standards and regulations.

  • Job location and travel

    The job requires residing and working within the United States with shifts scheduled between 6:00am and 7:00pm Mountain Time, including weekends, with no remote flexibility mentioned.

  • Application process

    Applicants must pass background and drug screenings and comply with all regulatory requirements; specific application instructions are not detailed.

  • Unique job features

    The role includes managing multiple state medical licenses supported by the company and requires dedicated focus during scheduled hours with no caregiving or other responsibilities allowed.

Company overview

Medical Review Institute of America, LLC (MRIoA) specializes in providing independent medical peer reviews and utilization management services to healthcare organizations, insurance companies, and government agencies. They generate revenue by offering expert medical opinions that assist in determining the necessity and appropriateness of medical treatments and services. Founded in 1983, MRIoA has established itself as a trusted partner in the healthcare industry, known for its commitment to evidence-based reviews and high standards of clinical excellence.

How to land this job

  • Tailor your resume to highlight your MD or DO degree, board certification in Family or Internal Medicine, and emphasize your recent direct patient care experience, especially your inpatient and acute care expertise, to align with the Associate Medical Director - Utilization Review role at Medical Review Institute of America.

  • Focus on demonstrating your proficiency with clinical decision-making tools like MCG/InterQual guidelines, your ability to apply evidence-based medical judgment, and your experience managing inpatient co-morbidities and acute care cases, as these are central to the job.

  • Apply through multiple channels including the Medical Review Institute of America's corporate careers page and LinkedIn to maximize your chances of being noticed and considered for the position.

  • Connect with current employees or hiring managers in the Utilization Review or Medical Director divisions on LinkedIn. Start conversations by referencing recent MRIoA initiatives, asking about their experience with the structured scheduling, or inquiring how they stay compliant with CMS and URAC standards.

  • Optimize your resume for ATS by incorporating keywords from the job description such as 'utilization review,' 'MCG/InterQual guidelines,' 'acute care,' 'inpatient clinical expertise,' 'CMS regulations,' and 'board certification.' Ensure your resume format is clean and readable by ATS software.

  • Use Jennie Johnson's Power Apply feature to automate tailoring your resume, find all available application portals, and identify relevant LinkedIn contacts to network with, saving you time and increasing your effectiveness in landing the role.

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