Remote Utilization Management Physician Reviewer
ExamWorks
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 reviews of medical cases while ensuring high standards of patient care. Responsibilities include collaborating with management and providing guidance on clinical questions. This is a unique opportunity to work from home while contributing to quality medical reviews. #J-18808-Ljbffr
- ...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
- ...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
- ...IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization. The role involves reviewing medical necessity... ...a collaborative environment with opportunities to leverage clinical expertise in utilization management. #J-18808-Ljbffr...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...Remote workFull time
$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... ..., Utilization Management. Work Location: This is a remote position, open to candidates who reside in the...Remote workFull timeLocal areaWork from homeHome officeWeekend work- ...A healthcare management organization is seeking experienced Physician Reviewers to join their Medicare Utilization Management team in a remote position. Responsibilities include reviewing clinical service requests, applying evidence-based guidelines, and collaborating...Remote work
- ...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
- ...ezURs is seeking board-certified Pain Management Physicians for fully remote Physician Consultant positions. As a URAC accredited Independent Review Organization, our physicians perform utilization reviews, disability, and peer reviews across multiple lines of business...Remote workFor contractors
- ...Beyond Blue Job Posting Title: Utilization Management Reviewer Requisition Number: R-000002878 Department Name: Supervisor... ...certifications and authorizations. • Coordinates with physicians, care teams, and ancillary staff to support effective...Remote workFull timePart timeReliefInternshipShift work
$204.76k - $292.52k
...we need great people to join our team. The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in our organization. Other duties... ...please click HERE ( Current Contingent Worker please see job aid HERE to apply #LI-Remote...Remote workHourly payFull timeReliefWork at officeLocal area- ...Dual Occupational Medicine/Pain Management, Dual Internal Medicine/Pain... ...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...Remote workFor contractorsMonday 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
$130 - $145 per hour
...Hi, we're Oscar. We're hiring a Behavioral Health Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company... ...Management. Work Location: This position is fully remote and open to candidates residing in the U.S.,...Remote workHourly payFull timePart timeWork from homeHome office- ...Arizona Department Name: Utilization Mgmt Work Shift: Day... .... As an RN Utilization Management Care Reviewer, you will be an important... ...Networks Team. This 100% remote role manages a typical caseload... ...care and specialty physicians to provide the most comprehensive...Remote workFull timeMonday to FridayShift work
- ...About MMRO Managed Medical Review Organization (MMRO) is a nationally recognized... ...of experienced practicing physicians. MMRO is committed to... ...questions. Reviews are conducted remotely and do not require direct... ...turnaround times. Utilize MMRO review templates and ensure...Remote jobFull timeContract workFor contractorsFlexible hours
$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... ...determination processesParticipates in case review and medical necessity...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home$248.5k - $373k
...internal medicine or family medicine physician to join our Utilization Management team. Optum is a clinician-led... ...processes Participates in case review and medical necessity determination... ...fluency *All employees working remotely will be required to adhere to...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- ...Umpqua Health is seeking an Utilization Review Clinician to perform clinical reviews for mental... ...health and substance use services. This remote role may require on-site travel to... ...schedule. The URC collaborates with care management teams to ensure appropriate level of...Remote workFull time
$240k
...Utilization Management Physician (UMP) Remote | Full-Time | Florida Compensation: $240,000 base + bonus Schedule: 40 hours/week Work Model:... ...Utilization Management Physician to perform medical necessity reviews, peer-to-peer discussions, and clinical...Remote workFull timeRelocation$42.18 - $51.56 per hour
...healthcare? Bring your true colors to blue. The Physical Therapy Utilization Management Reviewer is responsible for evaluating the appropriateness and... ...Test. Interact with treating providers, PCPs, physicians, therapists, and facilities as needed to gather clinical...Hourly payFull timeWork at officeFlexible hoursShift work- ...A leading Independent Review Organization is seeking a Board-Certified Physical... ...Rehabilitation provider to perform Utilization Reviews. This fully remote role offers flexible scheduling and... ...Certification. Apply to join our Physician Review Panel and start earning based...Remote workExtra incomeFlexible hours
$155 - $165 per hour
...job poster from EPITEC As a Physician Reviewer, you'll play a critical role... ...experience Understanding of managed care and proficiency in PC (... ...Experience with managed care and utilization management Strong leadership... ...What We Offer Fully remote work arrangement (Weekends only...Remote workFull timeContract workWork at officeWeekend work- ...Summary: We are seeking a highly experienced DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully remote opportunity for a physician with a strong background in utilization review and clinical validation who thrives in a fast-paced...Remote work
- ...Role: Physician ED Claims Reviewer Duration: 12 months Required skills: Physician... ...coding (CPT/HCPCS) and managed care to conduct clinical review... ...: Experience/knowledge in utilization management is a plus.... ...a fast paced environment. This is a remote position....Remote work
$25 per hour
...an ongoing need for Document Reviewers. Document Reviewers will review... ...! Position Details • Remote work-from-home opportunity •... ...is required. • Proficiency in utilizing modern technology, especially... ...investigation and data recovery and management needs of our clients. Serving...Remote workHourly payTemporary workWork from homeHome officeMonday to ThursdayFlexible hours- ...behalf of a partner company, who manages all applications and next... ...is looking for a Licensed Physician Reviewer based in United States. As... ...physician reviewer for Utilization Management (UM) cases, helping... ...and advancement. Virtual/remote work environment. Opportunity...Remote jobLocal area
- ...Job Description Job Description Physician Peer Reviewer – Multiple Specialties in Texas and/or... ...Review Organization (IRO) with Health Utilization Management (HUM) accreditation. For the past 30... ...years, if performing external reviews Job Type Contract Work Location Remote...Remote workContract workWork experience placementWork at office
$120k - $150k
...Overview: As the Senior Design Manager / Document Controller will... ...and coordinate design reviews to ensure compliance with specifications... ...document control systems: utilize document management platforms... ..., TX. Will also consider remote candidates. Fleet Data...Remote workWork at office- ...Behavioral Health Utilization Management Coordinator This position is responsible for coordinating... ...cases to the Medical Director for review. Refer to and work closely with Case Management... ..., interacts with the treating physician or other providers of care. Collaborates...Contract workWork at office
- ...Description Job Description Remote but must be able to get to... ...1. Conducts on-site/virtual reviews at participating provider offices... ...environment, quality of physicians medical records, and compliance... ...quality improvement and health management. 4. Assists the Quality...Remote work
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