Medical Director – Acute Rehab

Humana

Medical Director managing authorizations for acute inpatient rehabilitation and collaborating with healthcare professionals. Ensuring compliance with clinical guidelines in a remote role.

Posted 5/15/2026full-timeRemote • 🇺🇸 United StatesLead💰 $223,800 - $313,100 per yearWebsite

About the role

Key responsibilities & impact

Provide medical interpretation and determinations on acute inpatient rehabilitation authorization requests, ensuring alignment with national clinical guidelines, CMS requirements, Humana policies, and clinical standards.
Collaborate with team members, other departments, Humana colleagues, and clinical leadership to support the review process and facilitate quality outcomes.
Participate in and complete structured and mentored training programs; utilize ongoing team support during daily work activities.
Consistently apply critical thinking and maintain high standards in documentation and decision-making within a structured work environment.
Exercise independence in fulfilling enterprise expectations and meeting compliance timelines.

Requirements

What you’ll need

MD or DO degree
5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and related to acute inpatient rehabilitation.
Board Certified in an approved ABMS or AOA Medical Specialty with continued certification throughout employment.
A current and unrestricted license in at least one jurisdiction and willing to obtain additional license(s).
No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements.
Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, and acute inpatient rehabilitation.
Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid, or other medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers.
Utilization management experience in a medical management review organization, such as Medicare Advantage and managed Medicaid.
Physical Medicine and Rehabilitation, Internal Medicine, Family Practice, Geriatrics, or Hospitalist background

Benefits

Comp & perks

medical, dental and vision benefits
401(k) retirement savings plan
time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
short-term and long-term disability
life insurance and many other opportunities

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical interpretationclinical documentationutilization managementquality managementacute inpatient rehabilitationanalytic skillsinterpretation skillspatient carecompliancedecision-making

Soft Skills

critical thinkingcollaborationindependenceteam supportcommunicationmentorshiporganizational skillsquality outcomesstructured work environmentleadership

Certifications

MD degreeDO degreeBoard Certifiedunrestricted medical license