Remote Utilization Management Physician Reviewer
Hispanic Alliance for Career Enhancement
Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to ensure accurate coverage determinations for inpatient and outpatient services. The role involves collaborating with care teams and making utilization management decisions based on clinical judgment. Candidates must have a medical degree, at least one year of utilization management experience, and a license to practice in the US. This position offers remote work options and competitive compensation packages, reflecting Oak Street's commitment to quality care. #J-18808-Ljbffr
- ...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 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
- ...Full-Time Utilization Management Physician Reviewer 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...Remote workFull time
- ...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
$130 - $145 per hour
...Hi, we’re Oscar. We’re hiring a part-time Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built around... ...Management. Work Location This is a remote position, open to candidates who reside in the United...Remote workHourly payFull timePart timeLocal areaWork from homeHome officeWeekend work- ...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 timeLocal area
- ...Role Overview Our Utilization Management Reviewers evaluate medical necessity for inpatient and outpatient... ...escalate complex cases requiring physician review or additional intervention... ...Flexible work solutions include remote options, hybrid work schedules, competitive...Remote workMonday to FridayFlexible hoursWeekend 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 jobFor contractorsMonday to FridayFlexible hours
$240k
...Utilization Management Physician (UMP) Remote | Full-Time | Florida Compensation: $240,000 base + bonus Schedule: 40 hours/week Work Model:... ...Utilization Management Physician to perform medical necessity reviews, peer-to-peer discussions, and clinical...Remote workFull timeRelocation$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... ...processes Participates in case review and medical necessity determination...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...Summary: We are seeking a highly experienced DRG Clinical Physician Reviewer to join our 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 a fast-paced...Remote work
- ...Medical Reviewer Pay rate is ***/hour fully remote, but must reside in one of our plan states: IL, TX, NM, OK,... ...organization. Identifies opportunities to manage members' clinical situations with... ...managers. Participates in the Physician Review Units' appeal process of...Remote workMonday to FridayShift workWeekend work
- 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
- ...established industry player is seeking a Remote Physician Reviewer for a 3-year contract role. This... ...evaluating clinical service requests, utilizing clinical judgment to adjudicate requests... .... You will play a crucial role in managing members' clinical situations through...Remote workContract work
- ...organization. Identifies opportunities to manage members' clinical situations with a... ...service requests. Participates in the Physician Review Units' appeal process of service denials... ...patient care or medical diagnosis.) Remote 20 - 40 hours/week and possible weekend...Remote workContract workWeekend work
$35 - $37 per hour
...using the platform. The Lead RN Reviewer in Service Operations... ...need: 5+ years in healthcare, managed care, or insurance-related roles... ...RN license (BSN preferred) Utilization Management experience required... ...leadership style suited for a remote, fast-paced environment Pay...Remote workHourly payFull timeFlexible hours- ...searching for Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize your... ...Alsip/South Chicago Area JOB SUMMARY: Utilizes clinical expertise, and reviews disability claims...Remote workFor contractorsMonday to Friday
$42.18 - $51.56 per hour
...Bring Your True Colors to Blue. The Physical Therapy Utilization Management Reviewer is responsible for evaluating the appropriateness and medical... ...Test. Interact with treating providers, PCPs, physicians, therapists, and facilities as needed to gather clinical...Hourly payFull timeWork at officeFlexible hoursShift work- ..., and adults as well as outpatient services such as medication management, case management, and counseling. Job Summary Mental Health Resource Center is looking for a Utilization Management Reviewer to monitor the utilization of clinical services provided at Mental...Full timeWork at officeMonday to FridayFlexible hours
- ...Medical Review Position Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or services... ...Friday. This position will be remote after 6 months of onsite training....Remote workFull timeContract workWork at officeMonday to Friday
- ...job and more exclusive features. Location: Remote (Must reside in IL, MT, NM, OK, TN, or TX) Position... ...is seeking experienced, board-certified physicians to join their Medicare Utilization Management team as Physician Reviewers. In this remote role, you will review...Remote workFull timeWeekend work
- ...Number: R1050638 Summary Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility... ...Monday through Friday. This position will be remote after 6 months of onsite training....Remote workFull timeContract workFor contractorsWork at officeLocal areaMonday to Friday
$87k - $115k
...Utilities Right of Way Document Specialist Manager - Texas - (1790) Location : Texas (candidate will have the flexibility to work out of their home office but... ...and other documents within approved systems. Review documents to prepare reports detailing ownership information...Daily paidFull timeWork from homeRelocationHome office- ...Controls Specialist in our Program Management organization. This role will... ...and support for document reviews. Provide input and support... ...contractor(s) and the utility. Benefits & Compensation... ...Management Position Type Regular Full Time Remote: No...Remote workFull timeTemporary workFor contractorsFlexible hours
- ...Job Description Job Description Physician Peer Reviewer – Multiple Specialties in Texas and/... ...Review Organization (IRO) with Health Utilization Management (HUM) accreditation. For the past 30... ...external reviews Job Type Contract Work Location Remote...Remote workContract workWork experience placementWork at office
$32 per hour
...an ongoing need for Document Reviewers. Document Reviewers will review... ...! Position Details Remote work-from-home opportunity Pay... ...is required. Proficiency in utilizing modern technology, especially... ...investigation and data recovery and management needs of our clients....Remote workHourly payTemporary workWork from homeHome officeMonday to ThursdayFlexible hours- ..., seeks BC/BE Internal Medicine physicians to join our expanding Department... ...transform health care across the state utilizing a clinically integrated network,... ...of Digital Health services Remote Patient Monitoring for chronic disease management Centralized Call Center and...Remote workRelocationRelocation packageFlexible hours
- ...A leading payment management solutions provider seeks an Offsite Invoice Payment Specialist to manage utility invoice entries in a work-from-home setup. The role requires high typing speed and self-motivation along with the ability to work independently. Candidates must...Remote workWork from home
$7.5k
...00 for those with less than one year of experience) Summary The LPN Utilization Management (UM) Reviewer, in collaboration with Care Coordination, Guthrie Clinic offices, other physician offices, and the Robert Packer Hospital Business Office, is responsible for...Full timeWork at officeRelocation package- ...looking for a talented Technical Support Management (TSM) Deficiency Records Administrator... ...Surveillance (Product Verification/Procedure Review), Test Witnessing, Compartment... ...assessments, audits, and milestone reviews. Utilize available programs, tools, and data...Remote workContract workFor contractorsWork at officeLocal area
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