Remote Physician Reviewer: Utilization Management
Medix Staffing Solutions, Inc.
Austin, TX
- Remote job
Medix Staffing Solutions, Inc. is seeking a Remote Physician Reviewer to join our clinical team. You will evaluate the medical necessity and clinical appropriateness of inpatient, outpatient, and pharmacy services, leveraging evidence-based guidelines to drive high-quality care. This full-time role requires active Board Certification (MD/DO), Florida or North Carolina licensure (or IMLCC eligibility), and 6+ years of direct patient care with 1+ year UR/UM experience. #J-18808-Ljbffr Medix Staffing Solutions, Inc.
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote Physician Reviewer: Utilization Management in Austin, TX vacancy
- ...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
Dane Street
United States2 days ago $275k
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 United...Remote workFull timeLocal areaWork from homeHome officeWeekend workOscar Health Insurance
New York, NY3 days ago- ...Toney Healthcare is seeking a physician reviewer for a remote contract role in Utilization Management. This position focuses on evaluating medical necessity, appropriateness, and efficiency of services by reviewing medical records and applying established guidelines. Collaboration...Remote workContract work
Toney Healthcare
United States2 days ago $265k - $275k
..., Inc. is seeking a Board-Certified MD/DO to join a fully remote Utilization Management team. You will assess medical appropriateness for inpatient... ...6+ years of clinical practice with 1+ year in utilization review. Salary targets are $265,000–$275,000 per year, plus...Remote workMedix Staffing Solutions, Inc.
United States5 days ago$275k
...Oscar Health is hiring a Physician Reviewer to join our Utilization Management team. The role is remote for candidates in the United States, with standard business hours and a weekend rotation. You’ll report to the Associate Medical Director, Utilization Management...Remote workWeekend workPhysician Pivot
United States3 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
United States2 days ago $211.2k - $275k
...Location: 100% Remote (Must reside in an eligible U.S. state; must be Licensed in... ...Summary We are seeking a board-certified physician to join a collaborative clinical operations team as a Physician Reviewer in Utilization Management . In this role, you will evaluate...Remote workLocal areaImmediate startHome officeMonday to FridayWeekend workMedix
New York, NY2 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 jobFull timeWork from home
$250k - $275k
Location: 100% Remote (Work from Home) Compensation... ...Are you an experienced physician seeking a high-impact,... ...a Remote Physician Reviewer to join our clinical team... ...guidelines to daily utilization reviews. Perform peer-... ...Review (UR) / Utilization Management (UM) experience within...Remote jobFull timeWork from home- Oak Street Health is seeking a Utilization Management Physician Reviewer for a fully remote, full-time role. You will render timely coverage determinations for inpatient and outpatient services using UM criteria and clinical judgment, coordinating with care teams to ensure...Remote jobFull time
$275k
Oscar Health, Inc. is seeking a Physician Reviewer to join our Utilization Management team. You will assess medical necessity for hospital, outpatient, and pharmacy... ...services based on evidence-based guidelines. This remote role supports candidates in the United States. The...Remote job- Oak Street Health is seeking a Utilization Management Physician Reviewer for a fully remote, full-time role. You will apply UM criteria and clinical judgment to determine coverage for inpatient and outpatient services, coordinating with care teams to ensure appropriate...Remote jobFull time
- ExamWorks is seeking a Board Certified physician (Family Medicine or Internal Medicine) to join as a Utilization Management Physician Reviewer in a full-time, 100% remote role. The schedule is Monday through Friday, 8:30am-5:00pm, with occasional weekend/holiday coverage...Remote jobFull timeMonday to Friday
- ...professionals, which includes renowned physician advisors, senior nurse... ...entities, we focus on medical management, quality, compliance,... .... Role Description This is a remote contract role for a Utilization Management Physician Reviewer. Responsibilities include conducting...Remote workContract work
$230k
...simplify health care one person, one family and one community at a time. Company: Oak Street Health Title: Utilization Management Physician Reviewer Location: Fully Remote Hours: full time, Monday - Friday, 8am -5pm Salary: $230k per year Role Description: This full-time...Remote workHourly payFull timeLocal areaMonday to Friday$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 States1 day ago$75k - $90k
...process. Clinical Reviewer - LCSW, LPC, LCPC - Salem... ..., Oregon OR Care Management F-T Reg 40 hrs Salaried... ...Annually This is a remote position based in... ...evidence-based criteria to utilization management reviews;... ...systems Consult with physician or practitioner reviewers...Remote workFull timeContract workWork from homeCOMAGINE HEALTH
United States4 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, PA1 day ago - ...Orthopedic Surgeon Utilization Reviewer Dane Street, a nationally recognized... ...is expanding its panel of Physician Reviewers. We are currently... .... This is a fully remote, non-clinical role offering... ...portal and streamlined case management Full onboarding and ongoing...Remote workPrice workExtra incomeFor contractorsFlexible hours
$62.4k - $117.62k
...integrating, and monitoring the utilization of physical health (PH)... ...Medical Director for review. Refer to and work closely with Case Management to address member needs... ...with the treating physician or other providers of... ...may be opportunity for remote work within all jobs posted...Remote workFull timeContract workWork at office$52 - $56 per hour
...apply the same medical necessity judgment you built in utilization management. 100% remote (U.S.) | Contract | $52–$56/hr based on experience Business... ...and appeals end to end: intake, investigation, clinical review, decision and notification • Apply medical necessity...Remote jobContract workAfternoon shiftPhaxis LLC
New York, NY13 days ago$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 homeUnitedHealth Group
San Antonio, TX3 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
California12 hours ago - ...Ensemble RCM is seeking a Physician Advisor in the United States to render compliant status determinations... ...for hospitalized patients and perform peer reviews with payors' medical directors. You will lead utilization management initiatives, educate staff, and attend UM...Remote work
Ensemble RCM
United States1 day ago $150 per hour
...Job The temporary Medicare Advantage Utilization Management (UM) Physician provides physician-level decision-... ...organization's prior authorization, concurrent review, and appeals programs. This role... ...0.00 per hour Work Mode - Mostly Remote: Employees who reside outside the...Remote workHourly payTemporary workPart timeFor contractorsWork at officeLocal areaRelocationSHPCA SCAN Health Plan
California1 day ago$150 per hour
...The temporary Medicare Advantage Utilization Management (UM) Physician provides physician-level decision-making... ...'s prior authorization, concurrent review, and appeals programs. This role serves... ....00 per hour. Work Mode - Mostly Remote: Employees who reside outside the...Remote workHourly payTemporary workPart timeFor contractorsWork at officeLocal areaRelocationSHPCA SCAN Health Plan
California1 day ago- Oak Street Health is seeking a Utilization Management Physician Reviewer to determine inpatient and outpatient coverage using UM criteria and clinical judgment. You will coordinate with care teams to ensure appropriate care, while aligning with CMS guidelines and organizational...Remote job
- Client is seeking a Physician Advisor to join the Hospitals & Medical Centers space in a remote capacity. The role guides utilization management decisions supporting inpatient care, observation review, and medical necessity determinations. You will partner with medical...Remote job
- ...Medicine) looking for a full-time, remote job in a nonclinical setting? \n... ...\n \n ExamWorks is seeking a physician board-certified in either Family Medicine... ...to join the team full-time as a Utilization Management Physician Reviewer. \n \n This position is 100%...Remote workFull timeMonday to FridayWeekend work
ExamWorks UM Strategies
West Virginia12 days ago - ...leading healthcare organization is seeking a RCS-Physician Advisor to join their Denial Management team. This full-time remote position requires a medical degree and board... ...to help optimize hospital services and resource utilization. #J-18808-Ljbffr Indiana University HealthRemote jobFull time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Physician Reviewer: Utilization Management. Be the first to apply!
Related searches
- permanent primary care physician Austin, TX
- full time post-acute physician Austin, TX
- medical marijuana physician Austin, TX
- obesity physician Austin, TX
- supervising physician Austin, TX
- doctor on call Austin, TX
- physician Austin, TX
- physician-plastic surgery Austin, TX
- physician-maternal-fetal medicine Austin, TX
- physician sleep medicine Austin, TX