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 3 days ago
Similar jobs that could be interesting for youBased on the Remote Physician Reviewer Utilization Management in New York, NY vacancy
$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 timeOak Street Health, part of CVS Health
Chicago, IL2 days ago- ...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
ExamWorks
New York, NY3 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
Solving IT
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
New York, NY3 days ago $211.2k - $277.2k
...Physician Reviewer - Utilization Management You will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing... ..., Utilization Management. Work Location: This is a remote position, open to candidates who reside in the United...Remote workFull timeLocal areaWork from homeHome officeWeekend workOscar Health
United States2 days ago$174.07k - $374.92k
...person, one family and one community at a time. Company: Oak Street Health Title: Full-Time Utilization Management Physician Reviewer Location: Remote/ Treehouse Role Description: This full-time role is responsible for provisioning accurate and...Remote workHourly payFull timeLocal areaOak Street Health
Springfield, IL12 days ago- A healthcare organization is seeking a Physician Clinical Reviewer specializing in Dermatology to join their utilization management team. This remote role involves reviewing medical service requests, collaborating with healthcare professionals, and ensuring compliance...Remote work
Prime Therapeutics
Baton Rouge, LA5 days ago - ...recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently... ...to conduct Utilization Reviews. This is a fully remote, non-clinical role offering... ...portal and streamlined case management Full onboarding and ongoing...Remote workPrice workExtra incomeFor contractorsFlexible hours
Dane Street
New York, NY19 hours ago - A recognized healthcare provider is seeking a Board Certified Orthopaedic Spine Surgeon to conduct utilization reviews. This telework position allows for a flexible schedule within a standard Monday - Friday work week. Responsibilities include reviewing medical records,...Remote workFor contractorsMonday to FridayFlexible hours
Dane Street
Washington DC5 days ago - ...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
ezURs Inc
Richardson, TX3 days ago - ...Dane Street, a leading Independent Review Organization (IRO) and national provider of Utilization Review (UR) services, is currently expanding our physician panel. We are seeking Board-Certified... ...medical reviews on a flexible, remote (telework) basis. This is a non...Remote workExtra incomeContract workFor contractorsFlexible hours
Dane Street
Wausau, WI5 days ago - ...IDD Utilization Management Reviewer Competitive Compensation & Benefits Package! Position eligible for: ~ Annual incentive bonus plan... ...Forgiveness Qualifying Employer Office Location: Remote Option Available; Flexible for any of Partners' NC locations...Remote workWork at officeFlexible hours
Partners Health Alliance
United States2 days ago $90.87 - $154.33 per hour
A leading healthcare management company is seeking a Physician Clinical Reviewer specialized in Dermatology. This remote position involves reviewing cases and collaborating with physicians to ensure compliance with medical necessity guidelines. Candidates should possess...Remote workPrime Therapeutics
Little Rock, AR5 days ago$90.87 - $154.33 per hour
A healthcare management company is seeking a remote Physician Clinical Reviewer specializing in Dermatology. This role involves reviewing cases that require clinical expertise, interacting with physicians, and providing clinical rationale for appeals. Candidates must hold...Remote workPrime Therapeutics
Hartford, CT5 days ago- ...Specialty Health System (StarCare) is seeking a full time Utilization Management (UM) Reviewer to join its outstanding Utilization Management team... ...will work in a hybrid work environment (combination of remote and on-site) and must be able to work on-site when job duties...Remote workFull timeWork at officeMonday to Friday
StarCare Specialty Health System
Lubbock, TX3 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 $105 - $115 per hour
...EPITEC is seeking a Physician Reviewer to evaluate clinical service requests and utilize medical expertise for decision-making.... ...involves supporting utilization management processes and participating in... ...offers flexible hours, fully remote work (excluding CA, NY, HI, or...Remote workHourly payFlexible hoursEPITEC
Tulsa, OK4 days ago- ...certified “Great Place to Work” company is seeking a Physician to provide utilization review services for the Group Health Department. This role requires... ...background required Experience in Utilization Management with criteria review utilizing standard practice guidelines...
Dane Street
New York, NY3 days ago $150 - $170 per hour
...CareCentrix is seeking a Part-Time Physician Reviewer to conduct utilization reviews, ensuring medical necessity across various services. This role involves... ...at least 3 years of clinical practice and utilization management experience. The position offers flexible hours, paying...Hourly payPart timeFlexible hoursWeekday workCareCentrix
New York, NY2 days ago$240k
...Job Description Job Description Utilization Management Physician (UMP) Remote | Full-Time | Florida Compensation: $240,000 base + bonus Schedule... ...Management Physician to perform medical necessity reviews, peer-to-peer discussions, and clinical determinations...Remote jobFull timeRelocationHealthPlus Staffing
Daytona Beach, FL17 days ago- ...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
Dane Street
New York, NY3 days ago - ...Dane Street is seeking a Physician Reviewer based in Bellevue, WA, allowing for customized scheduling and caseloads. This independent contractor... ...a WA license or be willing to obtain one. The position is remote with some in-person exams starting in Bellevue. Dane Street compensates...Remote workFor contractorsFlexible hours
Dane Street
Bellevue, WA4 days ago - ...Overview Dane Street is an Independent Review Organization and a national provider of Utilization Review services. We are expanding our physician panel with opportunities for non-... ...physicians who are board certified in Pain Management with active California licenses and...Remote workExtra incomeContract work
Dane Street
California, MO5 days ago - ...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 workFull time
ExamWorks
New York, NY3 days ago $331.41k - $373.44k
...Providence Swedish Medical Center is seeking a Physician Advisor to provide leadership in Utilization Management. This fully remote role supports Washington ministries and... ...patient flow. Responsibilities include reviewing cases for medical necessity, leading denial...Remote workProvidence Swedish Medical Center
Seattle, WA18 hours ago$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 workWapa
Seattle, WA19 hours ago$110k - $203.51k
...scientists, digital innovators, program and construction managers and other professionals delivering projects that... ...**AECOM** is seeking an **Assistant Project Manager - Utility Design Reviewer** to work **remotely** . However, the client is located in Sacramento, CA and...Remote workFor contractorsFor subcontractorLocal areaWorldwideRelocationVisa sponsorshipFlexible hours- ...provider in New Jersey is seeking a Physician Advisor to provide clinical... ...and conduct physician-to-physician reviews. The candidate will support utilization review and ensure adherence to medical... ...and proficiency in utilization management are essential. This role offers a...Remote work
HURC Healthcare Solutions
Short Hills, NJ4 days ago $90.87 - $154.33 per hour
A healthcare organization is seeking a remote Physician Clinical Reviewer - Gastroenterology to join their utilization management team. This role involves providing timely medical reviews, collaborating with physicians, and ensuring compliance with medical necessity guidelines...Remote workPrime Therapeutics
Topeka, KS5 days ago$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... ...utilization management. Responsibilities include processing reviews, liaising with medical staff, and overseeing case...Remote workAlignment Healthcare
California, MO5 days ago
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