Remote Physician Advisor: Utilization Management Leader
Swedish Medical Group
Swedish Medical Group is looking for a Physician Advisor to provide leadership within Utilization Management. This fully remote role targets Washington ministries, emphasizing high-value care and effective medical necessity practices. The ideal candidate will have an MD or DO, board certification, and a minimum of 5 years clinical experience. Responsibilities include leading initiatives that improve patient flow, documentation integrity, and denial prevention. Join a commitment to advancing a patient-centered model and enhancing healthcare outcomes. #J-18808-Ljbffr
- ...solutions provider in New Jersey is seeking a Physician Advisor to provide clinical guidance and... ...reviews. The candidate will support utilization review and ensure adherence to medical... ...skills and proficiency in utilization management are essential. This role offers a unique...Remote work
- ...Physician Advisor, Quality Utilization Management The Physician Advisor, Utilization Management (UM), provides clinical and management guidance to enhance... ...proper utilization of resources. Serve as a physician leader and educator on clinical documentation, medical...SuggestedFull time
- ...an appropriate supervisory or manager level position. The Certified... ...Team as well as physicians. Candidates with acute hospital... ...working both in the office and remotely at the department's discretion... ...use. ALL OPTIONS Ability to: Utilize the ICD‑CM classification system...Remote jobDaily paidTemporary workWork at officeLocal areaMonday to FridayShift workWeekend workDay shiftAfternoon shift
$32 per hour
Overview Health Advocates Network is currently seeking a Central Service Tech to work at a facility in Torrance, CA . These are registry positions with our company. Pay Rate: $32 / hour Shift details 8 hours 40 hrs per week Days, nights, weekends and holidays Nursing Specialty...Remote jobMonday to FridayShift workNight shiftWeekend work- ...an Assistant Commercial Construction Superintendent to oversee on-site field operations. You will partner closely with the Project Manager and Lead Superintendent to execute ground-up and renovation commercial projects on time and within budget. Key Responsibilities Field...Remote jobFor contractorsFor subcontractor
- ...Physician Advisor The Physician Advisor (PA) is a key member of the hospital's leadership... ...for ensuring the effective, efficient utilization of health care services. The PA will develop... ..., level of care progression, denial management and compliance with governmental...
- ...Physician Advisor Corewell Health is expanding its Utilization Management team and is seeking a collaborative and clinically driven Physician Advisor to support our East Region. Position Overview The Physician Advisor collaborates with the Utilization and Care...Weekend work
$250k - $410k
Cedars-Sinai is seeking an Associate Medical Director, Physician Advisor to enhance Utilization Management through oversight and education. This role involves collaborating with medical staff and leadership to ensure high-quality, cost-effective patient care, while taking...Relocation package- ...Advancement in Medicine is seeking a Precision Medicine Physician Leader. This fully remote position offers an opportunity to practice personalized,... ...approach. The role emphasizes innovative healthcare solutions, utilizing genomics and advanced diagnostics. Join us in shaping...Remote job
- ...are seeking a high‑performing Physician Reviewer to join our Group... ...delivering timely, defensible utilization review determinations across... ...specific requirements. Ability to manage short‑TAT and urgent cases... ...operating systems. Work Environment Remote work from home. Full‑time,...Remote workFull timeTemporary workWork at officeWork from homeMonday to FridayNight shift
$75.3k - $135.4k
...Centene Corporation is seeking a Clinical Supervisor to oversee the utilization management team ensuring appropriate care for members. The ideal candidate will supervise day-to-day activities, collaborate on complex member care issues, and maintain compliance with healthcare...Remote work$106k - $161k
A leading utility services provider is seeking an experienced Utility Practice Leader for Technical Presales to drive transformation initiatives across the North American utility sector. You will advise clients, tailor solutions, and ensure delivery excellence in a client...Remote job$250k - $410k
Job Description Overview: The Associate Medical Director, Physician Advisor supports Utilization Management by providing clinical oversight, education, and guidance on medical necessity, Centers for Medicare and Medicaid Services (CMS) compliance, documentation, and resource...Full timeContract workPart timeRelocation package- ...IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization. The role involves reviewing medical necessity... ...a collaborative environment with opportunities to leverage clinical expertise in utilization management. #J-18808-Ljbffr...Remote work
- A recognized healthcare provider is seeking a Board Certified Orthopaedic Spine Surgeon to conduct utilization reviews. This telework position allows for a flexible schedule within a standard Monday - Friday work week. Responsibilities include reviewing medical records,...Remote workFor contractorsMonday to FridayFlexible hours
$248.5k - $373k
...Medical Director For Utilization Management WellMed, part of the Optum family of businesses, is... ...internal medicine or family medicine physician to join our Utilization Management team... ...You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to ensure accurate coverage determinations for inpatient and outpatient... ...a license to practice in the US. This position offers remote work options and competitive compensation packages,...Remote workFull time
- ...A healthcare management organization is seeking experienced Physician Reviewers to join their Medicare Utilization Management team in a remote position. Responsibilities include reviewing clinical service requests, applying evidence-based guidelines, and collaborating...Remote work
- ...expanding its panel of Physician Reviewers. We are currently... ...to conduct Utilization Reviews. This is a fully remote, non-clinical role offering... ...portal and streamlined case management Full onboarding and ongoing... ...Street is a national leader in Utilization Review and...Remote workPrice workExtra incomeFor contractorsFlexible hours
$29.1 - $62.32 per hour
...care one person, one family and one community at a time. Utilization Management is a 24/7 operation and work schedule may include weekends,... ...holidays, and evening hours. UM Nurse Consultant Fully Remote- WFH Schedule : Tuesday-Saturday 9:30am-6:00pm Position...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeAfternoon shift$32.01 - $68.55 per hour
...And we do it all with heart, each and every day. Position Summary This Utilization Manager position is with Aetna's Long-Term Services and Supports (LTSS) team and is a fully remote role. Candidates must hold a New York Registered Nurse license. The employee...Remote workHourly payFull timeLocal area10 hours per weekFlexible hours- GlobalHealth, Inc. is seeking a Utilization Management Supervisor for remote operations in Oklahoma City. The role involves overseeing the department, ensuring adherence to policies, and managing staff effectively while collaborating with various stakeholders. The ideal...Remote job
$70k - $75k
Guidehealth seeks an experienced Utilization Management Registered Nurse to perform UR activities and document cases per federal, state, URAC,... ...directors and providers while ensuring timely, compliant reviews. Remote work option; salary range $70,000-$75,000 annually. Benefits...Remote job$26.01 - $56.14 per hour
...Utilization Management Nurse (RN) – 24/7 Operations Location: Remote (Preference for CST/MT time zones) Schedule: Includes evenings, weekends, and holidays. Remote, sedentary role with frequent computer and phone use. Are you a detail-oriented RN with a passion for improving...Remote workHourly payTemporary workLocal areaAfternoon shift- Guidehealth is seeking a Utilization Management Registered Nurse (RN) for a fully remote, full-time position. The role involves applying medical necessity criteria to reviews, documenting findings, and interfacing with providers and members to ensure timely, compliant determinations...Remote jobFull time
$26.01 - $62.32 per hour
...Utilization Management Nurse Consultant (Medicare / Spine) Remote | Full-Time | Mon‑Fri, 9:00 AM‑6:00 PM (local time) May include evenings, holidays, and occasional 24/7 operational coverage needs. About the Role Join a collaborative healthcare team as a Utilization Management...Remote workHourly payFull timeTemporary workWork at officeLocal areaAfternoon shift- ...a certified "Great Place to Work" company is seeking a Physician to provide utilization review services for the Group Health Department. This... ...business background required Experience in Utilization Management with criteria review utilizing standard practice...Remote work
$32.01 - $68.55 per hour
...CVS Health Utilization Management Position We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to FridayAfternoon shift$236.5k
...skilled medical professional to assist the Chief Medical Director by directing medical management and quality improvement initiatives. The role emphasizes leadership in utilization management, ensuring compliance with quality standards, and optimizing care for high-risk...Remote job$26.01 - $56.14 per hour
...simplify health care one person, one family and one community at a time. Location Remote (CST/MST preferred) Schedule Monday - Friday 8:00 am to 5:00 pm in their time zone. Utilization Management is a 24/7 operation - schedules include evenings, weekends, and holidays. Make...Remote workHourly payFull timeTemporary workLocal areaMonday to FridayAfternoon shift
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