Urology Utilization Review Physician - Lead & Collaborate
ChenMed LLC
ChenMed LLC is seeking a Physician Reviewer to lead Utilization Management (UM) case reviews across multiple markets. The role requires clinical excellence, strong communication, and the ability to coordinate care with health plan teams and local staff.
You will participate in process and quality improvements within Delegated UM, cover assigned territories, attend calls, and guide other reviewers. A valid medical license and board certification in Internal Medicine or Family Practice are
#J-18808-Ljbffr$89.07k - $162.8k
...About this Job: Candidate must have acute care Utilization Review experience. Candidate must live in the DC/Baltimore region... ...assignment ensuring all UM tasks are completed each day. Collaborates with the physician nurse case manager social worker and other members of...SuggestedLive inRelocation- ...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... ...of patient care. Responsibilities include collaborating with management and providing guidance on clinical...SuggestedFull timeRemote workWork from home
- ...IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization.... ...experience in health insurance. This position offers a collaborative environment with opportunities to leverage clinical expertise in utilization management. #J-18808-Ljbffr...SuggestedRemote work
- ...A leading independent review organization is seeking a Utilization Management Physician Reviewer for a full-time remote role. Candidates must possess an active Nebraska... ...reviews of utilization management cases, collaborating closely with the Medical Director and other...SuggestedFull timeCasual workRemote workMonday to Friday
- ...healthcare management organization is seeking experienced Physician Reviewers to join their Medicare Utilization Management team in a remote position.... ...requests, applying evidence-based guidelines, and collaborating to ensure quality care for members. Candidates must...SuggestedRemote work
- DescriptionTransportation Utility Project Manager/Team LeadAt HDR,... ...just a job, it’s a chance to lead progress, drive meaningful impact... ...is the foundation of our collaborative culture that connects employees... ...management, annual reviews, corrective actions, retention...For subcontractorLocal area
$94.4k - $266.3k
...You Are: A senior Oracle Utilities reporting strategist who brings... ...reporting architectures. You lead with strategy — designing... ...and client business needs. Collaborate with Oracle Utilities functional... ..., quality standards, and review cadences. Engage client business...Work experience placementLive inWork at officeLocal area- ...Description Job Summary The Supervisor of Utilization Review (UR) oversees the development,... ...discharge planning. The UR Supervisor collaborates with providers, hospitals, state... ...decisions and supporting rationale. Lead onboarding, training, coaching, and inter...Work at officeRemote work
$162.67k
...outstanding opportunity for a Lead Pharmacist, UW... ...Medication Policy and Utilization (Pharmacist 4).WORK SCHEDULEFull... ...monographs and review documents for the UW... ...pharmacy areas in collaboration with appropriate management... ...preparing tomorrow’s physicians, scientists and other...Full timeTemporary workWork at officeShift work- DescriptionThe Lead Analyst will work under the supervision of... ...encountered by our power and utility clients, specifically in the... ...agencies.Assists with designing, reviewing, and modifying drawings for... ...facilitation, team building, collaboration, organization and problem-solving...Contract workWork at office
- ...Description Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New Jersey for a Managed Care Insurance Plan. This... ...per month on-site.The Utilization Review Physician is the lead clinician for the health plan. Responsible for the...Remote work
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provide accurate coverage determinations for inpatient and outpatient services, applying UM criteria, clinical judgment, and internal policies. You will coordinate with care teams to...Full timeRemote work
- ...Title: ANTARCTICA: Utilities Packet Lead Belong, Connect, Grow , with KBR! - At KBR, we are... ...operations ~ Coordinate the collection, review, validation, and transfer of utility-... ..., records, and operational data ~ Collaborate with utility subject matter experts to...Full timeContract workWork at officeLocal areaRemote workFlexible hours
$87.14k - $114.66k
...Environmental Consultants seeks a qualified Lead Project Manager - Utility Permitting with strong... ...Application deadline: Our team will begin reviewing applications immediately, and... ...human relations, ensuring effective collaboration within the team. Project plans should...Full timeWork at officeLocal areaImmediate start$125k - $205k
...Candidate must have experience leading the integration workstream on... ...as a trusted partner to utility clients and is suited to someone... ...awareness and the ability to collaborate effectively across teams and... ...through to testing outcomes. Review and assess technical...Work at officeLocal areaFlexible hours$28.29 per hour
...setting. The opportunity: Oversees the Utility (Dish & Pots) team to ensure that all... ...Assist manager with feedback for performance reviews Ensure the cleaning procedures... ...benefits, a stunning 420-acre campus, and a collaborative work environment. Join a team of passionate...Hourly payFull timeShift work- ...Dane Street, a certified "Great Place to Work" company is seeking a Physician to provide utilization review services for the Group Health Department. This role requires utilizing clinical expertise to review medical records and provide an interpretation of the medical...Remote work
$219k - $286.9k
...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 technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the...Full timeLocal areaRemote workWork from homeHome officeWeekend work- ...Reproductive Endocrinology/Infertility, Urology, Sleep Medicine, Colon &... ...turnaround times. Our reviewers are compensated on a per-case... ...contractor. JOB SUMMARY As a Physician Reviewer/Advisor for Disability Peer Review, you will utilize clinical expertise to review...For contractorsRemote workMonday to Friday
- ...ChenMed in Miami, Florida is seeking a Physician Reviewer to lead Utilization Management reviews, advise other physician reviewers, and coordinate care with health plans and local teams to support patient outcomes. The role emphasizes process and quality improvement...Local area
- ...Group (PSG) and be part of a leading contract development and manufacturing... ...advanced technologies in a collaborative and supportive environment.... ...and lead batch record review to ensure accuracy and compliance... ...effectiveness checks ~ Utilize electronic quality systems such...Full timeContract workWork at officeMonday to FridayShift work
- ...Key Responsibilities Lead the daily operations and... ...organizational standards. Receive, review, and process incoming... ...documentation for utilization reviews. Enter authorization... ...of decisions. Collaborate with UM nurses and physicians to facilitate medical necessity...Full timeWork at officeRemote work
$179.73 per hour
...Here's why: Patient-centered, physician led, team-based and collaborative work environment. Financially stable... ...have a culture of hospitalists leading within the organization and directing... ...neurology, palliative care, endocrinology, urology, pulmonology, trauma surgery with...Hourly payFull timeRelocation packageShift workWeekend workAfternoon shift$78k - $88k
...seeking a talented individual for a Lead Coding Auditor, Itemized Bill Review and Appeals who is responsible for... ...outpatient facility services. Utilize proprietary auditing systems with... ...You’ll be joining a company where collaboration, innovation, and inclusion fuel our...Full timeContract workRemote workFlexible hours- Adventist Health Roseville, CA is looking for Lead Physician Compensation Analyst for Full-time, Day... ...place for associates systemwide to collaborate, innovate and connect. Whether virtual... ...: PreferredEssential Functions:Reviews provider compensation for accuracy and...Full timeWork experience placementDay shift
- ...Job Description Job Description Substation Lead Technician (Electrical Utility Projects) Travel-Based Role | Per Diem Available ⚡ Full-Time... ...meetings with team members and management as needed Review plans, resolve issues proactively, and advise Foreman on...Daily paidFull time
- ...about Accenture's Oracle practice (.)You Are:A senior Oracle Utilities Integration Lead who brings both the architectural vision and the hands-on... ...developers and analysts, setting delivery standards, reviewing technical designs, and ensuring adherence to integration architecture...Full timeWork experience placementLive inWork at officeLocal areaRemote work
- AFL manufactures industry-leading fiber optic cable, connectivity and accessories and provides... ...company!Job SummaryThe Manufacturing Utility Operator will monitor, organize and schedule... ...inform upstream departments of defects.Review/update completed nonconforming reports...Full timeWorldwideShift workNight shiftDay shift
$230,000 - $280,000 per day
Regional Energy Lead & Client Partner - UtilitiesLocation: Charlotte or Chicago (In Person... ...transformational outcomes for leading Utilities organizations.The RoleCapco is seeking... ...of the Energy sector.Work within a collaborative, entrepreneurial consulting culture where...Flexible hours- ...realizations. Above all, we believe that collaboration is the best way forward.HDR’s Industrial... ...growth in facility and Central Utility Plant (CUP) design projects. Additionally... ...HDR is seeking an Industrial Utilities Lead to help our clients assess the project-...For contractorsLocal area
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