Remote Utilization Management Physician Reviewer
$174.07k - $374.92kOak Street Health, part of CVS Health
- Remote job
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/Medicaid, a clinical license in the U.S., and effective communication skills. The position supports personalized primary care for older adults, emphasizing on quality care. The typical pay range for this role is between $174,070 and $374,920 annually and includes comprehensive benefits. #J-18808-Ljbffr Oak Street Health, part of CVS Health
$211.2k - $277.2k
...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 workFull timeLocal areaWork from homeHome officeWeekend 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
$260k - $275k
Medix™ is seeking a Board-Certified Physician for a fully remote, non-clinical role in Utilization Management. The position involves reviewing clinical documentation to determine the appropriateness of inpatient, outpatient, and pharmacy services. Ideal candidates will...Remote job- ChenMed is looking for a Licensed Physician Reviewer - Ortho for a remote role based in Miami, FL. This position involves conducting Utilization Management reviews and advising other physician reviewers while participating in quality improvement efforts. The ideal candidate...Remote job
$260k - $275k
...weekend every 16 weeks Position Type: Full-time | Remote | Non-clinical We are seeking a Board-Certified Physician to join a Utilization Management team in a fully remote, non-clinical role. This position focuses on reviewing clinical documentation and determining the...Remote jobFull timeWeekend work- ...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...Remote workPrice workExtra incomeFor contractorsFlexible hours
- ...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
- ...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
- ...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
- 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 jobFor contractors
- 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 jobFor contractorsMonday to FridayFlexible hours
- About Dane Street Dane Street is a leading Independent Review Organization (IRO) and national provider of Utilization Review services. As we continue to expand our physician panel, we’re offering flexible, remote opportunities for board-certified physicians seeking supplemental...Remote workExtra incomeFor contractorsFlexible hours
- Position: Licensed Physician Reviewer - Ortho (remote) - ChenMed, Miami, FL The Physician Reviewer is the primary reviewer for Utilization Management/Clinical Appropriateness cases within our organization. The role requires advising other physician reviewers, attending...Remote jobWork at officeLocal area
$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 job$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 work- Overview Medical Review Institute of America (MRIoA) is a nationally... ...organization specializing in utilization management and clinical review services.... ...medical determinations. Position Physician Advisor (UM Medical Director) - Full‑time, remote (United States) Role Summary...Remote workFull timeFlexible hoursShift workWeekend work
$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- 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
- 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
- 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 jobFull time
$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 job$80.17 - $119.26 per hour
CommonSpirit Health is seeking a System Physician Advisor to conduct clinical case reviews in a remote capacity. This role entails ensuring effective utilization of healthcare services, communicating with medical staff, and making recommendations regarding patient care....Remote jobHourly pay$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 timeRelocation- ...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 job
$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- A healthcare solutions company is seeking a Physician Clinical Reviewer - Pediatric Gastroenterology to join its remote utilization management team. The role involves reviewing medical service requests, collaborating with physicians, and ensuring compliance with established...Remote job
$90.87 - $154.33 per hour
A leading pharmaceutical service provider is seeking a Physician Clinical Reviewer in Pediatric Gastroenterology. This remote role focuses on utilization management, requiring expertise in clinical review and communication with physicians. Candidates must have a DO, MBBS...Remote job- ...Job Description Job Description Physician Peer Reviewer – Multiple Specialties in Texas and/... ...Review Organization (IRO) with Health Utilization Management (HUM) accreditation. For the past 30... ...external reviews Job Type Contract Work Location Remote...Remote workContract workWork experience placementWork at office
- ...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
- ...Can work remotely in any state except CA, NY, HI or AK 20 - 40 hours/week and possible... .... Identifies opportunities to manage members' clinical situations with a view... ...service requests. Participates in the Physician Review Units' appeal process of service denials...Remote workWeekend work
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