Licensed Physician Reviewer - Pain Management (Remote PRN)
HealthSalaries
- ## Licensed Physician Reviewer - Pain Management (Remote PRN)ChenMedActiveGreenacres (Palm Beach), FLContractor/1099Posted July 25, 2026### Job DescriptionThe Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in our organization. Other duties include advising other physician reviewers and attending daily calls with health plan teams and our local teams assisting with this function and coordinating care for our patients. The position will also participate in Process and Quality improvement in our developing area of Delegated Utilization Management.ESSENTIAL JOB DUTIES/RESPONSIBILITIES:• Provides Delegated UM by covering the specified territories as assigned:• Establish 2-3 cases a day for each market covered (up to 6 markets); ensures attendance on all health plan and local calls; calls in for the weekly Primary Care Provider (PCP) and Skilled Nursing Facility (SNF) meetings covering the assigned territories.• Advises other physician reviewers.• Other duties as assigned and modified by manager.KNOWLEDGE, SKILLS AND ABILITIES:• Excellent analytical and deductive reasoning skills• Good judgement and problem-solving skills• Professional and effective communication skills• Strong organizational skills• Written and verbal fluency in English• Proficient in the use of Microsoft Office products such as Outlook, Excel, Word and PowerPointEDUCATION AND EXPERIENCE CRITERIA:• Graduate from accredited Medical School with a valid, unrestricted license is required• Completion of Pain Management Fellowship• Board Certification – Pain Management• Two (2) years’ experience in Hospital medicine preferred• At least one (1) year of utilization review experience preferred### Position DetailsSpecialtyPain Management: Nonanesthesia### Contact View email address on us.fitly.work
- J-18808-Ljbffr
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Licensed Physician Reviewer - Pain Management (Remote PRN) in Florida, NY vacancy
- ChenMed is seeking a licensed Physician Reviewer in Pain Management to support Utilization Management across remote PRN assignments. The role focuses on reviewing cases, coordinating with health plans, and contributing to quality initiatives. You will operate across multiple...ReliefRemote job
$204.76k - $292.52k
...people to join our team. The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in our... ...School with a valid, unrestricted license is required Completion of... ...Contingent Worker please see job aid HERE to apply #LI-Remote...ReliefRemote workHourly payFull timeWork at officeLocal areaChenMed
United States4 days ago- ChenMed is seeking a Licensed Physician Reviewer - Neurology to support Utilization Management in a remote PRN capacity. The role involves reviewing UM cases, advising peers, and coordinating with health plan teams and local staff; requires Neurology residency, board certification...ReliefRemote jobFor contractorsLocal area
$1,000 per month
...support, and medication management to effectively treat... ...psychiatrist collaborative physician who is passionate... ...is a flexible, fully remote opportunity. What you’... ...Conduct high quality reviews of patient charts regularly... ...Psychiatrist, licensed in Texas required (+ IMLC...ReliefRemote jobContract workFor contractorsWork at officeFlexible hours- ...Health in the United States is seeking a Full-Time Utilization Management Physician Reviewer to provide coverage determinations for inpatient and... ...experience with Medicare/Medicaid, MD/DO with unrestricted US license, 3–5 years in primary care, and strong knowledge of...Remote workFull time
Oak Street Health
Nashville, TN4 days ago - ...Oak Street Health is seeking a full‑time Utilization Management Physician Reviewer who will remotely assess inpatient and outpatient requests using UM criteria... ...MD/DO from an accredited school, an unrestricted US license, 3–5 years of primary care practice, and Medicare/...Remote workFull time
Oak Street Health
Lincoln, NE4 days ago - ...Health is seeking a Full-Time Utilization Management Physician Reviewer to provide timely coverage... ...recommendations for patients. A US medical license, MD/DO degree, and Medicare/Medicaid UM experience are required. Remote work option, standard full-time hours, and...Remote workFull time
Oak Street Health
Dayton, OH4 days ago - ...Oak Street Health seeks a Full-Time Utilization Management Physician Reviewer to determine inpatient and outpatient coverage using UM criteria and... ...guidelines. Qualified candidates hold an MD/DO, valid US license, 1+ year UM experience for Medicare/Medicaid, and 3–5 years...Remote workFull time
Oak Street Health
San Diego, CA4 days ago - ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provide accurate coverage determinations for inpatient and... ...recommended to the patient. The role requires an MD/DO, current US license, and 3–5 years of primary care experience. Strong...Remote workFull time
Oak Street Health
Las Vegas, NV4 days ago - ...Health is seeking a Full-Time Utilization Management Physician Reviewer to provide coverage determinations... ..., and internal policies. This remote role collaborates with care teams to... ...ideal candidate holds an MD or DO, is licensed in the US, has 3–5 years in primary care...Remote workFull time
Oak Street Health
Memphis, TN4 days ago - ...Health is seeking a Full-Time Utilization Management Physician Reviewer to independently determine coverage... ...criteria and clinical judgment. This remote role collaborates with Transitional... ...an MD/DO with an unrestricted US license, 3–5 years in primary care, and solid...Remote workFull time
Oak Street Health
Pittsfield, MA4 days ago - ...Health is seeking a Full-Time Utilization Management Physician Reviewer to provide timely coverage... ...criteria and clinical judgment. This remote role collaborates with Transitional Care... ...medical school, an unrestricted US medical license, and 3–5 years of primary care #J-188...Remote workFull time
Oak Street Health
Orlando, FL4 days ago - ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provide accurate coverage determinations for inpatient and... ...will have 1+ year UM within Medicare/Medicaid, a US medical license, and 3–5 years of primary care experience, with #J-18808-Ljbffr...Remote workFull time
Oak Street Health
Columbia, SC4 days ago $174.07k - $374.92k
...States is seeking a full-time Utilization Management Physician Reviewer to provide accurate and timely... ...criteria and clinical judgment. Working remotely, you will collaborate with care teams... ...$174,070.00 - $374,920.00; a US license and Medicare/Medicaid #J-18808-Ljbffr...Remote workWeekly payFull timeOak Street Health
Tucson, AZ4 days ago- ...Health is seeking a full-time Utilization Management Physician Reviewer to determine coverage for inpatient... ...with CMS and internal policies. This remote position offers a competitive salary... ...must hold an MD or DO, be US-licensed, and have UM experience with #J-18808...Remote workFull time
Oak Street Health
Bakersfield, CA4 days ago - ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provision accurate and timely coverage determinations for inpatient... .... The role requires an MD or DO with an unrestricted US license, 3–5 years of primary care experience, #J-18808-Ljbffr...Remote workFull time
Oak Street Health
San Francisco, CA4 days ago - ...Street Health is seeking a Full-Time Utilization Management Physician Reviewer to ensure accurate coverage determinations... ...of utilization management experience, and a license to practice in the US. This position offers remote work options and competitive compensation packages...Remote workFull time
Hispanic Alliance for Career Enhancement
Springfield, IL1 day ago - ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer. This remote role focuses on provisioning accurate coverage determinations... ...Qualified candidates will have an MD/DO, a US medical license, and 1+ year UM experience in Medicare/Medicaid, with...Remote workFull time
Oak Street Health
Houston, TX4 days ago - ...Health is seeking a Full-Time Utilization Management Physician Reviewer to determine coverage for inpatient... ..., and internal policies. This remote role emphasizes coordinated care with... ...requires an unrestricted US medical license, MD/DO degree, and 1+ year UM experience...Remote workFull time
Oak Street Health
Albany, NY4 days ago - You will review requests, apply evidence-based criteria, and stay current with CMS and MCG guidelines while ensuring regulatory compliance. A US medical license and 3–5 years of primary care experience are required. #J-18808-LjbffrRemote work
Oak Street Health
Raleigh, NC4 days ago - ...Health in the United States is seeking a full-time Utilization Management Physician Reviewer to determine coverage for inpatient and outpatient... ...experience with Medicare/Medicaid, an unrestricted US medical license (MD/DO), 3-5 years of primary care clinical work, and a...Remote workFull time
Oak Street Health
Providence, RI4 days ago - ...Health is seeking a Full-Time Utilization Management Physician Reviewer to provide timely coverage... ...should have an unrestricted US medical license, MD/DO degree, and 3–5 years in primary care. The position offers a remote work setup with a focus on regulatory compliance...Remote workFull time
Oak Street Health
Greensboro, NC4 days ago - ...Oak Street Health is hiring a Full-Time Utilization Management Physician Reviewer for a Remote/ Treehouse role. You will determine coverage for inpatient... ...care. Must hold an unrestricted US medical license and MD/DO degree. You will review requests (acute, post...Remote workFull time
Oak Street Health
Cedar Rapids, IA4 days ago $130 - $145 per hour
...Oscar. We’re hiring a part-time Physician Reviewer to join our Utilization Management team. Oscar is the first health... ...Management. Work Location This is a remote position, open to candidates who... ...as an MD or DO. ~ Licensed in one of these states: FL, NC, AZ...Remote workHourly payFull timePart timeLocal areaWork from homeHome officeWeekend workOscar Health
New York, NY2 days ago- ...Registered Nurse (RN) - Pain Management - PRN A Brief Overview: Provides safe, efficient, age-... ...and prescribed clinical therapies. Licenses and Certifications: Registered Nurse (... ...Standard Job Level: Entry Level Travel: No Remote Work: No University HospitalsReliefRemote workDaily paid
- ...Full-Time Utilization Management Physician Reviewer We're building a world of health around every individual — shaping a more connected, convenient... ...skills ~ A current, clinical, unrestricted license to practice medicine in the United States. (NCQA Standard)...Remote workFull time
Oak St. Health
United States5 days ago - ...Licensed Practical Nurse - LPN License Practical nurse (LPN) -... ...Job Type: Full-Time/Part-Time/PRN Who We Are: At The Manor... ...From telemedicine services and remote health monitoring to advanced... ...life, whether it's through pain management, physical rehabilitation, or...ReliefRemote workFull timePart timeLocal areaFlexible hoursShift work
Avardis Health
Selinsgrove, PA5 days ago $70.97 - $125 per hour
Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois) Part-time Acentra Health exists to empower... ...Rules Required Qualifications Licensed Physician (MD/DO) to practice in all... ...facilities Experience in Utilization Management, Case and Disease Management with knowledge...ReliefRemote jobHourly payPart timeLocal area$80k
...Remote Patient Care Coordinator - $80k/yr $15 - $40... ...Optum Registered Nurse PRN $68,610 - $102,500 / year Hybrid Primary Care Physician (Rhode Island Primary Care... ...) - CNM or NP - Texas License $100 - $120 / hour Remote... ...and chronic disease management. The role is grounded in...ReliefRemote workContract workWork at officeGudwork Inc.
Providence, RI5 days ago- ...Medbridge Healthcare, a leader in sleep laboratory management located in Greenvillle, SC, is seeking a Remote RPSGT to score sleep studies for the NY region on a PRN basis. The role demands a current RPSGT license, experience with scoring, and strong analytical skills...ReliefRemote work
MedBridge Healthcare
Greenville, SC3 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Licensed Physician Reviewer - Pain Management (Remote PRN). Be the first to apply!
Related searches
- medical doctor without license Florida, NY
- physician Florida, NY
- immediate care physician Florida, NY
- sports medicine physician Florida, NY
- physician-psychiatry Florida, NY
- ent physician Florida, NY
- wound care physician Florida, NY
- remote physician Florida, NY
- temporary doctor Florida, NY
- outpatient physician Florida, NY