Remote Urology Physician Clinical Reviewer
$90.87 - $154.33 per hourPrime Therapeutics
A healthcare organization is seeking a Physician Clinical Reviewer for Urology. This remote role is crucial in the utilization management team, providing timely medical reviews and working with physicians and health plan members. Candidates must possess an MD or equivalent and have over 5 years of clinical experience. This position offers competitive pay ranging from $90.87 to $154.33, based on experience and skills. #J-18808-Ljbffr
$90.87 - $154.33 per hour
A leading pharmacy benefits manager is seeking a remote Physician Clinical Reviewer for Urology. The ideal candidate will be a DO, MBBS, or MD with at least 5 years of clinical experience. Responsibilities include reviewing medical requests, communicating with physicians...Remote work$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology. This remote role involves medical review of service requests and requires a DO, MBBS, or MD degree along with at least 5 years of clinical experience. Candidates must ensure...Remote work- A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology to join their utilization management team. This remote role involves timely medical review of service requests, discussion with healthcare providers, and providing clinical...Remote work
$90.87 - $154.33 per hour
A healthcare organization is seeking a Physician Clinical Reviewer for a remote role. This position involves conducting medical reviews of service requests that do not meet medical necessity guidelines while interacting with physicians and leadership. The ideal candidate...Remote work$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer - Urology to join their utilization management team. The role involves medical... ...or MD and at least 5 years of clinical experience. This remote position offers a competitive salary range from $90.87...Remote work$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer - Urology for a remote position. The role involves reviewing complex clinical cases, providing rationales for medical necessity, and ensuring compliance with guidelines. Candidates must have a...Remote work$90.87 - $154.33 per hour
...A healthcare organization is seeking a remote Physician Clinical Reviewer specializing in Urology. The role involves reviewing service requests, interacting with healthcare professionals, and ensuring compliance with medical necessity guidelines. Candidates must have...Remote work$90.87 - $154.33 per hour
A leading healthcare organization is seeking a remote Physician Clinical Reviewer with expertise in clinical review and a minimum of 5 years of experience. This role involves reviewing medical requests, assisting initial reviewers, and providing clinical rationale. Candidates...Remote work- A leading pharmacy benefits management company is seeking a remote Physician Clinical Reviewer specializing in Urology. The role involves reviewing medical necessity requests, interacting with physicians, and participating in the utilization management process. Candidates...Remote workFlexible hours
$90.87 - $154.33 per hour
...A healthcare company is seeking a Physician Clinical Reviewer for a remote position. The role involves reviewing clinical cases, discussing determinations with physicians, and ensuring documentation accuracy. Applicants must have an MD, DO, or MBBS and 5+ years of clinical...Remote work$90.87 - $154.33 per hour
A nationwide pharmacy benefit management company based in Washington, DC is seeking a Physician Clinical Reviewer for a remote role focused on Urology. The ideal candidate should hold an MD, DO, or MBBS and have over 5 years of clinical experience. Responsibilities include...Remote work$90.87 - $154.33 per hour
A healthcare organization is seeking a Physician Clinical Reviewer specializing in Urology. This remote role involves reviewing clinical cases, ensuring compliance with medical necessity guidelines, and supporting initial clinical reviewers. A DO, MBBS, or MD is required...Remote work$90.87 - $154.33 per hour
A healthcare organization seeks a Physician Clinical Reviewer specializing in Urology to join their utilization management team. This remote role involves conducting medical reviews, discussing cases with physicians, and ensuring compliance with guidelines. Candidates...Remote work$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology. This remote position involves reviewing clinical cases for medical necessity, ensuring timely communication with healthcare providers, and maintaining accurate documentation...Remote work- A progressive pharmacy benefits manager is seeking a Physician Clinical Reviewer in Urology to join their remote utilization management team. In this critical role, you will review medical necessity requests, interact with physicians, and provide insights for appeals. Candidates...Remote work
- A national pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology for a remote position. The role involves reviewing medical necessity service requests, providing clinical rationale for appeals, and collaborating with medical staff. Candidates...Remote work
$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer to join their utilization management team. This remote position requires a medical degree (MD, DO, MBBS) and at least 5 years of clinical experience. Responsibilities include reviewing medical...Remote job$90.87 - $154.33 per hour
...serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Physician Clinical Reviewer - Urology- REMOTE Job Description Key member of the utilization management team, and provides timely medical review of service...Remote workWork at officeLocal areaVisa sponsorshipWork visa$90.87 - $154.33 per hour
Prime Therapeutics (Prime) is a purpose‑driven PBM seeking a Physician Clinical Reviewer - Urology (remote). This key member of the utilization management team provides timely medical review of service requests that do not initially meet medical necessity guidelines. The...Remote jobHourly payWork at officeLocal areaVisa sponsorshipWork visa$115k - $125k
...TapestryHealth is hiring a Nurse Practitioner Clinical Reviewer responsible for reviewing Remote Patient Monitoring and Chronic Care Management reports to ensure their accuracy. This role is essential in aiding patient care across facilities. The ideal candidate must...Remote work$90.87 - $154.33 per hour
...Myana is seeking a Physician Clinical Reviewer with a specialty in Pediatric Neurology to work remotely. The successful candidate will provide timely medical reviews and engage with physicians and team members to ensure adherence to medical necessity guidelines. This...Remote work$115k - $125k
...TapestryHealth is looking for a Nurse Practitioner Clinical Reviewer to oversee Remote Patient Monitoring (RPM), Behavioral Health Integration (BHI), and Chronic Care Management (CCM) reports. This remote role requires at least 5 active NP licenses and certifications,...Remote workMonday to Friday- ...Clinical Reviewer Position Are you passionate about using your clinical expertise to support... ...determinations? We're recruiting for 2 full-time remote/hybrid Clinical Reviewer positions.... ...health care services. Consult with physician/practitioner consultants when reviews...Remote workFull timeWork from homeMonday to Friday
- ...and patient outcomes. Our talented remote workforce spans the country and plays... ...Overview We are seeking a Clinical Utilization Review Nurse (RN) to assess the medical necessity... ...tools ( InterQual ) Consult with physician/practitioner consultants when...Remote workFull timeContract workWork at officeWork from home
- ...Behavioral Health Services Reviewer Are you passionate about improving... ...? Do you enjoy using your clinical expertise to evaluate needs,... ...on this team. This is a remote position based in Oregon and... ...designated systems Consult with physician or practitioner reviewers...Remote workFull timeContract workWork from home
$185 per hour
...compliant AI platform that unifies intake, clinical documentation, coding, and quality... ...~ ~3+ years in home-health QA/OASIS review, utilization review, or clinical documentation... ...in a fast-moving startup environment and remote collaboration tools. Reliability counts...Remote workContract workReliefShift workWeekend work- A healthcare consulting firm is seeking Peer Reviewers (MDs/DOs/DDS) for a full-time remote position. The role involves providing clinical expertise for peer reviews of patient care, making informed clinical judgments, and documenting all reviews per instructions. Applicants...Remote workFull time
$32 - $37 per hour
...the Manager or Senior Manager, the Senior Clinical Data Specialist plays a vital role in... ...organizational considerations. Wage ranges are reviewed, at minimum, annually and all team... ...pay, part‑time team members enjoy a fully remote work environment with a flexible...Remote workHourly payPart timeFlexible hoursShift work$85k - $92k
...Job Title: CLINICAL QUALITY REVIEWER (RN or LCSW) Job ID: 87049 Location: USA- Remote in approved states Overview: We are partnering with a leading organization supporting a large-scale federal healthcare program to identify a Clinical Quality Reviewer. This role...Remote workHourly payWork at officeHome office$57 per hour
ProPivotal Staffing is seeking a Clinical Pharmacist Reviewer to work from home in Massachusetts. This role supports clinical pharmacy services and involves optimizing treatments with healthcare teams. Candidates should have 1-2 years of experience and an active Massachusetts...Remote workHourly payWork from homeFlexible hours
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