Remote Utilization Physician Reviewer - Optimize Throughput
BayCare Health System
- Remote job
BayCare Health System is seeking a Utilization Physician Reviewer to improve patient throughput and reduce prolonged observation stays. This remote role requires a Doctorate in Medicine and 5 years of clinical experience. The candidate will be responsible for assessing clinical resource utilization and guiding the Utilization Review team, contributing to enhanced patient care. Join a forward-thinking team dedicated to trust, dignity, and clinical excellence. #J-18808-Ljbffr BayCare Health System
- ...Utilization Physician Reviewer At BayCare, we are proud to be one of the largest... ...: Every On Call: No Remote The role of the Utilization... ...Physician Reviewer is to optimize utilization physician... ...stays and improved patient throughput and progression of care....Remote workReliefShift workWeekend work
- ...A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed...Remote workFull timeWork from home
- ...A healthcare management organization is seeking experienced Physician Reviewers to join their Medicare Utilization Management team in a remote position. Responsibilities include reviewing clinical service requests, applying evidence-based guidelines, and collaborating...Remote work
- ...IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization. The role involves reviewing medical necessity determinations... ...collaborative environment with opportunities to leverage clinical expertise in utilization management. #J-18808-Ljbffr...Remote work
- ...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
- ...Full-Time Utilization Management Physician Reviewer We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate...Remote workFull time
- ...Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking... ...Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental...Remote workPrice workExtra incomeFor contractorsFlexible hours
- A recognized healthcare provider is seeking a Board Certified Orthopaedic Spine Surgeon to conduct utilization reviews. This telework position allows for a flexible schedule within a standard Monday - Friday work week. Responsibilities include reviewing medical records,...Remote jobFor contractorsMonday to FridayFlexible hours
- About Dane Street Dane Street is a leading Independent Review Organization (IRO) and national provider of Utilization Review services. As we continue to expand our physician panel, we’re offering flexible, remote opportunities for board-certified physicians seeking supplemental...Remote workExtra incomeFor contractorsFlexible hours
$211.2k - $277.2k
Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built around a full... ..., Utilization Management. Work Location: This is a remote position, open to candidates who reside in the United States...Remote workFull timeLocal areaWork from homeHome officeWeekend work- ...Role Overview Our Utilization Management Reviewers evaluate medical necessity for... ...timely authorizations and optimize patient care Analyze medical... ...complex cases requiring physician review or additional... ...Flexible work solutions include remote options, hybrid work...Remote workMonday to FridayFlexible hoursWeekend work
- ...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
$155 - $165 per hour
...message the job poster from EPITEC As a Physician Reviewer, you'll play a critical role in... ...experience Experience with managed care and utilization management Strong leadership and... ...improvement activities What We Offer Fully remote work arrangement (Weekends only) 9AM to...Remote workFull timeContract workWork at officeWeekend work- ...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... ...site, please click HERE ( Current Contingent Worker please see job aid HERE to apply #LI-Remote...Remote workHourly payFull timeLocal area
- ...Job Description Job Description Physician Peer Reviewer – Multiple Specialties in Texas and/or... ...Review Organization (IRO) with Health Utilization Management (HUM) accreditation. For... ...performing external reviews Job Type Contract Work Location Remote...Remote workContract workWork experience placementWork at office
- A leading Independent Review Organization is seeking a Board-Certified Physical... ...Rehabilitation provider to perform Utilization Reviews. This fully remote role offers flexible scheduling and... ...Certification. Apply to join our Physician Review Panel and start earning based...Remote workExtra incomeFlexible hours
- ...Medix™ - Expert in Staffing APP’s and Physicians. The organization is a technology‑driven... ..., outpatient, and pharmacy services by reviewing clinical information and applying evidence... ...to the Associate Medical Director, Utilization Management. Requirements Board‑certified...Remote jobWeekend work
- A healthcare review company is seeking a Physician Reviewer to work telecommuting. This role utilizes clinical expertise to review insurance appeals and claims. Candidates must possess an active NM License and have a solid understanding of evidence-based guidelines. Responsibilities...Remote workFor contractors
- ...job and more exclusive features. Location: Remote (Must reside in IL, MT, NM, OK, TN, or TX)... ...client is seeking experienced, board-certified physicians to join their Medicare Utilization Management team as Physician Reviewers. In this remote role, you will review...Remote workFull timeWeekend work
- ...seeking a high‑performing Physician Reviewer to join our Group Health division... ...timely, defensible utilization review determinations across... ...work independently in a high‑throughput environment. Technical Skills... ...systems. Work Environment Remote work from home. Full‑time,...Remote workFull timeTemporary workWork at officeWork from homeMonday to FridayNight shift
- ...searching for Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize your... ...Alsip/South Chicago Area JOB SUMMARY: Utilizes clinical expertise, and reviews disability claims...Remote workFor contractorsMonday to Friday
$150 - $170 per hour
...CareCentrix is seeking a Part-Time Physician Reviewer to conduct utilization reviews, ensuring medical necessity across various services. This role involves collaboration with internal staff and healthcare providers to support evidence-based care decisions. The ideal candidate...Hourly payPart timeFlexible hoursWeekday work- ...additional details. Office Location: Remote Option Available; Flexible for any of... ...is responsible for facilitating the review of service plans and service... ...appropriate services at a given time. The IDD Utilization Management Reviewer screens authorization...Remote workWork at officeFlexible hours
- ...Dane Street, a certified “Great Place to Work” company is seeking a Physician to provide utilization review services for the Group Health Department. This role requires utilizing clinical expertise to review medical records and provide an interpretation of the medical...
- ...organization in New Jersey is seeking a Physician Advisor to oversee patient care and resource utilization. This role involves conducting medical necessity reviews, managing appeals, and... ...for ensuring compliance and optimizing patient throughput. #J-18808-Ljbffr St. Joseph's...Monday to Friday
$50 per hour
...and Jack Dorsey . Position: Energy/Utilities — Visual Document Understanding Type:... ...Compensation: $50/hour Location: Remote Commitment: 15–20 hours/week Role... ...-truth outputs and objective rubrics. Review and improve AI model outputs to ensure...Remote workContract workSummer work- A healthcare services company is seeking a physician reviewer to utilize clinical expertise in reviewing insurance appeals and claims. This telework opportunity allows for a customizable schedule while ensuring compliance with client-specific policies. Candidates must hold...Remote jobContract workFor contractors
- Physician Reviewer - Texas Counter Affidavit Work (Orthopedic Surgery) job at Dane Street, LLC. Dallas... ...each question posed by the client utilizing client‑specific criteria or other nationally... ...and media stipend is provided for remote work space. Come up to speed quickly with...Remote workFor contractorsWork experience placement
- Capital District Physicians Health Plan Inc is seeking a dedicated professional for a utilization management position in Albany, NY. The role involves coordinating and monitoring... ...strong communication skills. Opportunity for remote work available on a case-by-case basis. #J-1...Remote job
$13.14k - $17.87k
...Family ServicesClass Title: PHYSICIAN - 32200 Skill Option: None Bilingual... ...to serve as a Prior Approval Reviewer. Under the direction of the... ...in many program areas. (Remote work may be an option for certain... ...two (2) years of experience utilizing the basic principles and...Remote workFull timeContract workWork at officeMonday to FridayFlexible hours
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