Integrated Home Care Services, Inc.

Senior Medical Director

Integrated Home Care Services, Inc.

full-time

Posted on:

Location Type: Remote

Location: FloridaUnited States

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Job Level

About the role

  • Providing clinical oversight and performing medical necessity reviews for home health and durable medical equipment (DME)
  • Support timely, evidence-based decisions aligned with payer policy and regulatory requirements
  • Collaborate with utilization management, care coordination, and provider-network engagement teams to support care delivery

Requirements

  • Medical Degree (MD or DO) from an accredited institution
  • Board Certification in a relevant specialty (e.g., Internal Medicine, Family Medicine, Geriatrics, Physical Medicine & Rehabilitation)
  • Active, unrestricted medical license in at least one state
  • Residency in a U.S. state is required
  • Minimum of 5 years of clinical practice experience involving patient care
  • Experience in home health, DME, or post-acute care preferred
  • Experience in utilization management or health plan medical review is highly desirable
  • Familiarity with NCQA standards as well as CMS Clinical Guidelines preferred
  • Strong communication skills and ability to interact with physicians, providers, and health plan teams
  • Experience with electronic health records (EHRs), authorization platforms, and documentation systems preferred
Benefits
  • Medical, Vision, Dental
  • Short- and Long-term insurance
  • 6+ Days of Holidays Pay
  • 15+ days of PTO
  • Employer paid life insurance
  • 401K with employer contribution
  • Wellness program with reward incentives
  • Employee recognition and reward programs
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
medical necessity reviewsclinical practiceutilization managementpatient carehome healthdurable medical equipmentpost-acute careevidence-based decisionsNCQA standardsCMS Clinical Guidelines
Soft Skills
strong communication skillsinterpersonal skillscollaborationability to interact with physiciansability to interact with providersability to interact with health plan teams
Certifications
Medical Degree (MD or DO)Board Certificationactive medical license