Remote Physician Reviewer - Utilization Review & Advisory
ChenMed LLC
New York, NY
- Remote job
ChenMed LLC seeks a physician with strong clinical and UM background to cover delegated utilization management across multiple territories. The role requires residency in Internal Medicine or Family Practice, board certification, and 2+ years in hospital medicine, with utilization review experience preferred. You will coordinate with PCP/SNF meetings, provide guidance to other reviewer physicians, and perform additional duties as assigned by management. #J-18808-Ljbffr ChenMed LLC
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Remote Physician Reviewer - Utilization Review & Advisory in New York, NY vacancy
- ...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...Remote work
ChenMed
United States3 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
United States3 days ago - 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
ExamWorks UM Strategies
United States3 days ago - ...Dane Street, a certified "Great Place to Work" company is seeking a Physician to provide utilization review services for the Group Health Department. This role requires utilizing clinical expertise to review medical records and provide an interpretation of the medical...Remote work
Dane Street
United States1 hour ago $219k - $286.9k
...Physician Reviewer - Utilization Management Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar... ...Director, 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 States1 day ago- 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
- ...Orthopedic Spine Surgeon Reviewer Dane Street, a nationally recognized Independent... ...(IRO), is expanding its panel of Physician Reviewers. We are currently... ...Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering...Remote workPrice workExtra incomeFor contractorsFlexible hours
$174.07k - $374.92k
...Full-Time Utilization Management Physician Reviewer We're building a world of health around every individual — shaping a more connected, convenient... ...at a time. Company: Oak Street Health Location: Remote/ Treehouse Role Description: This full-time role...Remote workHourly payFull timeAvery Healthcare Group Ltd.
United States4 days ago$219k - $286.9k
Oscar Health is hiring a Physician Reviewer to join our Utilization Management team. You will determine the medical appropriateness of inpatient, outpatient... ...and applying evidence-based guidelines. This remote role in the United States offers work from home with occasional...Remote jobWork from home- Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provide accurate coverage determinations for inpatient and outpatient services, applying UM criteria, clinical judgment, and internal policies. You will coordinate with care teams to ensure...Remote jobFull time
- ChenMed LLC is seeking a Physician Reviewer to lead delegated utilization management (UM) reviews across multiple markets. You will establish daily case counts, attend essential calls with health plans, advise other reviewers, and participate in ongoing process and quality...Remote job
- 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
- ...mandated turnaround times. Our reviewers are compensated on a per-case... .... JOB SUMMARY As a Physician Reviewer/Advisor for Disability Peer Review, you will utilize clinical expertise to review... ...treatment is provided. These are advisory-only opinions. Dane Street...Remote workFor contractorsMonday to Friday
Dane Street
United States1 hour ago - ...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
Med Review Inc
New York, NY5 days ago $204.76k - $292.52k
...Physician Reviewer We're unique. You should be, too. We're changing lives every day. For both our patients and our team members. Are... ...Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in our organization. Other duties include...Remote workHourly payFull timeWork at officeLocal areaChenMed
United States4 days ago- ...Job Description Job Description Physician Peer Reviewer – Multiple Specialties in Texas and/or New... ...Review Organization (IRO) with Health Utilization Management (HUM) accreditation. For... ...3 years, if performing external reviews Job Type Contract Work Location Remote...Remote workContract workWork experience placementWork at office
Federal Hearings And Appeals
Wilkes Barre, PA1 day ago $155 - $165 per hour
...message the job poster from EPITEC As a Physician Reviewer, you'll play a critical role in... ...~ Experience with managed care and utilization management ~ Strong leadership and management... ...activities What We Offer Fully remote work arrangement (Weekends only) 9AM...Remote workFull timeContract workWork at officeWeekend workEPITEC
New York, NY4 days ago- Dane Street, LLC is expanding its physician panel and seeking independent reviewers licensed in Connecticut to assess... ...set your own schedule and work remotely as a 1099 contractor. Reviews typically... ...our panel to provide timely, advisory-only determinations. #J-18808-...Remote jobFor contractors
- ...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
Solving IT
New York, NY3 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 jobWork at officeLocal area
- An established industry player is seeking a Remote Physician Reviewer for a 3-year contract role. This exciting opportunity involves evaluating clinical service requests, utilizing clinical judgment to adjudicate requests, and providing clinical leadership within the organization...Remote workContract work
The Judge Group, LLC
New York, NY4 days ago - ...Role: Physician ED Claims Reviewer Duration: 12 months Required skills: Physician with an... ...applications. Desired skills: Experience/knowledge in utilization management is a plus. Ability to work independently in a fast paced environment. This is a remote position....Remote work
Vytwo
Prosper, TX2 days ago - A leading Independent Review Organization is seeking a Board-Certified Physical... ...Rehabilitation provider to perform Utilization Reviews. This fully remote role offers flexible scheduling and... ...Certification. Apply to join our Physician Review Panel and start earning based...Remote workExtra incomeFlexible hours
Dane Street
United States3 days ago - ...Board Certified Internal Medicine Physicians Dane Street, a certified "Great Place to Work... ...Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize... ...Alsip/South Chicago Area JOB SUMMARY: Utilizes clinical expertise, and reviews disability...Remote workFor contractorsMonday to Friday
Dane Street
United States18 hours ago - ...Centene is seeking a Utilization Review Clinician to assess mental health and substance use care across the continuum. Two schedules are available, with 10-hour shifts, in Central or Eastern Time Zones. Start times: 8:00 or 9:00 AM ET. Requires RN or Master’s in Behavioral...Remote workShift work
Health Net Health Plan of Oregon, Inc.
Florida, NY3 days ago - ...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 Roseburg, OR as needed and offers a full-time exempt schedule. The URC collaborates with care...Remote workFull time
Umpqua Health
United States3 days ago - ...Comagine Health is seeking a Clinical Reviewer to work remotely from Oregon with travel across the Eugene and surrounding areas. You will review... ...licensure, 3 years of direct patient care in behavioral health, and familiarity with utilization review. #J-18808-Ljbffr...Remote work
Comagine Health
Oregon, WI1 day ago - ...Beyond Blue Job Posting Title: Utilization Management Reviewer Requisition Number: R-000002878 Department Name: Supervisor... ...certifications and authorizations. • Coordinates with physicians, care teams, and ancillary staff to support effective...Remote workFull timePart timeReliefInternshipShift work
University of Kentucky
United States1 day ago - Vytwo Technologies Inc. seeks a Physician ED Claims Reviewer for a 12-month remote assignment. The role focuses on clinical review of claims and utilization management (UM) authorization requests to determine clinical necessity. Candidates must hold an active US medical...Remote job
- Dane Street is seeking physicians to join our independent contractor reviewer panel. This telework opportunity involves evaluating medical necessity for treatment... ...practicing, and board certified. Review work is advisory-only, flexible, and you decide your own schedule...Remote jobFor contractorsFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Physician Reviewer - Utilization Review & Advisory. Be the first to apply!
Related searches
- doctor work from home New York, NY
- ent physician New York, NY
- physician-med-peds New York, NY
- smile doctors New York, NY
- sound physicians New York, NY
- physician medical doctor New York, NY
- resident doctor New York, NY
- physician-geriatric medicine New York, NY
- doctor of optometry New York, NY
- drug safety physician New York, NY