Remote Physician Advisor - Case Reviews & Payer Guidance
Sound Physicians
Sound Physicians is seeking a Physician Advisor for a fully remote, full-time role in the United States. The advisor conducts holistic case reviews, ensuring medical necessity and compliant documentation, while applying payer guidelines to improve patient care and outcomes.
Responsibilities include LOC determinations and peer-to-peer reviews, with collaboration across multiple states. Remote scheduling and competitive benefits are offered, with a clinical recruiter coordinating the hiring
#J-18808-Ljbffr- ...Sound Physicians is seeking a Physician Advisor for a fully remote, full-time role in the United States. The advisor conducts holistic case reviews, ensuring medical necessity and compliant documentation, while applying payer guidelines to improve patient care and outcomes...Remote workFull time
- ...R1 RCM Inc. is seeking a Physician Advisor to help client facilities navigate compliant revenue by reviewing payor peer-to-peer cases. You will assess denied authorizations and ensure... ...in a fast-changing environment. This remote role offers scheduled hours and an annual...Remote work
- ...R1 RCM, Inc. is seeking a Physician Advisor to review payor requests and determine documentation adequacy... ...and care setting. You will discuss cases with medical directors from payor side... ..., working from home in a fast-paced, remote environment. The ideal candidate holds...Remote workWork from home
- ...R1 RCM, Inc. is seeking a Physician Advisor to guide client facilities through compliant revenue processes by reviewing payor peer-to-peer cases and ensuring appropriate documentation for... ...with payor medical directors and work remotely from the United States. The role...Remote work
- ...R1 RCM Inc. is seeking a Physician Advisor to help client facilities navigate compliant revenue by reviewing payor cases. You will assess denied authorizations, ensure documentation... ...to work independently in a fast-paced, remote environment with basic computer skills....Remote work
- R1 RCM Inc. is seeking a Physician Advisor to help client facilities navigate compliant revenue by reviewing payor peer-to-peer cases. You will review cases for which authorization has... ...the ability to work independently in a remote environment. #J-18808-Ljbffr R1 RCM,...Remote job
- ...HURC seeks a Physician Advisor to lead physician-to-physician reviews and provide clinical guidance across care settings. The role emphasizes evidence-based utilization management... ...teams on medical necessity, CMS rules, and payer guidelines, oversee admission status...Remote work
- ...Physician Advisor Peer-to-Peer (P2P) Medical Reviewer Location: Fully Remote | Candidates must be available to work Eastern Time (EST)... ...complex, high-risk, or unclear cases to the appropriate Medical... ...physician advisory services, payer medical review, or hospital case...Remote workPart timeImmediate startNight shift
$93.6k - $312k
Overview: Physician Advisor - Sentara Obici Hospital (... ...medical necessity reviews and assists with denials... ...education and guidance regarding hospital... ...through case reviews, peer-to-peer... ...discussions with payers, and assistance with... ...are available as remote work, Sentara Health...Remote workFull timeTemporary workShift work- ..., Inc. in the United States is seeking a Physician Advisor to help clients navigate compliant revenue by reviewing payor peer-to-peer cases. You will evaluate denied authorizations... ...on the appropriateness of requests. This remote role requires strong clinical knowledge...Remote work
$150.08k - $199.07k
...the future of healthcare. As our Physician Advisor , you will help our client... ...navigate the path to compliant revenue by reviewing payor peer-to-peer cases. Every day. You will review cases... ...is essential for excelling in this remote position. Here’s what you will experience...Remote workPart timeLocal area$150.08k - $199.07k
...R1 RCM Inc. is seeking a Physician Advisor to review payor peer-to-peer cases and advise on authorization decisions. You will evaluate case documentation for... ...discuss findings with payor medical directors. This remote US-based position requires MD/DO licensure and at...Remote work- ...The Physician Advisor provides physician-to-physician reviews, clinical guidance, education, and escalation support while... ...review and case management teams with... ...alignment with CMS and payer guidelines Provide... ...teams Experience in a remote or consulting healthcare...Remote work
- ...is looking for a Physician Advisor Lead based in the... ...excellence in a remote healthcare environment... ...management cases. The role focuses... ...determinations, peer-to-peer reviews, denial... ...healthcare providers and payers. You will... ..., and day-to-day guidance to Physician Advisors...Remote workFull timeWork at office
- ...Job Purpose The Physician Advisor provides physician-to-physician reviews, clinical guidance, education and escalation support while... ...Support utilization review and case management teams with complex... ...management, medical necessity and payer regulations Familiarity...Remote workContract workWork at officeLocal area
- R1 RCM, Inc. is seeking a Physician Advisor to help client facilities navigate compliant revenue and review payor cases. You will evaluate denied authorizations, ensure documentation... ...medical directors from payor side. This remote US-based role requires active MD/DO...Remote job
- UnitedHealth Group is seeking a Physician Advisor to partner with providers, case managers, and payors for medical necessity reviews and appeals. You will conduct concurrent peer-to... ...compliance, and cost-effective care with remote work within the U.S. Optum Insight...Remote job
- ...Med-Metrix, LLC is seeking a Physician Advisor to provide physician-to-physician reviews, clinical guidance, and education to promote evidence... ...utilization review and case management teams with complex... ...and stay current with CMS and payer guidelines. #J-18808-Ljbffr
$150.08k - $199.07k
...and the future of healthcare.As our Physician Advisor , you will help our client... ...navigate the path to compliant revenue by reviewing payor peer-to-peer cases. Every day. You will review cases for... ...is essential for excelling in this remote position.Here’s what you will...Remote workPart timeLocal area$93.6k - $312k
...Health. As a Regional Physician Advisor, you'll leverage your... ...Cycle’s Utilization Review and Denials/Appeals processes... ...of CMS regulatory guidance and requirements as... ...processes and guidelines, case mix index, and DRG... ...that are available as remote work, Sentara Health...Remote workFull timeTemporary workShift workDay shift- ...Back to jobs Physician Advisor – (P2P) Medical Reviewer (1099 Contractor) Remote - USA Apply Position Summary The Physician Advisor... ...complex, high-risk, or unclear cases to the appropriate Medical... ..., physician advisory services, payer medical review, or hospital case...Remote workFull timeFor contractorsNight shift
- ...Ladders is seeking a Physician Advisor to support evidence-based... ...decision-making in a remote role across utilization management, medical review, and quality... ...hospital physicians and case management teams to ensure... ...policy development, coding guidance, and provider...Remote work
$160k - $300k
...between care providers and payers, and ultimately... ...Growing together. In this Physician Advisor role, you will partner with providers, case managers, and payors to... ...conduct medical necessity reviews, facilitate peer-to-... ...the flexibility to work remotely * from anywhere within...Remote workMinimum wageFull timeWork experience placementLocal areaAll shiftsFlexible hoursWeekend workAfternoon shift- ...Dane Street is seeking board-certified PM&R/Pain Management physicians with a Connecticut license to join our telework reviewer panel as independent contractors. Review cases on a per‑case basis, with 15–20 minute turnaround typical, and set your own schedule. No doctor...Remote workFor contractorsFlexible hours
- ...Physician Advisor (Remote) United States Join our Medical Group as a Physician Advisor, Advisory Services... ...well-informed, clinically supported case reviews that can be clearly understood by... ..., bedside providers, and ultimately, payers. Understanding Medicare regulations and...Remote workFull timeMonday to FridayFlexible hoursShift work
- ...Dane Street, LLC is expanding its physician panel and seeking independent reviewers licensed in Connecticut to assess... ...to set your own schedule and work remotely as a 1099 contractor. Reviews typically... ...take 15-20 minutes; same-day cases are rare. Training is provided and...Remote workFor contractors
$127.05 per hour
...Greenlife Healthcare Staffing is seeking a Medical Case Reviewer (Physician) to conduct detailed reviews of vaccine and countermeasure injury... ...and prepare written recommendations for VICP and CICP. This remote, contract-based position offers a flexible, case-based schedule...Remote workHourly payContract workFlexible hours- ...The Physician Advisor Lead provides clinical leadership, mentorship... ...-making, effective payer-to-provider... ...Advisors, Utilization Review teams, and clients to... ...medical necessity, and P2P cases. Establish and promote... ...work effectively in a remote, client-facing environment...Remote work
$150 per hour
...Use your medical expertise to review clinical reasoning tasks based... ...longitudinal health records. This remote project is open to qualified... ...We are looking for physicians with strong clinical reasoning... ...What you’ll do For each assigned case, you may be asked to: Review a...Remote workHourly pay- ...Physician Advisor II The Physician Advisor II serves as a leader on the Physician Advisor... ...Additionally, the Physician Advisor II performs case reviews of all case types in a knowledgeable... ...educate other physicians regarding payer requirements Attends all meetings...Remote jobWork at officeLocal areaMonday to FridayShift work
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