Physician Utilization Review Advisor
Med-Metrix
Med-Metrix, LLC is seeking a Physician Advisor to provide physician-to-physician reviews, clinical guidance, and education to promote evidence-based care and appropriate resource utilization.
You will support utilization review and case management teams with complex clinical decision-making, ensure documentation accuracy for ICD coding, severity of illness, and DRG assignment, and stay current with CMS and payer guidelines.
#J-18808-Ljbffr- ...Job Description Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New Jersey for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review Physician is the lead clinician for...SuggestedRemote work
- ...The Physician Advisor provides physician-to-physician reviews, clinical guidance, education, and escalation support while promoting evidence-based practices and appropriate resource utilization. Key Responsibilities Conduct physician-to-physician reviews for medical...SuggestedRemote work
$160 - $180 per hour
...Job DescriptionThe Physician Advisor provides clinical expertise to support utilization management, medical necessity, denials management, patient throughput, and quality... ..., short-stay, readmission, and pre-post-bill reviews.Evaluate medical necessity and patient status in...SuggestedHourly payMonday to FridayShift workNight shift- ...The Physician Advisor Lead provides clinical leadership, mentorship, quality oversight, and operational... ...communication, and high-quality utilization management outcomes across HURC client... ..., Physician Advisors, Utilization Review teams, and clients to improve medical...SuggestedRemote work
- ...ability to work independently with little supervision and possess good clerical skills. Subject matter is varied and confidential. Utility & Tax Clerk Duties to include, but are not limited to, calculate tax and utility billing, open mail, prepare bank deposits, answer...SuggestedPart timeWork at officeMonday to Friday
- ...a professional office setting and is available part-time from 8:30 AM to 2:00 PM, Monday through Friday. Responsibilities include utility and tax clerical duties, Excel and Microsoft Office tasks, mail handling, deposits, phones, bill printing, mailings, payments posting...Part timeWork at officeMonday to Friday
- ...St. Joseph's Health in New Jersey is seeking a Physician Advisor to provide clinical expertise for utilization management, medical necessity reviews, and denials management. You will collaborate with physicians, Care Management, and leadership to ensure appropriate level...
- HURC Healthcare Solutions is seeking a Physician Advisor Lead to provide clinical leadership, mentorship, quality oversight, and operational... ...determinations, P2P performance, denials prevention, and utilization management outcomes across client engagements. #J-18808-Ljbffr...Remote job
- The Physician Advisor Lead at HURC provides clinical leadership, mentorship, and quality oversight across the Physician Advisor team while... ...improve medical necessity determinations, P2P performance, and utilization management outcomes, while guiding onboarding and ongoing...Remote job
$55k - $75k
...Weichert Workforce Mobility is hiring a Mobility Advisor III - Home Sale in Parsippany, NJ. This is a hybrid role requiring two days... ...Supports all aspects of the home sale process, including eligibility review, broker market analysis, pricing support, listing preparation,...Temporary workWork experience placementWork at officeRelocationVisa sponsorshipFlexible hours2 days per week$120k - $150k
...identify control gaps, operational inefficiencies, and emerging risks.Review complex financial transactions, accounting estimates, and... ...on SOX reliance, testing strategies, and issue resolution.Utilize data analytics and technology-enabled audit techniques to enhance...Full timeWork at office- ...high-energy team as a Senior Home Lending Advisor in Chase Home Lending and put your... ...create an outstanding customer experience by utilizing centrally managed direct mail, media... ...position is contingent on JP Morgan Chase’s review of criminal conviction history,...Work experience placementLocal areaImmediate startRelocation
$60k - $120k
...Key Responsibilities Support Senior Advisors in analyzing client data and preparing comprehensive... ...-ups, case implementation, and annual review coordination. Manage existing client... ...a structured hybrid model, typically utilizing a starting base salary or draw program...Local area- ...experience — including process design, controllership, close optimization, or CFO advisory work.Minimum of 1 year of experience serving utilities clients (electric, gas, or water) or in a utilities finance, controllership, or regulatory function.Bachelor's degree or...Work experience placementLive in
- ...package professionally, accurately, and in a positive manner Review student eligibility documents for completeness and accuracy. Initiate... ...: ****@*****.*** Website: lincolntech.edu/careers 919-22519 — FA Advisor/VA Specialist-15110 #J-18808-Ljbffr Lincoln TechFull timeWork experience placementWork at office
$220k - $250k
...ResponsibilitiesConduct comprehensive physical exams and medical histories.Diagnose and treat a diverse range of acute and chronic conditions.Utilize advanced diagnostic tools and interpret results accurately.Develop personalized treatment plans tailored to individual patient...Daily paidFull timeTemporary workPart timeH1bLocal areaRelocation package$231.52k - $289.4k
...health worldwide, together.Our Team, Your ImpactThe Clinical Trial Physician (CTP), Director, sits within Clinical Development and is... ...final protocol and protocol amendmentsEnsure continuous medical review of aggregated data during clinical trial conduct to identify trends...Interim roleLocal areaWorldwideFlexible hours$15 per hour
...Financial Advisor Prudential Financial Parsippany, New Jersey About the Company Take your career to the next level at Prudential... ...Helping clients prepare for their retirement Preparing and reviewing investment portfolio recommendations Responsibilities...Minimum wageFull timeContract workPart time$115k - $125k
...Formedics Formedics is an ecosystem of physician-led micro communities where HCPs connect, collaborate and debate. Clinicians utilize our platform to learn from respected Key... ...requiring scope, architecture, or leadership review. Our Commitment Formedics is...Contract work$116.9k - $136k
...including Compliance, Risk, Legal, and Insurance teams, as well as external partners such as asset managers, data and systems providers.Review and analyze portfolio performance, including performance relative to benchmarks and peers, risk-adjusted returns, regime-specific...Full timeTemporary workWork at officeLocal areaRelocation package3 days per week$238.5k - $392.5k
...Bonus** Optum NY, is seeking an exceptional Primary Care Physician (FM or IM) to join our team in Brewster, NY. Optum is a clinician... ...the care team Treat chronic diseases and disorders Reviews patient file/record, including allergies, problems, medications...Minimum wageWork experience placementLocal areaWork from homeRelocation packageFlexible hours- ...independent wealth management firm is seeking a Junior Financial Advisor to join its team. This is an excellent opportunity for a client... ...relationship managementPrepare financial plans, investment reviews, and client recommendationsSupport business development and client...
$35 per hour
...general telehealth services. Our commitment to innovation and physician support has made us a trusted name in virtual medicine. Physicians... ...virtual care, including patient assessments, medical history reviews, and appropriate treatment Deliver compassionate, patient-...For contractorsWork at office- ...The Physician Advisor (PA) is a clinical leader responsible for ensuring appropriate patient care, optimizing resource utilization, and maintaining regulatory compliance. The PA conducts medical necessity and utilization reviews, manages denials and appeals, advises providers...
$35 per hour
...general telehealth services. Our commitment to innovation and physician support has made us a trusted name in virtual medicine. Physicians... ...virtual care, including patient assessments, medical history reviews, and appropriate treatment Deliver compassionate, patient-...For contractorsWork at office$35 per hour
...general telehealth services. Our commitment to innovation and physician support has made us a trusted name in virtual medicine. Physicians... ...virtual care, including patient assessments, medical history reviews, and appropriate treatment Deliver compassionate, patient-...For contractorsWork at office$250k - $325k
...people. CoreCivic is currently seeking Physician who have a passion for providing the highest... ...Services Supervisor Monitor and review operations and standards of care delivered... ...and outside provider agencies. Utilize established corporate, facility and correctional...Contract workShift work- ...invoices, statements, or, if applicable, [transportation-related Bill of Ladings] to clients via mail or email. Data Verification: Review purchase orders, charge slips, and sales tickets to calculate correct fees and verify accuracy. Payment Processing: Process...Part time
- ...with M&T Bank. We're seeking a licensed banker or early-career advisor to grow within the Northern New Jersey market—partnering with a... ...partnershipsDeliver investment and insurance solutionsSupport portfolio reviews and client lifecycle managementPartner across Retail, Business...Work experience placement
- RMR Wealth Builders is seeking a Wealth Advisor to join our growing team at our Montclair... ...planning process. Conduct client review meetings and maintain ongoing client relationships... ...present comprehensive financial plans utilizing eMoney Advisor. Analyze client...Full timeLocal areaImmediate start
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