Remote Rheumatology Physician Clinical Reviewer
$90.87 - $154.33 per hourPrime Therapeutics
A national health services provider is seeking a Physician Clinical Reviewer for remote work. This role requires extensive experience in medical review, providing timely evaluations of service requests. Candidates must have a Doctor of Osteopathy, MBBS, or MD and at least 5 years of clinical experience. You will ensure compliance with established medical guidelines and work collaboratively with healthcare professionals. Competitive pay ranges from $90.87 to $154.33 based on experience and skills. #J-18808-Ljbffr
$90.87 - $154.33 per hour
A progressive healthcare organization is seeking a Physician Clinical Reviewer in Rheumatology. This remote role involves evaluating service requests, collaborating with healthcare providers, and ensuring compliance with medical review guidelines. Ideal candidates will...Remote jobHourly pay- A healthcare benefits company is seeking a Physician Clinical Reviewer specializing in Rheumatology, to provide crucial medical evaluations remotely. The role demands 5+ years of experience, effective communication skills, and a strong grasp of clinical review processes...Remote job
- ...Description Job Summary The purpose of this position is to utilize clinical expertise to review medical records against established criteria in accordance with contract requirements. Location: Remote (U.S.-based) Licensure Requirement: Must hold an active clinical...Remote workContract workWork at officeMonday to FridayWeekend workWeekday work
$28.37 - $39.19 per hour
A healthcare technology firm is seeking a Clinical Reviewer for Substance Use on a PRN basis. The role involves reviewing patient records against... ...at least 3 years of clinical experience. The position is remote and offers a pay range of $28.37 to $39.19 per hour, along...Remote workHourly payRelief- A healthcare consulting firm is seeking a Gastroenterologist to conduct quality reviews for the U.S. Dept. of Veterans Affairs. This remote role involves assessing clinical standards of care, preparing detailed reports, and ensuring compliance with regulations. Candidates...Remote work
- A healthcare consulting firm is seeking Peer Reviewers (MDs/DOs/DDS) for a full-time remote position. The role involves providing clinical expertise for peer reviews of patient care, making informed clinical judgments, and documenting all reviews per instructions. Applicants...Remote workFull time
- ...passionate about using your clinical expertise to support quality... ...services? Do you enjoy critically reviewing clinical documentation,... ...are recruiting for 2 full-time remote/hybrid Clinical Reviewer positions... ...services. Consult with physician/practitioner consultants when...Remote workFull timeWork from homeMonday to Friday
- ...Behavioral Health Services Reviewer Are you passionate about improving... ...? Do you enjoy using your clinical expertise to evaluate needs,... ...on this team. This is a remote position based in Oregon and... ...designated systems Consult with physician or practitioner reviewers...Remote workFull timeContract workWork from home
- ...Clinical Data QA Reviewer We're looking for detail-oriented clinical professionals to review and annotate electronic health record (EHR) data... ...research applications — work that matters. This is a fully remote, flexible contract role localized to the Chicago market. If...Remote workOngoing contractContract workFreelanceFlexible hours
- ...Clinical Documentation Reviewer This is a remote position. Position Overview We are seeking a Clinical Documentation Reviewer to support TUWYN's contract... ...involves participating in daily huddles with VA physicians and interdisciplinary teams, prioritizing reviews for...Remote workContract workPart timeFor contractorsMonday to Friday
$185 per hour
...compliant AI platform that unifies intake, clinical documentation, coding, and quality... ...Experience: ~3+ years in home-health QA/OASIS review, utilization review, or clinical... ...in a fast-moving startup environment and remote collaboration tools. Reliability counts...Remote workContract workReliefShift workWeekend work- ...All Jobs Clinical Appeals Reviewer (Licensed Healthcare Professional) Clinical Appeals Reviewer (Licensed Healthcare Professional) • Fully Remote • United States Full-time Description Overview Tanaq Support Services (TSS) delivers professional, scientific, and technical...Remote workFull timeContract workPart timeFor contractorsWork at officeLocal areaNight shift
$81.22k - $121.83k
...(UM) Clinician is responsible for conducting benefit coverage reviews and utilization management according to applicable regulatory... ...opportunities to improve service, reduce administrative cost, ensure clinically appropriate delivery of benefit covered services, and support...Remote workContract workWork at officeWork from home$85k - $92k
...Job Title: CLINICAL QUALITY REVIEWER (RN or LCSW) Job ID: 87049 Location: USA- Remote in approved states Overview: We are partnering with a leading organization supporting a large-scale federal healthcare program to identify a Clinical Quality Reviewer. This role...Remote workHourly payWork at officeHome office- ...general supervision of the Associate Director, or designee, the Clinical Reviewer - PASRR is responsible for reviewing submitted referrals and... ...responsibilities. Environmental Working Conditions Remote position which requires working at computer for all tasks....Remote workWork experience placementWeekend work
$90.87 - $154.33 per hour
A healthcare solutions provider is seeking a Physician Clinical Reviewer-Pediatric Oncologist to join their utilization management team in a remote capacity. This role requires candidates to hold a valid medical degree (DO, MD, or MBBS) and have over 5 years of clinical...Remote work- ...We are seeking a qualified SUD MD Reviewer to conduct a retrospective utilization... ...historically denied cases to determine if standard clinical criteria were appropriately applied.... ...Requirements Work is 100% remote and offers flexible hours. Benefits...Remote workTemporary workLocal areaFlexible hours
$55 - $75 per hour
...Per Diem, Non-Exempt (Hourly) Location: Sacramento, CA (Remote/Hybrid) Compensation : $55-$75 per hour, depending on experience... ...Under the direction of the Associate Director, the Licensed Clinical Reviewer supports clinical documentation review and quality assurance...Remote workHourly payDaily paid10 hours per week$115.44k - $173.16k
...and/or specialty section regarding peer review, specialty specific studies and performance... ...activities. Collaborates with physicians in determining peer review indicators, what... ...responsibilities. Ability to multi-task. Job Title: Clinical Peer Reviewer Department:...Remote workFull timeWork at officeShift work$28.37 - $35 per hour
...empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that... ...Job Summary and Responsibilities Acentra seeks a Clinical Reviewer to join our growing team. Job Summary: The Clinical Reviewer...Remote workContract workWork at officeLocal areaMonday to FridayFlexible hoursShift workWeekend work- A leading PBM company is seeking a Physician Clinical Reviewer specialized in Pediatric Oncology to join their remote utilization management team. Responsibilities include reviewing medical requests, providing clinical rationale for decisions, and assisting peer reviewers...Remote work
$90.87 - $154.33 per hour
A leading pharmacy benefits manager is seeking a remote Physician Clinical Reviewer for Urology. The ideal candidate will be a DO, MBBS, or MD with at least 5 years of clinical experience. Responsibilities include reviewing medical requests, communicating with physicians...Remote work- ...employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following... ...Required Work Experience ~2 years of experience in clinical field of practice, health insurance, or other health care related...Remote workFull timeContract workWork experience placementWork at office1 day per week
$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology. This remote role involves medical review of service requests and requires a DO, MBBS, or MD degree along with at least 5 years of clinical experience. Candidates must ensure...Remote work$73.2k - $122k
...following: Laboratory molecular and genetic testing clinical case review activities. Evaluate telephone, fax, or web requests for... ...coverage of molecular and genetic laboratory requests from physician offices; comparing requests against established clinical protocols...Remote workLocal areaWork from homeFlexible hours- A leading health management company is looking for a Physician Clinical Reviewer specializing in endocrinology. This remote role requires a Doctor of Medicine degree, board certification, and at least one year of clinical review experience. Responsibilities include reviewing...Remote work
$40 - $45 per hour
...Pay Range: $40 - $45 per hour based on experience Work Hours : 20 hours per week (Mon - Fri) Location : Remote Summary : The Clinical Reviewer is responsible for conducting clinical reviews of submitted prior authorization (PA) requests and pre-payment...Remote workHourly payPart timeFor contractorsWork at officeLocal area- A healthcare organization is seeking a Physician Clinical Reviewer for a remote role. The position requires reviewing medical service requests for compliance with medical necessity guidelines, interacting with healthcare providers, and ensuring quality documentation. The...Remote work
- A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer for Pediatric Rheumatology to work remotely. The role involves reviewing clinical requests that do not initially meet medical necessity guidelines and interacting with healthcare providers. Candidates...Remote job
- A leading pharmacy benefit management firm is looking for a Physician Clinical Reviewer specializing in Pediatric Rheumatology. This remote role requires 5+ years of clinical experience and involves reviewing service requests for medical necessity. You will work closely...Remote job
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Rheumatology Physician Clinical Reviewer. Be the first to apply!


