Remote Utilization Management Physician Reviewer
Oak Street Health
- Remote job
Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to determine inpatient and outpatient coverage using UM criteria, clinical judgment, and internal policies. You will coordinate with care teams to ensure medically appropriate care and align with CMS/MCG guidelines. The role requires an MD/DO, US licensure, and 3–5 years of primary care experience. You must be eligible to work in the United States and be committed to high-quality patient care. #J-18808-Ljbffr Oak Street Health
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to deliver timely coverage determinations for inpatient and outpatient... ...for patients across care settings. The position is remote, with a strong emphasis on accuracy, compliance, and coordinating...Remote workFull time
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to determine coverage for inpatient and outpatient services using UM criteria and clinical judgment. The role requires collaboration with internal and external teams to ensure medically...Remote workFull time
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provide timely coverage determinations for inpatient and outpatient services using UM criteria and clinical judgment. The role emphasizes medically appropriate care in coordination with...Remote workFull time
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provide accurate coverage determinations for inpatient and outpatient services using UM criteria, clinical judgment, and internal policies. The role emphasizes coordination with internal...Remote workFull time
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to assess inpatient and outpatient requests, applying UM criteria and... ...experience, and familiarity with CMS/MCG guidelines. This is a remote opportunity with standard full-time hours. #J-18808-...Remote workFull time
- ...Oak Street Health is seeking a full-time Utilization Management Physician Reviewer to provision accurate coverage determinations for inpatient and outpatient services by applying UM criteria, clinical judgment, and internal policies. The reviewer coordinates with Transitional...Remote workFull time
- ...Oak Street Health is hiring a Full-Time Utilization Management Physician Reviewer to determine inpatient and outpatient coverage using UM criteria, clinical judgment, and internal policies. This role collaborates with Transitional Care and PCP teams to ensure patients...Remote workFull time
- ...Oak Street Health is hiring a Full-Time Utilization Management Physician Reviewer to determine coverage for inpatient and outpatient services using UM... ...and 3–5 years in primary care with UM experience. This remote role offers a comprehensive benefits package and competitive...Remote workFull time
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to determine coverage for inpatient and outpatient services using UM criteria and clinical judgment. You will coordinate with care teams to ensure medically appropriate care and maintain...Remote workFull time
- ...Oak Street Health seeks a Full-Time Utilization Management Physician Reviewer to determine inpatient and outpatient coverage using UM criteria and clinical judgment, coordinating with care teams to ensure medically appropriate care. The role emphasizes staying current...Remote workFull time
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to determine inpatient and outpatient coverage using UM criteria and clinical judgment. This role collaborates with Transitional Care and PCP teams to ensure medically appropriate care,...Remote workFull time
- ...Oak Street Health is seeking a full-time Utilization Management Physician Reviewer to provision accurate coverage determinations for inpatient and outpatient services using UM criteria and clinical judgment. The role requires collaboration with care teams to ensure medically...Remote workFull time
$219k - $286.9k
...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... ...Management. Work Location: This is a remote position, open to candidates who reside in the United...Remote workFull timeLocal areaWork from homeHome officeWeekend work$174.07k - $374.92k
...health care one 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 timely...Remote workHourly payFull timeLocal area$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... ...career site, please click Current Contingent Worker please see job aid to apply #LI-RemoteRemote workHourly payFull timeReliefWork at officeLocal area$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 home$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 workFull timeRelocation$65.52k - $111.61k
...LTC Utilization Management ReviewerLocation: 9521 San Mateo NE Albuquerque, NM 87113-2237Compensation Pay Range: Minimum Offer $65,520.00 Maximum... ...is hiring a skilled LTC Utilization Management Reviewer to join our team.Responsibilities:Now hiring a Utilization...Immediate startWork from homeShift work$77.25k - $128.75k
...Department Name: Utilization Mgmt Work Shift: Day Job Category: Clinical... ...’ve been waiting for. As a Remote RN Utilization Management Care Reviewer , you’ll play a critical role in... ...of primary care and specialty physicians to provide the most comprehensive...Remote workWork experience placementMonday to FridayShift work- ...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
- ...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
$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 work$65.52k
...Albuquerque, NM 87113-2237 Compensation Pay Range: Minimum Offer $65,520.00 Maximum Offer $111,612.80 Now Hiring: LTC Utilization Management Reviewer Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled LTC Utilization Management Reviewer...Full timeTemporary workLocal areaImmediate startWork from homeShift work- ...Summary: We 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 in a fast-paced...Remote work
- ...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
- ...Job Description Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site.The Utilization Review Physician is the lead clinician for the health...Remote work
- ..., and adults as well as outpatient services such as medication management, case management, and counseling. Job Summary Mental Health Resource Center is looking for a Utilization Management Reviewer to monitor the utilization of clinical services provided at Mental...Full timeMonday to FridayFlexible hours
$70.97 - $125 per hour
...Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois) Part-time Acentra Health exists to... ...relating to the peer review process, utilization review activities, and other... ...facilities Experience in Utilization Management, Case and Disease Management with knowledge...Remote workHourly payPart timeReliefLocal area$35 - $37 per hour
...Lead RN Reviewer Cohere's Service Operations team is responsible... ...~5+ years in healthcare, managed care, or insurance-related roles... ...license (BSN preferred) ~ Utilization Management experience required... ...leadership style suited for a remote, fast-paced environment...Remote workHourly payFlexible hours$120k - $150k
...Senior Design Manager / Document ControllerFleet Data Centers designs... ...and coordinate design reviews to ensure compliance with specifications... ...document control systems: utilize document management platforms... ..., TX. Will also consider remote candidates.Fleet Data Centers...Remote workWork at office
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