Utilization Review Physician — Managed Care
Medix™
A technology-driven health insurance company in New York seeks a Recruitment Leader to evaluate clinical appropriateness of services and ensure compliance with standards. The ideal candidate is a board-certified MD or DO with at least 6 years of clinical experience and 1 year in utilization review. Responsibilities include timely medical reviews, clinical determinations, and accurate documentation. Licensure in Florida or North Carolina is a must, with a preference for multiple state licenses. This is a full-time on-site role. #J-18808-Ljbffr Medix™
- ...Expert in Staffing APP’s and Physicians. The organization is a... ...focused on member‑centered care. Founded in 2012, it delivers... ..., and pharmacy services by reviewing clinical information and applying... ...Medical Director, Utilization Management. Requirements Board‑certified...SuggestedRemote jobWeekend work
- ...healthcare provider is seeking a Primary Care Physician to deliver comprehensive, evidence-based... .... This role offers the opportunity to manage both acute and chronic conditions while... ...Participate in team meetings, clinical reviews, and ongoing training where required Requirements...Suggested
- ...Partnerships. Transform Care through Compassionate Hospice... ...role as a Hospice Physician, you will ensure the delivery... ...documentation and support regulatory reviews. Participate actively in... ...care and medication management. Monitor pharmacy utilization, ensuring appropriate...SuggestedDaily paidFull timePart timeLocal area
- A leading hospice care provider is seeking a compassionate home care hospice physician to manage patient care in various home settings. You will collaborate with an interdisciplinary team to provide meaningful support and education to patients and families. Qualified candidates...Suggested
- ...Healthcare System's Primary Care Service is seeking an... ...dynamic Primary Care Pain Physician. Ideal applicants are those... ...Medicine - Pain Training Management and experience... ...of quality assurance and utilization programs including peer reviews - community clinics physician...SuggestedPermanent employmentFull timeContract workTemporary workFreelanceLocal areaRelocation packageMonday to FridayShift work
- ...private groups in Dade/Broward. Current need is in Hollywood. Internal Medicine and Family Medicine physicians are both welcome. Bilingual and medicare / managed care experience is preferred, however new residents can be considered. High growth practice with leadership...
- Seeking a BC/BE Internal Medicine or Family Medicine Physician who is intrinsically motivated to provide excellent care to older adults in the Providence, Rhode Island... ...and wellness care that improves outcomes, manages medical costs and provides an unmatched experience...Full timeImmediate startRelocation packageMonday to FridayFlexible hoursShift work
- ...organization is seeking an experienced Physician Advisor to lead quality performance... ...communicate with hospital physicians and management teams while conducting case reviews to ensure compliance with clinical documentation and utilization standards. Responsibilities include...
- The Academy of Managed Care Pharmacy is seeking an experienced Primary Care Pain Physician in New York. Your role will involve managing pain care for patients within the VA Healthcare System, ensuring high-level quality care while coordinating with a multidisciplinary team...
- Healthcareis is seeking a Hospice Physician to provide medical validation and clinical expertise for the highest quality of care for patients and families. The role involves coordinating care, reviewing medical histories, and collaborating with interdisciplinary teams....
- ...healthcare organization in Florida is seeking a dynamic PM&R physician to join their program at AdventHealth Waterman in Tavares. This role involves providing care to a variety of rehab patients and managing acute care consults. The position offers a balanced lifestyle...Relocation packageShift work
- ChenMed LLC in the Town of Florida, New York is seeking a dedicated primary care physician to provide independent clinical care for older adults. This role involves managing a panel of up to 450 patients, engaging with transitional-care teams, and participating in risk...
$220k - $250k
Join a Premier National Physician Group Expanding in Palm Beach County Palm Beach is synonymous... ...should reflect that. Skilled Wound Care is seeking motivated physicians to lead wound... ...training. Meaningful Clinical Work Utilize the latest advancements in wound healing...For contractorsLocal area- ...people experience healthcare Float Center Physician - Part-Time - Lee Vista Are you looking... ...standard for patient centricity in the Urgent Care space? Then come join us at CareSpot.... ...Board. Conduct remote PEER protected review of the electronic medical record (EMR) for...Full timePart timeRemote workWork from home
$214.7k - $306.71k
Overview ChenMed is a physician‑led primary care organization that focuses on providing high‑quality,... ...admissions per thousand, appointment slot utilization, CGCAHPS scores, clinical gap... ...within the center. Work closely with managers and medical directors on guidelines,...Temporary workWork at office- ...integrated heart and vascular care, is actively seeking Board-... ...opportunity to practice within a physician-owned network offering a... ...is shared locally, ensuring manageable workloads. Physicians are backed... ...further information, please review the Know Your Rights notice from...Work at officeRemote workRelocation package
- ...for a skilled, values-aligned Acupuncture Physician to join a practice that believes healing... ...without the constraints of insurance-driven care. Our model supports practitioners who... ...patient base seeking integrative solutions Utilize the full capacity of your scope of...Full timeContract workPart time
- Downtown Boulder Partnership is hiring a Telemedicine Physician to conduct Group Health reviews remotely. This role involves clinical summaries, communications with treating providers, and participation in Panel Hearings. Candidates must hold an active Minnesota medical...Remote jobPrice work
- ...Sinai grows, so does our legacy of caring Located in the heart of Miami Beach... ...observed by supervisor or during chart review. Performs thorough assessment of... ...Works in conjunction with Supervisor / Manager to agree on treatment utilizing corrective exercises and special...Daily paidTemporary workWork experience placement
- Korzen Health is seeking a part-time Wound Care Physician (MD/DO) to lead the Wound Care Clinic program in Ocoee, Florida. The physician will work in an outpatient clinic focused on procedural wound care, primarily serving geriatric patients. Responsibilities include advanced...Part timeNight shift
$31.55 - $58.69 per hour
...Summerfield and Fruitland Park. Oversees the care provided by therapy aides, according to... ...the department, through effective time management and clinical efficiency and adjusts work... ...code format and insurance guidelines. Utilizes knowledge of growth and development to...Temporary workPart timeWork experience placementWork at officeLocal areaMonday to FridayShift work- ...Speech Language Pathologist (SLP) - Sequoia Care Sequoia Care is at the forefront of... ...quality care and teamwork! Sequoia Care utilizes E-Verify to confirm employment eligibility... ...employment laws. For further information, please review the Know Your Rights notice from the...Full timeTemporary workPart timeReliefFlexible hours
$325k - $375k
...Obstetrician-Gynecologist, Physician At Aizer Health, we are not just a healthcare facility... ...– we are a provider of transformative care, powered by compassion and innovation. As... ...quality care for OB patients by accurately managing their pregnancy and any needs during the...Contract workTemporary workWork at officeRelocation packageShift work$270.46k - $386.37k
...providing direct patient care and assessments in the... ..., and population management of the market’s members... ...and industry standards. Review PCP requests for... ...participate in delegated utilization authorizations. Possibly... ...Coach and mentor PCP physicians and other clinicians in...Work at office$23.71 - $48.5 per hour
...assessments, takes measurements, reviews medical records, collects data via... ...processes requiring nutritional management. Monitors and evaluates nutrition care plans to reach nutrition goals and... ...care rounds, collaborates with physicians, nurses, and other allied health...Full timeWork experience placementWork at officeLocal areaShift work- ...provider in the United States is seeking a Clinical Dietitian to manage medical nutrition therapy and educate patients. This role... ...employee support services. If you are passionate about patient care and looking for a supportive environment, apply today. #J-18808-...
- ...comprehensive and coordinated care to evaluate, diagnose... ...of globally respected physicians are leaders in... ...physician-led, professionally managed healthcare system.... ...more than 2,000 peer-reviewed journals articles and... ...of colon polyps utilizing leading-edge techniques...Private practiceWorldwideRelocation packageShift work
- ...will provide and oversee direct care to adult and child/adolescent... ...or outpatient services utilizing both office-based face-to-face... .... See clients for medication management, psychiatric evaluation, and... ...prescription, administration, and review of psychotropic medications....Contract workTemporary workWork at officeLocal areaWeekend workAfternoon shift
$250k
..., you will play a key role in delivering exceptional care and support to both our patients and dental team. You... ...aspects of dentistry including Invisalign and practice management. With over 50,000 5-star guest reviews , the company cares deeply about its brand and the...Full timeTemporary workMonday to Friday- ...: St. Johns Categories: Medicine/Physicians Department: 30050000 - JX-MEDICINE... ...: Provide high quality patient care in all aspects of Gastroenterology... ...to community physicians and managed care organizations Participate in peer review, quality assurance, provider/departmental...Full timeWork at office
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