Remote Physician Advisor for Utilization Management
Pacificmedicalcenters
- Remote job
Pacificmedicalcenters is looking for a Physician Advisor to enhance physician leadership within Utilization Management. This remote role supports Washington ministries and aims to advance medical necessity practices, reduce denials, and improve patient flow. Applicants must be board certified, possess an MD or DO, and have at least 5 years of clinical experience. The position emphasizes collaboration across care teams to ensure high-quality patient care outcomes. Compensation is competitive, reflecting the important work involved. #J-18808-Ljbffr Pacificmedicalcenters
$172.36k - $258.55k
A leading healthcare company is seeking a Physician Advisor for Utilization Management. The role requires a California license and significant experience in clinical care and utilization management. Responsibilities include processing reviews, liaising with medical staff...Remote job- ...solutions provider in New Jersey is seeking a Physician Advisor to provide clinical guidance and... ...reviews. The candidate will support utilization review and ensure adherence to medical... ...skills and proficiency in utilization management are essential. This role offers a unique...Remote job
$198k - $297k
...enabled revenue cycle management solutions for health systems... ...and affiliated physician groups. They offer end... ...Opportunity: The Physician Advisor provides leadership... ...managing resource and utilization to deliver quality... ...Top Workplace for Remote Work 2024 Great Place...Remote workLocal area- ## Regional Physician Advisor Position (Southeast) Coastal Virginia Near... ...the Clinical Revenue Cycle’s Utilization Review and Denials/Appeals... ..., assist with denials management, support documentation integrity... ...that are available as remote work,** **Sentara Health employs...Remote workFull timeTemporary workShift workDay shift
- ...Physician Advisor The Physician Advisor performs case reviews of all case types in a knowledgeable... ...physician house staff, all areas of resource management, case management, social services, discharge planning, and utilization management to recommend methods to...Remote workWork at officeLocal areaShift work
- ...Join to apply for the Physician Advisor - Utilization Mgmt role at Erlanger 2 months ago Be among the first 25 applicants Join to apply for the Physician... ...designee. Participate in peer-to-peer discussions with managed Medicaid, managed Medicare and commercial insurance...Full timeContract workPart timeNight shift
$240k
...Job Description Job Description Utilization Management Physician (UMP) Remote | Full-Time | Florida Compensation: $240,000 base + bonus Schedule: 40 hours/week Work Model: Remote (on-site meetings in Daytona Beach, FL ) Overview Seeking an experienced...Remote jobFull timeRelocation- ...Dane Street, LLC is seeking a remote Physician Reviewer for full-time work from home. The role requires an MD or DO, board-certified in Internal or Family Medicine, to perform utilization reviews, including preauthorization and appeals. Ideal candidates will have prior...Remote workFull timeWork from home
$148.14k - $266.65k
...Boston Medical Center is seeking an experienced Physician Advisor Director to lead and support case management, coding, and utilization review teams. This role requires oversight of clinical direction, development of policies, and collaboration with medical staff to ensure...- ...A prominent healthcare group in New York is seeking a Physician Advisor to lead the Utilization Management team at their South Brooklyn campus. The role involves providing direct patient care and ensuring compliance with regulations. Ideal candidates will be board certified...
- A leading health system in San Antonio, TX, is seeking a Physician Advisor to provide medical staff leadership within the Utilization Management Committee. The ideal candidate should have an M.D. or D.O., with prior experience in physician leadership roles. This position...Full time
- ...Association is seeking a board eligible/board certified physician to join our Physician Advisor Team. This role involves expertise in care coordination... ...site at Parkview Regional Medical Center, with on-call remote coverage. This position supports high-quality, evidence...Remote work
$331.41k - $373.44k
...Wapa is seeking a Physician Advisor to provide leadership within Utilization Management. This fully remote position supports Washington ministries, enhancing medical necessity practices and optimizing patient flow through data-driven strategies. Ideal candidates are...Remote work- ...Job Posting: Medical Director – Utilization Management (Remote) Pay: up to $200 an hour Position: Medical Director – Utilization Management Location... ...the professional autonomy and structural balance many physicians look for when transitioning to payer-side role s.Seamless...Remote workFull timeContract work
- ...A leading health insurance company is hiring a remote Physician Reviewer to join their Utilization Management team. This role involves determining the medical appropriateness of services based on clinical information and evidence-based guidelines. Candidates should have...Remote work
$174.07k - $374.92k
Oak Street Health, part of CVS Health, is seeking a Full-Time Utilization Management Physician Reviewer to ensure accurate coverage determinations for inpatient and outpatient services. This role requires at least one year of Utilization Management experience in Medicare...Remote workFull time- 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 jobFull timeWork from home
- A major healthcare organization in New York is seeking a Physician Advisor to join their team. This role involves leading utilization management efforts to optimize patient care and regulatory compliance. Candidates must possess Board Certification in Internal Medicine...
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to ensure accurate coverage determinations for inpatient and outpatient... ...a license to practice in the US. This position offers remote work options and competitive compensation packages,...Remote workFull time
- A healthcare services company is seeking a full-time remote Utilization Management Physician Reviewer. The role requires a board-certified physician to perform thorough reviews of utilization management cases ensuring high standards of patient care. Responsibilities include...Remote jobFull time
$80.17 - $119.26 per hour
CommonSpirit Health is seeking a System Physician Advisor to conduct clinical case reviews in a remote capacity. This role entails ensuring effective utilization of healthcare services, communicating with medical staff, and making recommendations regarding patient care....Remote jobHourly pay$248.5k - $373k
...businesses, is seeking an internal medicine or family medicine physician to join our Utilization Management team. Optum is a clinician‑led care organization that... ...together. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ChenMed is looking for a Licensed Physician Reviewer - Ortho for a remote role based in Miami, FL. This position involves conducting Utilization Management reviews and advising other physician reviewers while participating in quality improvement efforts. The ideal candidate...Remote job
- Swedish is seeking a Physician Advisor to lead within Utilization Management, collaborating closely with Care Management and Medical Staff. This fully remote position supports Washington ministries and emphasizes advanced medical necessity practices, reducing preventable...Remote job
$331.41k - $373.44k
Swedish Medical Group is seeking a Physician Advisor for a fully remote position supporting Washington ministries. This role involves providing physician leadership within Utilization Management to improve patient flow and reduce preventable denials. The Physician Advisor...Remote job$211.2k - $277.2k
...Job Description Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company... ...Utilization Management. Work Location: This is a remote position, open to candidates who reside in the United...Remote workFull timeLocal areaWork from homeHome officeWeekend work$250k - $280k
...Atlantic Health is looking for a full-time Physician Advisor to join their team at Overlook Medical Center in Summit, NJ. The successful... ...balancing quality and regulatory standards. Your experience in managing hospitalized patients and knowledge of acute care case...Full time$250k - $280k
...prominent healthcare provider in Summit, New Jersey is seeking a Physician Advisor to deliver clinical leadership and improve patient outcomes.... ...role requires a Board Certified MD/DO with experience in managing hospitalized patients and working collaboratively with...Full time$145k - $199.07k
...orchestration. As our Physician Advisor , you will help our client... ...essential for excelling in this remote position. Here's what... ...to medical and case management staff by providing identification... ...resolution of documentation and utilization issues. Required Skills:...Remote workLocal area$145k - $199.07k
...Physician Advisor As our physician advisor, you will help our client facilities... ...for excelling in this remote position. Responsibilities... ...to medical and case management staff by providing identification... ...resolution of documentation and utilization issues. Required Skills...Remote workLocal area
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Physician Advisor for Utilization Management. Be the first to apply!
- outpatient physician Seattle, WA
- immediate care physician Seattle, WA
- physician-psychiatry Seattle, WA
- medical marijuana physician Seattle, WA
- sports medicine physician Seattle, WA
- weekend doctor Seattle, WA
- critical care physician Seattle, WA
- remote physician Seattle, WA
- physician Seattle, WA
- house physician Seattle, WA


