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Remote Utilization Management Physician Reviewer

Oak Street Health

Buffalo, NY
  • Remote job

Oak Street Health seeks a Full-Time Utilization Management Physician Reviewer to determine inpatient and outpatient coverage using UM criteria and clinical judgment, coordinating with care teams to ensure medically appropriate care. The role emphasizes staying current with CMS/MCG guidelines and regulatory compliance, guiding care decisions across the patient population. Qualified physicians will have Medicare/Medicaid UM experience, a US medical license, and a track record in primary care. #J-18808-Ljbffr Oak Street Health

Vacancy posted 2 days ago
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