Remote Urology Physician Clinical Reviewer
$90.87 - $154.33 per hourPrime Therapeutics
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 experience. The position offers competitive pay ranging from $90.87 - $154.33 based on skills and experience, with an emphasis on compliance with legal and regulatory standards. Join us to make a difference in patient care. #J-18808-Ljbffr
$90.87 - $154.33 per hour
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...Remote work$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 ensure...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 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 - 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 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 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$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 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
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 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 job$90.87 - $154.33 per hour
...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$90.87 - $154.33 per hour
Prime Therapeutics (Prime) is a purpose‑driven PBM seeking a Physician Clinical Reviewer - Urology (remote). This key member of the utilization management team provides timely medical review of service requests that do not initially meet medical necessity guidelines. The...Remote jobHourly payWork at officeLocal areaVisa sponsorshipWork visa$115k - $125k
...TapestryHealth is hiring a Nurse Practitioner Clinical Reviewer responsible for reviewing Remote Patient Monitoring and Chronic Care Management reports to ensure their accuracy. This role is essential in aiding patient care across facilities. The ideal candidate must...Remote work- ...company, who manages all applications and next steps. Our partner is looking for a Clinical Appeals Reviewer (Licensed Healthcare Professional) based in the United States. This is a fully remote clinical decision-making role focused on conducting independent, evidence-...Remote jobFull timeContract workFlexible hours
$90.87 - $154.33 per hour
...Myana is seeking a Physician Clinical Reviewer with a specialty in Pediatric Neurology to work remotely. The successful candidate will provide timely medical reviews and engage with physicians and team members to ensure adherence to medical necessity guidelines. This...Remote work$115k - $125k
...TapestryHealth is looking for a Nurse Practitioner Clinical Reviewer to oversee Remote Patient Monitoring (RPM), Behavioral Health Integration (BHI), and Chronic Care Management (CCM) reports. This remote role requires at least 5 active NP licenses and certifications,...Remote workMonday to Friday- ...Clinical Reviewer Position Are you passionate about using your clinical expertise to support... ...determinations? We're recruiting for 2 full-time remote/hybrid Clinical Reviewer positions.... ...health care services. Consult with physician/practitioner consultants when reviews...Remote workFull timeWork from homeMonday to Friday
- ...Behavioral Health Services Reviewer Are you passionate about improving... ...? Do you enjoy using your clinical expertise to evaluate needs,... ...on this team. This is a remote position based in Oregon and... ...designated systems Consult with physician or practitioner reviewers...Remote workFull timeContract workWork from home
$185 per hour
...compliant AI platform that unifies intake, clinical documentation, coding, and quality... ...~ ~3+ years in home-health QA/OASIS review, utilization review, or clinical documentation... ...in a fast-moving startup environment and remote collaboration tools. Reliability counts...Remote workContract workReliefShift workWeekend 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
$32 - $37 per hour
...the Manager or Senior Manager, the Senior Clinical Data Specialist plays a vital role in... ...organizational considerations. Wage ranges are reviewed, at minimum, annually and all team... ...pay, part‑time team members enjoy a fully remote work environment with a flexible...Remote workHourly payPart timeFlexible hoursShift work$57 per hour
ProPivotal Staffing is seeking a Clinical Pharmacist Reviewer to work from home in Massachusetts. This role supports clinical pharmacy services and involves optimizing treatments with healthcare teams. Candidates should have 1-2 years of experience and an active Massachusetts...Remote workHourly payWork from homeFlexible hours$85k - $92k
...Job Title: CLINICAL QUALITY REVIEWER (RN or LCSW) Job ID: 87049 Location: USA- Remote in approved states Overview: We are partnering with a leading organization supporting a large-scale federal healthcare program to identify a Clinical Quality Reviewer. This role...Remote workHourly payWork at officeHome office$40 - $45 per hour
...Pay Range: $40 - $45 per hour based on experience Work Hours : 20 hours per week (Mon - Fri) Location : Remote Summary : The Clinical Reviewer is responsible for conducting clinical reviews of submitted prior authorization (PA) requests and pre-payment...Remote workHourly payPart timeFor contractorsWork at officeLocal area- ...employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following... ...Required Work Experience ~2 years of experience in clinical field of practice, health insurance, or other health care related...Remote workFull timeContract workWork experience placementWork at office1 day per week
$28.37 - $35 per hour
...empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that... ...Job Summary and Responsibilities Acentra seeks a Clinical Reviewer to join our growing team. Job Summary: The Clinical Reviewer...Remote workContract workWork at officeLocal areaMonday to FridayFlexible hoursShift workWeekend work- ...Clinical Appeals Reviewer (Licensed Healthcare Professional) Fully Remote-United States Job Type Full-time Description Overview Tanaq Support Services (TSS) delivers professional, scientific, and technical services and information technology (IT) solutions...Remote workFull timeContract workPart timeFor contractorsWork at officeLocal areaNight shift
- ...professional to utilize their expertise in internal or emergency medicine by designing advanced clinical scenarios and evaluating AI-generated responses for accuracy. This fully remote contractor position requires an MD or equivalent and board certification, with a minimum...Remote workFor contractors
- ...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
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