Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote Utilization Management Physician Reviewer

Oak Street Health

Lexington, KY
  • Remote job

Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provision accurate coverage determinations for inpatient and outpatient services, applying UM criteria and clinical judgments. This role requires collaboration with internal teams to ensure medically appropriate care and timely decisions. The position emphasizes staying current with CMS and MCG guidelines, regulatory compliance, and coordinating with Transitional Care, PCPs, and regional medical leaders to #J-18808-Ljbffr Oak Street Health

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management Physician Reviewer in Lexington, KY vacancy
  • $219k - $286.9k

    Oscar Health is hiring a Physician Reviewer to join our Utilization Management team. You will determine the medical appropriateness of inpatient, outpatient,...  ...information and applying evidence-based guidelines. This remote role in the United States offers work from home with... 
    Remote job
    Work from home

    Oscar Health

    New York, NY
    4 days ago
  • Oak Street Health is seeking a full-time Utilization Management Physician Reviewer for a remote role. You will review requests, apply UM criteria, and coordinate with care teams to ensure appropriate care is provided in the right setting. Candidates should have MD/DO licensure... 
    Remote job
    Full time

    Oak Street Health

    New Orleans, LA
    3 days ago
  • Oak Street Health is seeking a full‑time Utilization Management Physician Reviewer who will remotely assess inpatient and outpatient requests using UM criteria and clinical judgment. You will coordinate with Transitional Care and PCP teams to ensure medically appropriate... 
    Remote job
    Full time

    Oak Street Health

    Lincoln, NE
    3 days ago
  • $219k - $286.9k

     ...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 work
    Full time
    Local area
    Work from home
    Home office
    Weekend work

    Oscar Health

    Orlando, FL
    14 days ago
  • Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to determine inpatient and outpatient coverage using UM criteria and clinical judgment. You will coordinate with care teams to ensure medically appropriate decisions are made for patients... 
    Remote job
    Full time

    Oak Street Health

    Albuquerque, NM
    3 days ago
  • Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provide accurate coverage determinations for inpatient and outpatient services using UM criteria, clinical judgment, and internal policies. The role emphasizes coordination with internal... 
    Remote job
    Full time

    Oak Street Health

    Oklahoma City, OK
    3 days ago
  • Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to deliver timely coverage determinations for inpatient and outpatient...  ...for patients across care settings. The position is remote, with a strong emphasis on accuracy, compliance, and coordinating... 
    Remote job
    Full time

    Oak Street Health

    Fort Myers, FL
    3 days ago
  • Oak Street Health is seeking a full-time Utilization Management Physician Reviewer to provide timely coverage determinations for inpatient and outpatient services using UM criteria and clinical judgment. The role collaborates with care teams to ensure medically appropriate... 
    Remote job
    Full time

    Oak Street Health

    Charleston, SC
    3 days ago
  • Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provision accurate and timely coverage determinations for inpatient and outpatient services using UM criteria, clinical judgment, and internal policies. Regardless of the final determination... 
    Remote job
    Full time

    Oak Street Health

    Washington DC
    3 days ago
  • Oak Street Health in the United States is seeking a Full-Time Utilization Management Physician Reviewer to provide coverage determinations for inpatient and outpatient services using UM criteria and clinical judgment. You will collaborate with Transitional Care and PCP... 
    Remote job
    Full time

    Oak Street Health

    Nashville, TN
    3 days ago
  • Oak Street Health is seeking a full-time Utilization Management Physician Reviewer to provision accurate coverage determinations for inpatient and outpatient services by applying UM criteria, clinical judgment, and internal policies. The reviewer coordinates with Transitional... 
    Remote job
    Full time

    Oak Street Health

    Fort Worth, TX
    3 days ago
  • Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to assess inpatient and outpatient requests, applying UM criteria and...  ...experience, and familiarity with CMS/MCG guidelines. This is a remote opportunity with standard full-time hours. #J-18808-... 
    Remote job
    Full time

    Oak Street Health

    Worcester, MA
    3 days ago
  • Oak Street Health is hiring a Full-Time Utilization Management Physician Reviewer to determine inpatient and outpatient coverage using UM criteria, clinical judgment, and internal policies. This role collaborates with Transitional Care and PCP teams to ensure patients receive... 
    Remote job
    Full time

    Oak Street Health

    Boston, MA
    3 days ago
  • Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provide timely coverage determinations for inpatient and outpatient services by applying UM criteria, clinical judgment, and internal policies. Coordination with care teams ensures medically... 
    Remote job
    Full time

    Oak Street Health

    Rockford, IL
    3 days ago
  • Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provide coverage determinations for inpatient and outpatient services...  ..., clinical judgment, and internal policies. This remote role collaborates with care teams to ensure medically appropriate... 
    Remote job
    Full time

    Oak Street Health

    Memphis, TN
    3 days ago
  • Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provide accurate coverage determinations for inpatient and outpatient services. You will apply UM criteria with clinical judgment, coordinate with care teams, and ensure medically appropriate... 
    Remote job
    Full time

    Oak Street Health

    Las Vegas, NV
    3 days ago
  • Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provide timely coverage determinations for inpatient and outpatient...  ..., and Medicare/Medicaid UM experience are required. Remote work option, standard full-time hours, and a comprehensive... 
    Remote job
    Full time

    Oak Street Health

    Dayton, OH
    3 days ago
  • Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provision accurate and timely coverage determinations for inpatient and outpatient services by applying UM criteria, clinical judgment, and internal policies. The role requires collaboration... 
    Remote job
    Full time

    Oak Street Health

    Savannah, GA
    3 days ago
  • Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to determine coverage for inpatient and outpatient services using UM...  ...communication, and US work authorization. Anticipated 40-hour weeks; remote work option. #J-18808-Ljbffr Oak Street Health
    Remote job
    Full time

    Oak Street Health

    Santa Clara, CA
    3 days ago
  • Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provide accurate coverage determinations for inpatient and outpatient services using UM criteria and clinical judgment. The role requires collaboration with Transitional Care and PCP teams... 
    Remote job
    Full time

    Oak Street Health

    Peoria, IL
    3 days ago
  • 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 job
    Full time

    Hispanic Alliance for Career Enhancement

    Springfield, IL
    2 days ago
  • Oak Street Health is seeking a full-time Utilization Management Physician Reviewer to determine coverage for inpatient and outpatient services using UM...  ...settings, while aligning with CMS and internal policies. This remote position offers a competitive salary range and... 
    Remote job
    Full time

    Oak Street Health

    Bakersfield, CA
    3 days ago
  • Oak Street Health is hiring a Full-Time Utilization Management Physician Reviewer to determine coverage for inpatient and outpatient services using UM criteria...  ...and 3-5 years in primary care with UM experience. This remote role offers a comprehensive benefits package and... 
    Remote job
    Full time

    Oak Street Health

    Salt Lake City, UT
    3 days ago
  • Oak Street Health is hiring a Full-Time Utilization Management Physician Reviewer to determine coverage for inpatient and outpatient services using UM criteria and clinical judgment. The role collaborates with care teams to ensure medically appropriate recommendations and... 
    Remote job
    Full time

    Oak Street Health

    Tacoma, WA
    3 days ago
  • Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer. This remote role focuses on timely coverage determinations for inpatient and outpatient services using UM criteria and clinical judgment. Collaboration with care teams and adherence to... 
    Remote job
    Full time

    Oak Street Health

    Everett, WA
    3 days ago
  • Oak Street Health seeks a Full-Time Utilization Management Physician Reviewer to provide timely coverage determinations for inpatient and outpatient services using UM criteria and clinical judgment. This remote role collaborates with care teams to ensure medically appropriate... 
    Remote job
    Full time

    Oak Street Health

    Norfolk, VA
    3 days ago
  • Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to determine accurate coverage for inpatient and outpatient services. You will apply UM criteria, clinical judgment, and internal policies to guide medical decisions while coordinating with... 
    Remote job
    Full time

    Oak Street Health

    Charleston, WV
    3 days ago
  • Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provision accurate and timely coverage determinations for inpatient and outpatient services by applying UM criteria, clinical judgment, and internal policies. You will coordinate with... 
    Remote job
    Full time

    Oak Street Health

    San Francisco, CA
    3 days ago
  • Oak Street Health is hiring a Full-Time Utilization Management Physician Reviewer to provide timely coverage determinations for inpatient and outpatient services. You will apply UM criteria with clinical judgment, coordinate with care teams, and stay current with CMS and... 
    Remote job
    Full time

    Oak Street Health

    Columbus, OH
    3 days ago
  • Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to determine coverage for inpatient and outpatient services using UM criteria and clinical judgment. The role involves coordinating with care teams to ensure medically appropriate care and... 
    Remote job
    Full time

    Oak Street Health

    Los Angeles, CA
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote Utilization Management Physician Reviewer. Be the first to apply!