Remote Physician Reviewer Medicare Utilization Management
Solving IT
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 to ensure quality care for members. Candidates must be board-certified physicians with a minimum of 5 years of clinical experience. A comprehensive benefits package including health plans and 401(k) is offered, promoting equality and diversity in the workplace. #J-18808-Ljbffr
- ...IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization. The role involves reviewing medical necessity... ...a collaborative environment with opportunities to leverage clinical expertise in utilization management. #J-18808-Ljbffr...Remote work
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to ensure accurate coverage determinations for inpatient and outpatient... ...a license to practice in the US. This position offers remote work options and competitive compensation packages,...Remote workFull time
$130 - $145 per hour
...Hi, we're Oscar. We're hiring a part-time Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built around... ...Director, Utilization Management. Work Location: This is a remote position, open to candidates who reside in the...Remote workHourly payFull timePart timeLocal areaWork from homeHome officeWeekend work$174.07k - $374.92k
...time. Company: Oak Street Health Title: Full-Time Utilization Management Physician Reviewer Location: Remote/ Treehouse Role Description: This full-time role is... ...providing Utilization Management services to a Medicare and/or Medicaid line of business Excellent verbal...Remote workHourly payFull timeLocal area- ...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 timeLocal area
- 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 workFor contractorsMonday to FridayFlexible hours
- ...recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently... ...to conduct Utilization Reviews. This is a fully remote, non-clinical role offering... ...portal and streamlined case management Full onboarding and...Remote workPrice workExtra incomeFor contractorsFlexible hours
- ...Role Overview Our Utilization Management Reviewers evaluate medical necessity for... ...escalate complex cases requiring physician review or additional... ...compliance with Medicaid and Medicare industry standards... ...Flexible work solutions include remote options, hybrid work...Remote workMonday to FridayFlexible hoursWeekend work
- ...roles that are 100% remote or hybrid, you must... ...We offer integrated managed care products, pharmaceutical... ...a supervisor, the Utilization Management Reviewer evaluates medical... ...cases requiring physician review or additional... ...standards, including Medicare, Medicaid, and private...Remote workContract workMonday to FridayFlexible hoursWeekend work
$248.5k - $373k
...internal medicine or family medicine physician to join our Utilization Management team. Optum is a clinician-led... ...'ll enjoy the flexibility to work remotely * from anywhere within the U.S. as... ...processes Participates in case review and medical necessity determination...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home$240k
...Job Description Job Description Utilization Management Physician (UMP) Remote | Full-Time | Florida Compensation: $240,000 base + bonus Schedule... ...Management Physician to perform medical necessity reviews, peer-to-peer discussions, and clinical determinations...Remote jobFull timeRelocation- ...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
- ...established industry player is seeking a Remote Physician Reviewer for a 3-year contract role. This... ...evaluating clinical service requests, utilizing clinical judgment to adjudicate requests... .... You will play a crucial role in managing members' clinical situations through...Remote workContract work
- ...Medical Reviewer Pay rate is ***/hour fully remote, but must reside in one of our plan states: IL, TX, NM, OK,... ...organization. Identifies opportunities to manage members' clinical situations with... ...managers. Participates in the Physician Review Units' appeal process of...Remote workMonday to FridayShift workWeekend work
- 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
- ...job and more exclusive features. Location: Remote (Must reside in IL, MT, NM, OK, TN, or TX) Position... ...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
- ...Medical Review Position Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or services... ...Friday. This position will be remote after 6 months of onsite training....Remote workFull timeContract workWork at officeMonday to Friday
- ...adolescents, and adults as well as outpatient services such as medication management, case management, and counseling. Job Summary Mental Health Resource Center is looking for a Utilization Management Reviewer to monitor the utilization of clinical services provided at Mental...Full timeMonday to FridayFlexible hours
$42.18 - $51.56 per hour
...healthcare? Bring your true colors to blue. The Physical Therapy Utilization Management Reviewer is responsible for evaluating the appropriateness and... ...Test. Interact with treating providers, PCPs, physicians, therapists, and facilities as needed to gather clinical...Hourly payFull timeWork at officeFlexible hoursShift work- ...Number: R1050638 Summary Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility... ...Monday through Friday. This position will be remote after 6 months of onsite training....Remote workFull timeContract workFor contractorsWork at officeLocal areaMonday to Friday
- ...Services Class Title: PHYSICIAN - 32200 Skill... ...serve as a Prior Approval Reviewer. Under the direction... ...Customer Relations section manager, this position will... ...many program areas. (Remote work may be an option... ...) years of experience utilizing the basic principles and...Remote workFull timeContract workWork at officeMonday to FridayFlexible hours
$87k - $115k
...Utilities Right of Way Document Specialist Manager - Texas - (1790) Location : Texas (candidate will have the flexibility to work out of their home office but... ...and other documents within approved systems. Review documents to prepare reports detailing ownership information...Daily paidFull timeWork from homeRelocationHome office- ...Job Description Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review Physician is the lead clinician for the...Remote job
- ...A leading payment management solutions provider seeks an Offsite Invoice Payment Specialist to manage utility invoice entries in a work-from-home setup. The role requires high typing speed and self-motivation along with the ability to work independently. Candidates must...Remote workWork from home
$7.5k
...LPN Utilization Management Reviewer This position is eligible for up to $15,000.00 Sign on Bonus for those that are eligible. ($7,500.00 for those... ...with Care Coordination, Guthrie Clinic offices, other physician offices, and the Robert Packer Hospital Business Office,...Full timeWork at officeRelocation package$120k - $150k
...Overview As the Senior Design Manager / Document Controller will... ...Conduct and coordinate design reviews to ensure compliance with specifications... ...document control systems: utilize document management platforms... ..., TX. Will also consider remote candidates. EEO and...Remote workWork at office$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$120k - $150k
...Senior Design Manager / Document Controller Fleet Data Centers designs... ...and coordinate design reviews to ensure compliance with specifications... ...document control systems: utilize document management platforms... ..., TX. Will also consider remote candidates. Fleet Data...Remote workWork at office- Telemedicine physician employment in Kansas : Telehealth... ...Location: Remote (Telehealth) - Based in... ...arousal support, weight management protocols, longevity &... ...synchronous) for time-efficient reviews Smart Prescription... ...rules) Digital tool utilization for clinical...Remote workContract workWork at officeWork visaFlexible hours
- ...Position: Market Physician Executive (MPE) -... ...care, care management services, social... ...Float is expected to review and approve care... ...inpatient/outpatient utilization, pharmacological... ...position will be remote within the... ...Experience with high need Medicare Advantage and...Remote workLocal areaFlexible hours
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