Remote Physician Reviewer Utilization Management
IntePros
IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization. The role involves reviewing medical necessity determinations and applying InterQual criteria. Candidates should have an MD or DO, active board certification, and a background in Internal or Family Medicine, preferably with experience in health insurance. This position offers a collaborative environment with opportunities to leverage clinical expertise in utilization management. #J-18808-Ljbffr
Vacancy posted 3 days ago
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New York, NY4 days ago - ...A leading independent review organization is seeking a Utilization Management Physician Reviewer for a full-time remote role. Candidates must possess an active Nebraska medical license and have a minimum of 5 years clinical practice experience. Responsibilities include...Remote workFull timeCasual workMonday to Friday
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United States1 day ago $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... ...please click HERE ( Current Contingent Worker please see job aid HERE to apply #LI-Remote...Remote workHourly payFull timeWork at officeLocal areaChenMed
Miami, FL3 days ago- ...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
AmeriHealth Caritas
Newtown Square, PA3 days ago $86k - $117.3k
...For roles that are 100% remote or hybrid, you must have access... ...most. We offer integrated managed care products,... ...direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity... ...escalate complex cases requiring physician review or additional...Remote workHourly payContract workMonday to FridayFlexible hoursWeekend workAmeriHealth Caritas
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Banner Health
Phoenix, AZ6 days ago $248.5k - $373k
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United States3 days ago $240k
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United States21 hours ago- ...About MMRO Managed Medical Review Organization (MMRO) is a nationally recognized... ...of experienced practicing physicians. MMRO is committed to... ...questions. Reviews are conducted remotely and do not require direct... ...turnaround times. Utilize MMRO review templates and ensure...Remote jobFull timeContract workFor contractorsFlexible hours
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- ...Job Description Job Description Physician Peer Reviewer – Multiple Specialties in Texas and/or... ...Review Organization (IRO) with Health Utilization Management (HUM) accreditation. For the past 30... ...years, if performing external reviews Job Type Contract Work Location Remote...Remote workContract workWork experience placementWork at office
Federal Hearings And Appeals
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United States21 hours ago $155 - $165 per hour
...job poster from EPITEC As a Physician Reviewer, you'll play a critical role... ...experience Understanding of managed care and proficiency in PC (... ...Experience with managed care and utilization management Strong leadership... ...What We Offer Fully remote work arrangement (Weekends only...Remote workFull timeContract workWork at officeWeekend workEPITEC
New York, NY4 days ago- ...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
Med Review Inc
United States3 days ago
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