Remote Urology Physician Clinical Reviewer
$90.87 - $154.33 per hourPrime Therapeutics
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, and ensuring compliance with review guidelines. This role requires strong analytical skills and the ability to work independently. Potential pay ranges from $90.87 to $154.33 based on experience and skills. #J-18808-Ljbffr
$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...Remote work- ...A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology to join their utilization management team. This remote role involves timely medical review of service requests, discussion with healthcare providers, and providing clinical...Remote work
$90.87 - $154.33 per hour
...A leading healthcare organization is seeking a remote Physician Clinical Reviewer with expertise in clinical review and a minimum of 5 years of experience. This role involves reviewing medical requests, assisting initial reviewers, and providing clinical rationale. Candidates...Remote work$90.87 - $154.33 per hour
...A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer - Urology to join their utilization management team. The role involves medical... ...or MD and at least 5 years of clinical experience. This remote position offers a competitive salary range from $90.87...Remote work$90.87 - $154.33 per hour
...A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer to join their utilization management team. This remote position requires a medical degree (MD, DO, MBBS) and at least 5 years of clinical experience. Responsibilities include reviewing medical...Remote work$90.87 - $154.33 per hour
...A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer to join the utilization management team. This remote position requires a strong clinical background, as the role involves reviewing medical necessity guidelines and interacting with physicians...Remote work$90.87 - $154.33 per hour
...A healthcare organization is seeking a remote Physician Clinical Reviewer specializing in Urology. The role involves reviewing service requests, interacting with healthcare professionals, and ensuring compliance with medical necessity guidelines. Candidates must have...Remote work- ...A leading pharmacy benefits management company is seeking a remote Physician Clinical Reviewer specializing in Urology. The role involves reviewing medical necessity requests, interacting with physicians, and participating in the utilization management process. Candidates...Remote workFlexible hours
$90.87 - $154.33 per hour
...A healthcare organization is seeking a Physician Clinical Reviewer for a remote role. This position involves conducting medical reviews of service requests that do not meet medical necessity guidelines while interacting with physicians and leadership. The ideal candidate...Remote work$90.87 - $154.33 per hour
...A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer - Urology for a remote position. The role involves reviewing complex clinical cases, providing rationales for medical necessity, and ensuring compliance with guidelines. Candidates must have a...Remote work$90.87 - $154.33 per hour
...A healthcare company is seeking a Physician Clinical Reviewer for a remote position. The role involves reviewing clinical cases, discussing determinations with physicians, and ensuring documentation accuracy. Applicants must have an MD, DO, or MBBS and 5+ years of clinical...Remote work$90.87 - $154.33 per hour
...A nationwide pharmacy benefit management company based in Washington, DC is seeking a Physician Clinical Reviewer for a remote role focused on Urology. The ideal candidate should hold an MD, DO, or MBBS and have over 5 years of clinical experience. Responsibilities include...Remote work$90.87 - $154.33 per hour
...A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology. This remote position involves reviewing clinical cases for medical necessity, ensuring timely communication with healthcare providers, and maintaining accurate documentation...Remote work$90.87 - $154.33 per hour
...A leading healthcare company is seeking a Physician Clinical Reviewer - Urology to provide medical review of service requests in a remote setting. Ideal candidates must have a DO, MBBS, or MD with at least 5 years of clinical experience. Responsibilities include ensuring...Remote work$90.87 - $154.33 per hour
...A prominent health management company is seeking a Physician Clinical Reviewer specializing in Urology for a remote position. The role requires timely medical reviews of service requests and collaboration with healthcare providers. Ideal candidates must possess a medical...Remote workPart time$90.87 - $154.33 per hour
...A healthcare organization is seeking a Physician Clinical Reviewer specializing in Urology. This remote role involves reviewing clinical cases, ensuring compliance with medical necessity guidelines, and supporting initial clinical reviewers. A DO, MBBS, or MD is required...Remote work$90.87 - $154.33 per hour
...those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Physician Clinical Reviewer - Urology- REMOTE Job Description Key member of the utilization management team, and provides timely medical review of service...Remote workWork at officeLocal areaVisa sponsorshipWork visa$3,000 per month
...in paid research studies including focus groups, clinical trials, online surveys, secret shopping, and product reviews. If you enjoy sharing your opinion and making an... ...- Willingness to learn and develop skills for remote work success. What You'll Enjoy: - Participate...Remote workExtra incomeTemporary workPart timeImmediate startWork from home$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- ...Veracity Selfcare is seeking a Clinical Care Reviewer for remote work. This role involves reviewing clinical documentation and providing clinical recommendations to ensure care meets medical necessity standards. The ideal candidate will have a Master’s degree and an active...Remote work
- ...Maximus is looking for a Clinical Reviewer to evaluate assessments for the Illinois SALT program. This role involves reviewing requests for services according to clinical criteria and ensuring compliance while conducting quality control reviews of field assessors' work...Remote workContract work
- ...Maximus is seeking a Clinical Reviewer to support the Illinois SALT program. The role involves evaluating assessments and determining individuals' needs for services. You will conduct quality control reviews and work with providers and state workers. Minimum requirements...Remote workFlexible hours
- ...LOCATION Remote – This is a home based, virtual position that operates Monday-Friday from... ...post-payment audits of DRG coding and clinical documentation. The ideal candidate will... ...generating high-quality recoverable claims by reviewing medical records and other documentation...Remote workLive inWork from homeMonday to Friday
- ...A leading healthcare service provider in the United States is looking for a Clinical Appeals Reviewer. This fully remote position involves reviewing appeal cases and making independent decisions based on medical evidence. Candidates must be licensed healthcare professionals...Remote work
- ...Maximus is seeking a Clinical Reviewer in Washington, D.C. This role involves evaluating assessments for additional supports, conducting quality reviews, and ensuring compliance. Competitive compensation includes various insurance plans, 401K matching, and wellness...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
- ...Maximus is hiring a Clinical Reviewer to support the Illinois SALT program. This role focuses on evaluating assessments and making determinations regarding individuals' needs for additional supports and services. The Clinical Reviewer will conduct quality control reviews...Remote work
- ...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
- ...organization is seeking a Nurse Practitioner for a remote 1099 contractor role, requiring a minimum of 5 state licenses. The responsibilities include reviewing patient data, developing care plans, and communicating with clinical staff to enhance patient outcomes. Candidates...Remote workFor contractorsFlexible hours
- ...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 jobContract workPart timeWork at officeMonday to FridayWeekend work
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