Remote Utilization Management Physician Reviewer
ExamWorks UM Strategies
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 conducting thorough reviews of utilization management cases, collaborating closely with the Medical Director and other stakeholders, and ensuring compliance with medical guidelines. The role offers a structured schedule from Monday to Friday with occasional weekend work required. #J-18808-Ljbffr
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Utilization Management Physician Reviewer in United States vacancy
- ...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, NY4 days ago - ...IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization. The role involves reviewing medical necessity... ...a collaborative environment with opportunities to leverage clinical expertise in utilization management. #J-18808-Ljbffr...Remote work
IntePros
New York, NY4 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, NY4 days ago $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, IL3 days ago$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 workMedix
New York, NY4 days ago- ...Remote Physician Reviewer – Utilization Management ****This Person Needs to sit in PA, NJ, or Delaware**** IntePros is seeking a Physician Reviewer to support a leading healthcare organization in a fully remote capacity. This role is responsible for reviewing medical...Remote work
IntePros
New York, NY5 days ago $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 workFull timeWeekend workMedix
New York, NY4 days ago- ...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 work
ChenMed
Doral, FL2 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 States3 days ago$174.07k - $374.92k
...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...Remote workHourly payFull timeLocal areaCVS Health
United States3 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, LA1 day ago - ...nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are... ...Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role... ...portal and streamlined case management Full onboarding and ongoing...Remote workPrice workExtra incomeFor contractorsFlexible hours
Dane Street
New York, NY2 days ago - ...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 workWork at officeLocal area
ChenMed
Doral, FL2 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, TX13 days ago - ...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... ...please click HERE ( Current Contingent Worker please see job aid HERE to apply #LI-Remote...Remote workHourly payFull timeLocal area
ChenMed
United States3 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-clinical...Remote workExtra incomeContract workFor contractorsFlexible hours
Dane Street
Wausau, WI1 day ago - ...additional details. Office Location: Remote Option Available; Flexible for any of... ...is responsible for facilitating the review of service plans and service authorization... ...services at a given time. The IDD Utilization Management Reviewer screens authorization requests...Remote workWork at officeFlexible hours
Partners Health Alliance
United States2 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, PA3 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
Richmond, VA4 days ago - ...MVP Health Care is seeking a Sub-Acute RN UM Reviewer-Medicare to join our Utilization Management team. In this remote role, you will conduct clinical reviews to ensure compliance with Medicare guidelines and support high-quality patient outcomes. The ideal candidate...Remote work
MVP Health Care
New York, NY1 day 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, AR1 day 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...Remote workPrime Therapeutics
Hartford, CT1 day ago- ...HealthHelp is seeking Board-Certified Physicians with expertise in Diagnostic Imaging or related specialties to support utilization management case review activities on contract. We are... ...use for our specialists. Location - Remote Schedule - Completely Flexible Job Type...Remote workContract workFor contractorsLocal areaFlexible hours
AppCast
New York, NY12 days ago $105 - $115 per hour
EPITEC is seeking a Physician Reviewer to evaluate clinical service requests and utilize medical expertise for decision-making. The... ...supporting utilization management processes and participating in... ...offers flexible hours, fully remote work (excluding CA, NY, HI, or...Remote jobHourly payFlexible hours- ...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, NY4 days 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- ...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, MO1 day 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, KS11 days ago$90.87 - $154.33 per hour
...A healthcare company is seeking a remote Physician Clinical Reviewer in Gastroenterology to join their utilization management team. This role requires 5+ years of clinical experience and strong communication skills for effective interaction with medical professionals....Remote workPrime Therapeutics
Helena, MT1 day ago$90.87 - $154.33 per hour
...A leading healthcare organization is seeking a Physician Clinical Reviewer specializing in Gastroenterology for a remote role. This position is crucial to the utilization management team, responsible for timely medical reviews of service requests needing clinical evaluation...Remote workPrime Therapeutics
Richmond, VA21 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Utilization Management Physician Reviewer. Be the first to apply!
Related searches
- director physician recruitment United States
- outpatient primary care physician United States
- unlicensed house physician United States
- physician neurology United States
- critical care physician United States
- doctor United States
- wound care physician United States
- physician reviewer United States
- internal medicine physician United States
- temporary doctor United States