Neonatologist Reviewing Medical Director

Neonatologist Reviewing Medical Director
Location: Remote 
Pay Rate: 

Seeking a Board-Certified Neonatologist for a remote physician leadership opportunity supporting NICU utilization management for a Medicaid-focused healthcare program.

Apply your neonatal expertise outside of traditional bedside practice by evaluating medical necessity, reviewing complex NICU cases, and supporting appropriate levels of care for critically ill newborns and premature infants.

Position Highlights

• 100% remote, work-from-home position.
• Initial 6-month contract; potential extension or permanent opportunity (not guaranteed).
• Clinical leadership and collaboration with treating physicians and healthcare teams.
• Licensing assistance may be available.

• Review NICU admissions, continued stays, transfers, and levels of care.
• Evaluate clinical documentation and determine medical necessity using evidence-based guidelines and Medicaid requirements.
• Conduct physician-to-physician peer reviews.
• Support NICU utilization management, DRG validation, and level-of-care determinations.
• Collaborate with treating neonatologists, medical directors, and clinical teams.

• MD or DO.
• Board-certified in Neonatal-Perinatal Medicine.
• Minimum 5 years of post-training clinical experience, including direct NICU patient care.
• Experience with NICU utilization management, clinical reviews, or payer-side medical necessity determinations.
• Active, unrestricted Oklahoma and/or South Carolina medical license.
• Willingness to obtain additional state licensure as needed.

• Coverage includes Oklahoma and South Carolina.
• Active licenses in both states are preferred; candidates with either license may be considered.
• Oklahoma participates in the IMLC; South Carolina does not and may take several months to license.
• Licensing assistance may be available.
• Physicians may reside in other states, preferably within or near the Eastern Time Zone.

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