Remote Physician Reviewer Utilization Management
IntePros
IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization. The role involves reviewing medical necessity determinations and applying InterQual criteria. Candidates should have an MD or DO, active board certification, and a background in Internal or Family Medicine, preferably with experience in health insurance. This position offers a collaborative environment with opportunities to leverage clinical expertise in utilization management. #J-18808-Ljbffr
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Remote Physician Reviewer Utilization Management in New York, NY vacancy
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New York, NY2 days ago - ...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
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Richmond, VA2 days ago - ...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
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New York, NY3 days ago - ...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
ExamWorks UM Strategies
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Dane Street
United States4 days ago $219k - $286.9k
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United States23 hours ago$174.07k - $374.92k
...Full-Time Utilization Management Physician Reviewer We're building a world of health around every individual — shaping a more connected, convenient... ...at a time. Company: Oak Street Health Location: Remote/ Treehouse Role Description: This full-time role...Remote workHourly payFull timeAvery Healthcare Group Ltd.
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Dane Street
United States4 days ago $204.76k - $292.52k
...Physician Reviewer We're unique. You should be, too. We're changing lives every day. For both our patients and our team members... ...Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in our organization. Other duties include advising...Remote workHourly payFull timeWork at officeLocal areaChenMed
United States3 days ago- ...Role Overview Our Utilization Management Reviewers evaluate medical necessity for inpatient and outpatient... ...escalate complex cases requiring physician review or additional intervention... ...Flexible work solutions include remote options, hybrid work schedules, competitive...Remote workMonday to FridayFlexible hoursWeekend work
AmeriHealth Caritas
Newtown Square, PA2 days ago $86k - $117.3k
...For roles that are 100% remote or hybrid, you must have access... ...most. We offer integrated managed care products,... ...direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity... ...escalate complex cases requiring physician review or additional...Remote workHourly payContract workMonday to FridayFlexible hoursWeekend workAmeriHealth Caritas
Washington DC23 hours ago$130 - $145 per hour
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New York, NY7 days ago$35 - $40 per hour
...service offerings for clinical, case management, member engagement, provider... ...containment, and analytics. Job Title RN Utilization Management Reviewer Responsibilities Conduct timely clinical... ...require weekends. Location: Fully remote work at home role. Secure, private area...Remote workHourly payTemporary workMonday to FridayFlexible hoursWeekend workSagility LLC
New York, NY3 days ago$248.5k - $373k
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$240k
...Utilization Management Physician (UMP) Remote | Full-Time | Florida Compensation: $240,000 base + bonus Schedule: 40 hours/week Work Model: Remote... ...Management Physician to perform medical necessity reviews, peer-to-peer discussions, and clinical determinations...Remote jobFull timeRelocation- ...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
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United States2 days ago - ...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
- ...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
Umpqua Health
United States2 days ago - ...established industry player is seeking a Remote Physician Reviewer for a 3-year contract role. This... ...evaluating clinical service requests, utilizing clinical judgment to adjudicate requests... .... You will play a crucial role in managing members' clinical situations through...Remote workContract work
The Judge Group
United States2 days ago $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 workEPITEC
New York, NY3 days ago- ...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
Vytwo
Prosper, TX1 day ago - ...DRG Clinical Physician ReviewerWe 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...Remote work
Med Review Inc
New York, NY23 hours ago - ...searching for Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize your... ...Alsip/South Chicago Area JOB SUMMARY: Utilizes clinical expertise, and reviews disability claims...Remote workFor contractorsMonday to Friday
Dane Street
United States1 day ago - ...and more exclusive features. Location: Remote (Must reside in IL, MT, NM, OK, TN, or TX)... ...client is seeking experienced, board-certified physicians to join their Medicare Utilization Management team as Physician Reviewers. In this remote role, you will review clinical...Remote workFull timeWeekend work
Solving IT
New York, NY2 days ago $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 workBlue Cross Blue Shield of Massachusetts
Hingham, MA23 hours ago$32 per hour
...an ongoing need for Document Reviewers. Document Reviewers will review... ...! Position Details Remote work-from-home opportunity... ...required. Proficiency in utilizing modern technology, especially... ...investigation and data recovery and management needs of our clients....Remote workHourly payTemporary workWork from homeHome officeMonday to ThursdayFlexible hoursKLDiscovery
New York, NY2 days ago- ...a coordination and deadline-management role at its core. You'll own... ...approvals moving Route drawings to reviewers, monitor where they sit, and... ...Prior experience in utility, energy, or EPC environments... ...Thursday in downtown Minneapolis, remote Monday and Friday Overtime required...Remote workLocal areaMonday to Friday
Hire Talent
Minneapolis, MN3 days ago - ...our Document Production Center (DPC). This remote position supports attorneys and legal... ...by producing, formatting, revising, and managing a variety of legal documents while ensuring... ...materials, reports, and digital dictation.Utilize Adobe Acrobat Pro for PDF conversion, editing...Remote workFull timeWork at office
Cozen O Connor
Philadelphia, PA3 days ago
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