Utilization Management Physician needed in Daytona Beach, FL (Remote)

Job Description

Job Description

Utilization Management Physician (UMP)

Remote | Full-Time | Florida

Compensation: $240,000 base + bonus
Schedule: 40 hours/week
Work Model: Remote (on-site meetings in Daytona Beach, FL )

Overview
Seeking an experienced Utilization Management Physician to perform medical necessity reviews, peer-to-peer discussions, and clinical determinations using evidence-based criteria.

Responsibilities

• Review pre-auths, concurrent reviews, claims, and appeals

• Make medical necessity determinations using MCG/InterQual/CMS criteria

• Conduct peer-to-peer reviews and support UM staff

• Participate in committees and provider education as needed

Requirements

• MD or DO with active, unrestricted Florida license

• 3+ years UM Physician experience

• 3–7 years clinical experience

• Managed care experience required

• Available via phone, email, and Teams

Benefits

• Bonus opportunity

• 401(k)

• Health benefits

• Malpractice coverage

• PTO + CME

• Licenses, fees, travel, and relocation reimbursed

About Us:

HealthPlus Staffing is National Leader in the Healthcare Staffing Industry. We partner up with top facilities nationwide with the focus of finding them highly qualified candidates.

 

Our Promise:

• We will put you in front of the decision makers.
• We will provide feedback on your application.
• We will work on your behalf to obtain as much info as you need to make a well-informed decision.

 

If interested in this position, please submit an application or call us at View phone number on us.fitly.work to speak with one of our highly experienced consultants. We look forward to finding your next position!

 

The HealthPlus Team.