Remote Physician Reviewer Utilization Management
Medix Staffing Solutions, Inc.
Medix Staffing Solutions, Inc. is seeking a Physician Reviewer to join our Utilization Management team. This remote role evaluates medical necessity and clinical appropriateness across inpatient, outpatient, and pharmacy services by reviewing records and applying evidence-based criteria. You will collaborate with clinical leadership and treating providers to ensure high-quality determinations. Eligible candidates must have FL or NC license (or IMLCC), 6+ years of clinical practice, and 1+ year #J-18808-Ljbffr
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Physician Reviewer Utilization Management in Raleigh, NC vacancy
$230k
...simplify health care one person, one family and one community at a time. Company: Oak Street Health Title: Utilization Management Physician Reviewer Location: Fully Remote Hours: Full-Time, Monday - Friday, 8am -5pm CST Salary: $230k per year Role Description: This full-...Remote workHourly payFull timeLocal areaMonday to FridayOak Street Health
Illinois11 hours ago- ...Toney Healthcare is seeking a physician reviewer for a remote contract role in Utilization Management. This position focuses on evaluating medical necessity, appropriateness, and efficiency of services by reviewing medical records and applying established guidelines. Collaboration...Remote workContract work
Toney Healthcare
United States5 days ago $275k
...Oscar Health is hiring a Physician Reviewer to join our Utilization Management team. The role is remote for candidates in the United States, with standard business hours and a weekend rotation. You’ll report to the Associate Medical Director, Utilization Management...Remote workWeekend workPhysician Pivot
United States4 days ago$265k - $275k
..., Inc. is seeking a Board-Certified MD/DO to join a fully remote Utilization Management team. You will assess medical appropriateness for inpatient... ...6+ years of clinical practice with 1+ year in utilization review. Salary targets are $265,000–$275,000 per year, plus...Remote workMedix Staffing Solutions, Inc.
United States3 days ago- ...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
ExamWorks UM Strategies
United States5 days ago - ...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
ExamWorks
New York, NY5 days ago $275k
...Oscar Health, Inc. is seeking a Physician Reviewer to join our Utilization Management team. You will assess medical necessity for hospital, outpatient, and pharmacy... ...based on evidence-based guidelines. This remote role supports candidates in the United States. The base...Remote workOscar Health
United States5 days ago- ...ChenMed is seeking a Physician Reviewer for Utilization Management to oversee UM cases and coordinate care across markets. You will participate in daily... ...medicine experience, and utilization review exposure. Remote work options and strong compensation are offered. #J-1...Remote work
PMR Virginia Holding
New York, NY5 days ago - ...Oak Street Health is seeking a Utilization Management Physician Reviewer for a fully remote, full-time role. You will apply UM criteria and clinical judgment to determine coverage for inpatient and outpatient services, coordinating with care teams to ensure appropriate...Remote workFull time
Oak Street Health, part of CVS Health
United States4 days ago - ...certified “Great Place to Work” company is seeking a Physician to provide utilization review services for the Group Health Department. This role... ...business background required Experience in Utilization Management with criteria review utilizing standard practice...Remote work
Dane Street
United States1 day ago - ...Oak Street Health is seeking a Utilization Management Physician Reviewer for a fully remote, full-time role. You will render timely coverage determinations for inpatient and outpatient services using UM criteria and clinical judgment, coordinating with care teams to ensure...Remote workFull time
CVS Health
Salem, OR5 days ago $275k
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 stack... ..., Utilization Management.Work Location: This is a remote position, open to candidates who reside in the United...Remote workFull timeLocal areaWork from homeHome officeWeekend workOscar Health Insurance
New York, NY17 hours ago- ...professionals, which includes renowned physician advisors, senior nurse... ...entities, we focus on medical management, quality, compliance,... ...practices. Role Description This is a remote contract role for a Utilization Management Physician Reviewer. Responsibilities include conducting...Remote workContract work
Toney Healthcare
New York, NY5 days ago $220k - $275k
...0000 - USD275000 per year + +Benefits Location: Remote- Must have NC or FL license OR IMLCC Schedule: Full... ...We are seeking a qualified and detail-oriented Physician Reviewer to join our Utilization Management team. In this role, you will evaluate the medical necessity...Remote workFull timeCurrently hiringLocal areaMonday to FridayMedix Staffing Solutions, Inc.
Raleigh, NC1 day ago$211.2k - $275k
...Location: 100% Remote (Must reside in an eligible U.S. state; must be Licensed in... ...Summary We are seeking a board-certified physician to join a collaborative clinical operations team as a Physician Reviewer in Utilization Management . In this role, you will evaluate...Remote workLocal areaImmediate startHome officeMonday to FridayWeekend workMedix
New York, NY5 days ago$250k - $275k
Location: 100% Remote (Work from Home) Compensation... ...Are you an experienced physician seeking a high-impact,... ...a Remote Physician Reviewer to join our clinical team... ...guidelines to daily utilization reviews. Perform peer-... ...Review (UR) / Utilization Management (UM) experience within...Remote jobFull timeWork from home- ExamWorks is seeking a Board Certified physician (Family Medicine or Internal Medicine) to join as a Utilization Management Physician Reviewer in a full-time, 100% remote role. The schedule is Monday through Friday, 8:30am-5:00pm, with occasional weekend/holiday coverage...Remote jobFull timeMonday to Friday
- Medix Staffing Solutions, Inc. is seeking a Remote Physician Reviewer to join our clinical team. You will evaluate the medical necessity and clinical appropriateness of inpatient, outpatient, and pharmacy services, leveraging evidence-based guidelines to drive high-quality...Remote jobFull time
$75k - $90k
...process. Clinical Reviewer - LCSW, LPC, LCPC - Salem... ..., Oregon OR Care Management F-T Reg 40 hrs Salaried... ...Annually This is a remote position based in... ...evidence-based criteria to utilization management reviews;... ...systems Consult with physician or practitioner reviewers...Remote workFull timeContract workWork from homeComagine Health
United States2 days ago$204.76k - $292.52k
...Physician Reviewer We're unique. You should be, too. We're changing lives every day. For both our patients and our team members... ...Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in our organization. Other duties include advising...Remote workHourly payFull timeWork at officeLocal areaChenMed
United States4 days ago- ...Dual Occupational Medicine/Pain Management, Dual Internal Medicine/Pain... ...turnaround times. Our reviewers are compensated on a per-case... ...JOB SUMMARY As a Physician Reviewer/Advisor for Disability Peer Review, you will utilize clinical expertise to review...Remote workFor contractorsMonday to Friday
Dane Street
United States14 hours ago - ...Orthopedic Surgeon Utilization Reviewer Dane Street, a nationally recognized... ...is expanding its panel of Physician Reviewers. We are currently... .... This is a fully remote, non-clinical role offering... ...portal and streamlined case management Full onboarding and ongoing...Remote workPrice workExtra incomeFor contractorsFlexible hours
$62.4k - $117.62k
...integrating, and monitoring the utilization of physical health (PH)... ...Medical Director for review. Refer to and work closely with Case Management to address member needs... ...with the treating physician or other providers of... ...may be opportunity for remote work within all jobs posted...Remote workFull timeContract workWork at office$52 - $56 per hour
...apply the same medical necessity judgment you built in utilization management. 100% remote (U.S.) | Contract | $52$56/hr based on experience Business... ...and appeals end to end: intake, investigation, clinical review, decision and notification Apply medical necessity...Remote jobContract workAfternoon shift- ...The physician reviewer at Blue Cross Blue Shield of Massachusetts in Hingham evaluates pre and post-service clinical requests for members and providers, using BCBSMA criteria and clinical judgment to adjudicate coverage decisions. This role requires peer-to-peer collaboration...
Blue Cross Blue Shield of Massachusetts
Hingham, MA5 days ago - ...Ensemble RCM is seeking a Physician Advisor in the United States to render compliant status determinations... ...for hospitalized patients and perform peer reviews with payors' medical directors. You will lead utilization management initiatives, educate staff, and attend UM...Remote work
Ensemble RCM
United States1 day ago - Overview Dane Street is an Independent Review Organization and a national provider of Utilization Review services. We are expanding our physician panel with opportunities for non-... ...physicians who are board certified in Pain Management with active California licenses and...Remote workExtra incomeContract 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 homeUnitedHealth Group
Houston, TX1 day ago- ...Medicine) looking for a full-time, remote job in a nonclinical setting? Then... ...! ExamWorks is seeking a physician board-certified in either Family Medicine... ...to join the team full-time as a Utilization Management Physician Reviewer. This position is 100% remote...Remote workFull timeMonday to FridayWeekend work
ExamWorks UM Strategies
United States1 day ago - ...leading healthcare organization is seeking a RCS-Physician Advisor to join their Denial Management team. This full-time remote position requires a medical degree and board... ...to help optimize hospital services and resource utilization. #J-18808-Ljbffr Indiana University HealthRemote jobFull time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Physician Reviewer Utilization Management. Be the first to apply!
Related searches
- sports medicine physician Raleigh, NC
- primary care physician Raleigh, NC
- doctor on call Raleigh, NC
- anesthesia physician Raleigh, NC
- immediate care physician Raleigh, NC
- weekend doctor Raleigh, NC
- permanent doctor Raleigh, NC
- temporary doctor Raleigh, NC
- preventive medicine physician Raleigh, NC
- physician-ob gyn Raleigh, NC