Remote Ortho Physician Reviewer | Utilization Management
ChenMed
ChenMed is looking for a Licensed Physician Reviewer – Ortho for a remote role based in Miami, FL. This position involves conducting Utilization Management reviews and advising other physician reviewers while participating in quality improvement efforts.
The ideal candidate should have a valid medical license, complete residency and fellowship qualifications, and strong analytical and communication skills. The role offers competitive compensation and a commitment to work-life balance.
#J-18808-Ljbffr- ...Working fully remote in a full-time capacity, the Utilization Management Physician Reviewer will be responsible for making accurate coverage determinations for inpatient and outpatient services by applying utilization management criteria and clinical judgment while ensuring...Remote workFull time
$219k - $286.9k
...Physician Reviewer - Utilization Management Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is... ..., Utilization Management. Work Location: This is a remote position, open to candidates who reside in the United...Remote workFull timeLocal areaWork from homeHome officeWeekend work- ...certified “Great Place to Work” company is seeking a Physician to provide utilization review services for the Group Health Department. This role... ...business background required Experience in Utilization Management with criteria review utilizing standard practice...Remote work
$174.07k - $374.92k
...person, one family and one community at a time. Company: Oak Street Health Title: Full-Time Utilization Management Physician Reviewer Location: Remote/ Treehouse Role Description: This full-time role is responsible for provisioning accurate and...Remote workHourly payFull timeLocal area$219k - $286.9k
Oscar Health is hiring a Physician Reviewer to join our Utilization Management team. You will determine the medical appropriateness of inpatient, outpatient,... ...information and applying evidence-based guidelines. This remote role in the United States offers work from home with...Remote jobWork 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 jobFull 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 to...Remote job
- Oscar Health is hiring a part-time Physician Reviewer to join the Utilization Management team. You will determine the medical appropriateness of inpatient, outpatient... ...and applying evidence-based guidelines. This remote role is open to candidates in the United States,...Remote jobPart timeLocal area
- ChenMed is seeking a Physician Reviewer to lead utilization management reviews and advise fellow physicians. The role includes coordinating care with health plans and local teams, participating in QA and delegated UM processes, and supporting territory-based case development...Remote jobLocal area
- Oak Street Health seeks a full-time Utilization Management Physician Reviewer to determine coverage for inpatient and outpatient services using UM criteria and clinical judgment. The role emphasizes coordinating with care teams to ensure medically appropriate care and adherence...Remote jobFull time
- ...recognized Independent Review Organization (IRO), is 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...Remote workPrice workExtra incomeTemporary workFor contractorsFlexible hours
- ...Dual Occupational Medicine/Pain Management, Dual Internal Medicine/Pain... ...turnaround times. Our reviewers are compensated on a per-case... ...JOB SUMMARY As a Physician Reviewer/Advisor for Disability Peer Review, you will utilize clinical expertise to review...Remote workFor contractorsMonday to Friday
$204.76k - $292.52k
...we need great people to join our team. The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in our organization. Other duties... ...site, please click HERE Current Contingent Worker please see job aid HERE to apply #LI-RemoteRemote workHourly payFull timeReliefWork at officeLocal area- ...Working remotely, the full-time State Licensed Utilization Reviewer will perform utilization reviews on workers' compensation treatment referrals, ensuring the... ...plans and contributing to effective claims management. Key responsibilities Utilizes clinical judgment...Remote workFull time
- 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 jobFor contractorsMonday to FridayFlexible hours
- About Dane Street Dane Street is a leading Independent Review Organization (IRO) and national provider of Utilization Review services. As we continue to expand our physician panel, we’re offering flexible, remote opportunities for board-certified physicians seeking supplemental...Remote workExtra incomeFor contractorsFlexible hours
- ChenMed is seeking a Physician Reviewer to lead Utilization Management cases across multiple markets. The role covers delegated UM duties, coordination with health plans, and collaboration with local teams to ensure optimal patient care. A medical degree, active unrestricted...Local area
- ChenMed is seeking a Physician Reviewer to lead Utilization Management reviews for seniors in a rapidly expanding, physician-led organization. Based in Florida, you will support delegated UM cases, participate in health-plan and local calls, and contribute to process and...Local area
- ChenMed is hiring a Physician Reviewer for Utilization Management to oversee delegated UM cases across multiple markets, supporting health plan calls and local teams. You will participate in care coordination and contribute to ongoing quality initiatives within our expanding...Local area
- ...integrating, and monitoring the utilization of behavioral health (BH... ...Medical Director for review and works closely with Case Management to address member needs.... ...with the treating physician or other providers of care... ...may be opportunity for remote work within all jobs posted...Remote workContract workWork at office
$248.5k - $373k
...internal medicine or family medicine physician to join our Utilization Management team. Optum is a clinician-led... ...'ll enjoy the flexibility to work remotely * from anywhere within the U.S. as... ...determination processesParticipates in case review and medical necessity...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home$240k
...Job Description Job Description Utilization Management Physician (UMP) Remote | Full-Time | Florida Compensation: $240,000 base + bonus Schedule... ...Management Physician to perform medical necessity reviews, peer-to-peer discussions, and clinical determinations...Remote workFull timeRelocation- ...leading healthcare organization is seeking a RCS-Physician Advisor to join their Denial Management team. This full-time remote position requires a medical degree and board... ...leadership abilities to help optimize hospital services and resource utilization. #J-18808-LjbffrRemote workFull time
$80.17 - $119.26 per hour
CommonSpirit Health is seeking a System Physician Advisor to conduct clinical case reviews in a remote capacity. This role entails ensuring effective utilization of healthcare services, communicating with medical staff, and making recommendations regarding patient care....Remote jobHourly pay- ChenMed is seeking a Licensed Physician Reviewer - Neurology to support Utilization Management in a remote PRN capacity. The role involves reviewing UM cases, advising peers, and coordinating with health plan teams and local staff; requires Neurology residency, board certification...Remote jobFor contractorsReliefLocal area
- ChenMed is seeking a Physician Reviewer to lead Utilization Management (UM) reviews across assigned markets and coordinate care for our patients. You will cover delegated UM, attend health plan and local calls, and participate in quality improvement within our growing UM...Local area
- A leading Independent Review Organization is seeking a Board-Certified Physical... ...Rehabilitation provider to perform Utilization Reviews. This fully remote role offers flexible scheduling and... ...Certification. Apply to join our Physician Review Panel and start earning based...Remote workExtra incomeFlexible hours
- ...DRG Clinical Physician Reviewer We are seeking a highly experienced DRG Clinical Physician Reviewer to... ...growing clinical review team. This is a fully remote opportunity for a physician with a strong background in utilization review and clinical validation who thrives in...Remote work
- ...Job Description Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site.The Utilization Review Physician is the lead clinician for the health...Remote work
- A national provider of Utilization Review services is seeking board-certified physicians in Pain Management for a telework opportunity. Responsibilities include evaluating medical necessity and preparing written determinations for treatment requests. Ideal candidates should...Remote workTemporary workFor contractors
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