Orthopedic Physician Reviewer for Utilization Management
ChenMed
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 area. The role requires a medical degree, residency in Internal Medicine or Family Practice, board certification, and strong analytical, communication, and organizational skills. #J-18808-Ljbffr ChenMed
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Orthopedic Physician Reviewer for Utilization Management in Miami, FL vacancy
- 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...SuggestedLocal 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...SuggestedLocal 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...SuggestedLocal area
- ChenMed is seeking a Physician Reviewer to lead Utilization Management review across multiple markets. The role requires medical training, IM/FP residency, and pain management certification, with experience in hospital medicine and utilization review preferred. The position...Suggested
$204.76k - $292.52k
...primary care providers. We’re rapidly expanding and 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 include advising other physician reviewers and...SuggestedHourly payFull timeWork at officeLocal areaRemote work$71.94k - $93.52k
...hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent... ...excellence in cancer, cardiovascular care, orthopedics and sports medicine, and... ...MS-DRG, Medicaid APR-DRG assignments, utilization management, case management, discharge planning,...- CGS Federal seeks a Hmong Chinese Document Reviewer to support eDiscovery activities, workflow management, and in‑house litigation tasks within a fast-paced legal team. The role involves drafting responses, researching post-conviction motions, and handling a broad range...
- ...and filed appropriately. Reviews and addresses any requests for... ...telephone, fax and/or in person. Utilizes UChart-Radiant (RIS) and/or... ...reports to ordering physicians. Retrieve messages from voicemail... ..., and legal requests. Manage document services with records...Full timeWork at office
$71.94k - $93.52k
...clinical documentation through concurrent review of inpatient records to support... ...through interaction with physicians, nursing and other caregivers, and... ...mortality; documentation integrity, utilization, quality, and case management, discharge planning, managed care,...Live in$18 - $20 per hour
...Summary We are seeking a meticulous and organized Document Management Clerk to join our team. In this role, you will be responsible... ...to staff while tracking document movement. Quality Control: Review incoming documents for accuracy and completeness before filing....Hourly payWork at office- ...Integrity (CDI) Second Level Reviewer The Clinical... ...for measuring and reporting physician and hospital outcomes. Performing... ...high-quality documentation by utilizing queries that are effective,... ...demonstrating effective time management and prioritization of tasks....Work at office
- ...Physician Reviewer Opportunity We are seeking a Physician Reviewer to join our team at Independent Living Systems (ILS). ILS... ...Reviewer collaborates with healthcare providers, and utilization and case management teams to support decision-making processes related to...
- ...detail-oriented Document Control Specialist to join our team on a 6-month, onsite assignment in the Globe-Miami mining region. You will manage, organize and control site documentation to ensure regulatory compliance and smooth operations. The ideal candidate has a high...Contract work
- Andes Global Trading, LLC is seeking an Export Documentation Specialist to manage end-to-end international shipping documents and ensure shipments cross borders legally and on time. You will handle cargo tracking and respond to customer queries about deliveries. The role...
- Hmong Chinese Language Document Reviewer Employment Type: Full Time, Mid-Level Department... ...eDiscovery activities, workflow management, and litigation support. CGS is seeking... ...variety of written documents and materials utilizing a wide range of office software applications...Full timeWork at officeFlexible hours
- ...Job Description EOLA Power is seeking a detail-oriented and process-driven professional to serve as our Field Service Report (FSR) Reviewer. This role is responsible for reviewing and validating Field Service Reports completed by our Field Service Engineers before they...
- Obsidian is seeking expert Evaluators in Spreadsheet QA / workbook maintenance to review AI-generated documents, spreadsheets, and slide decks for accuracy, rigor, and domain quality. This is a remote, hourly engagement. You will apply deep subject-matter expertise to...Remote jobHourly payWork at office
- ...Description: Job Purpose The Quality Assurance (QA) Batch Record Reviewer performs the Technical and Final release function of the graft... ...VIVEX procedure. 6. Performs other duties as assigned by the Manager and Director of the Department. Requirements:...Work at officeAfternoon shift
- ...faculty or staff position, please review this tip sheet. The... ...for measuring and reporting physician and hospital outcomes. 2. Performs... ...-quality documentation by utilizing queries that are effective,... ...demonstrates effective time management and prioritization of tasks....Full timeTemporary workWork at officeWorldwide
- ...Export Documentation Specialist / Coordinator As an Export Documentation Specialist / Coordinator, you will be responsible for managing end-to-end international shipping documents. This role ensures all shipments cross borders legally, accurately, and without delays...Immediate startOverseas
- As a CGS Hmong Chinese Document Reviewer you will play a key role in supporting various aspects of the company's litigation portfolio, including eDiscovery activities, workflow management, and litigation support. CGS is seeking an experienced Hmong Chinese Reviewer to join...Work at officeFlexible hours
- ...communication across departments. The position is responsible for managing, organizing, and controlling all site documentation to ensure... ...full lifecycle of controlled documents, including creation, review, approval, distribution, revision, archiving, and controlled destruction...Contract workFor contractorsLive in
- Uloop Inc. in Miami, Florida is seeking a meticulous Document Management Clerk to join their team. The role involves systematically organizing, storing, and retrieving both physical and electronic documents, ensuring seamless access for the team. Ideal candidates will...Work at office
- ...in Miami, FL for in-office responsibilities Responsible for reviewing, executing and auditing foreclosure documents for accuracy according... ...rapport with both internal & external customers. Effectively manages time, priorities and resources to achieve goals. About the...Work experience placementLive inWork at officeLocal area
$19.45 - $31.3 per hour
...process documents and correspondence. Assist with schedule management and calendar coordination. Support event and meeting preparations... ..., or any other basis protected by law. We are excited to review your application and welcome you to the team! Salary/...Hourly payWork at office- ...government agencies, regulatory consultants, and internal teams to review product formulations, nutritional information, ingredient... ...agencies for evaluation and approval. Trade Compliance & Vendor Management Assign Harmonized Tariff Schedule (HTS) classifications....InternshipWork at office
- ...business hours, and offers an entry-level path within a law firm. You will collect, verify, and upload client documents across case management and CRM systems, manage follow-ups, and ensure accurate file setup to keep cases moving. #J-18808-Ljbffr Bernard Nickels &...Contract workMonday to Friday
- Rocket Mortgage is seeking a hybrid Foreclosure Documents Reviewer in Miami, FL. You will review, execute and audit foreclosure documents for accuracy, coordinating with parties to ensure compliance with federal, state, and investor guidelines. Responsibilities include...
- A leading government services firm in Miami is seeking a Hmong Chinese Language Document Reviewer to support its in-house legal team. The ideal candidate will have 3-5 years of litigation support experience and a Law Degree. Responsibilities include conducting legal research...
- Andes Global Trading LLC is seeking an Export Documentation Specialist / Coordinator in Miami, FL. The role ensures end-to-end international shipping documents are prepared accurately and in compliance with destination-country and U.S. regulations. You will handle cargo...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Orthopedic Physician Reviewer for Utilization Management. Be the first to apply!
Related searches
- operations management specialist Miami, FL
- director of managed care Miami, FL
- workforce management specialist Miami, FL
- managed care coordinator Miami, FL
- management trainee Miami, FL
- weight management Miami, FL
- junior asset management Miami, FL
- asset management intern Miami, FL
- quality management nurse Miami, FL
- senior director product management Miami, FL


