Remote Utilization Management Physician Reviewer
CVS Health
- Remote job
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 appropriate care. The role requires an active MD/DO license in the United States, 1+ year UM experience, and a strong understanding of managed care and CMS guidelines. Competitive pay and comprehensive benefits are offered. #J-18808-Ljbffr CVS Health
$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... ...Utilization Management. Work Location: This is a remote position, open to candidates who reside in the...Remote workFull timeLocal areaWork from homeHome officeWeekend work- ...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
$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 work$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 work- ...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
$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 work- 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
- 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
- ...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
$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$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- 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
$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 CST Salary: $230k per year Role Description: This full-...Remote workHourly payFull timeLocal areaMonday to Friday- 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...Remote jobFull time
$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... ...site, please click HERE Current Contingent Worker please see job aid HERE to apply #LI-RemoteRemote workHourly payFull timeWork at officeLocal area$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 shift$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- ...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
- ...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
$75k - $90k
...application process. Clinical Reviewer - Eugene, Oregon OR Care Management F-T Reg 40 hrs Salaried/... ...-based criteria to utilization management reviews;... ...on this team. This is a remote position based in Oregon... ...designated systems Consult with physician or practitioner...Remote jobFull timeContract workWork from home- ...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...
$150 per hour
...JobThe temporary Medicare Advantage Utilization Management (UM) Physician provides physician-level decision-making... ...'s prior authorization, concurrent review, and appeals programs. This role... ...$200.00 per hourWork Mode - Mostly Remote: Employees who reside outside the local...Remote workTemporary workPart timeFor contractorsWork at officeLocal areaRelocation$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 areaRelocation- 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
- 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
- ...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
- 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
- ...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
$248.5k - $373k
...Medical Director For Utilization Management WellMed, part of the Optum family... ...or family medicine physician to join our Utilization Management... ...the flexibility to work remotely from anywhere within the U.... ...processes Participates in case review and medical necessity...Remote jobMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home- Ensemble Health Partners is seeking a Physician Advisor to render compliant status determinations... ...patients, conduct peer-to-peer reviews with payors' medical directors, and serve as a subject matter expert on utilization management (UM) issues. The role reviews short...Remote job
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