Remote Physician Advisor - Utilization Management
Swedish
- Remote job
Swedish is actively seeking a Physician Advisor to enhance utilization management and provide clinical leadership. This fully remote position focuses on reducing preventable denials and optimizing patient flow across Washington ministries. The ideal candidate will have an MD or DO, relevant clinical experience, and an understanding of medical necessity practices. Strong leadership skills and prior experience as a Physician Advisor are essential. #J-18808-Ljbffr Swedish
$331.41k - $373.44k
Wapa is seeking a Physician Advisor to provide leadership within Utilization Management. This fully remote position supports Washington ministries, enhancing medical necessity practices and optimizing patient flow through data-driven strategies. Ideal candidates are MD...Remote job- Swedish Medical Group is looking for a Physician Advisor to provide leadership within Utilization Management. This fully remote role targets Washington ministries, emphasizing high-value care and effective medical necessity practices. The ideal candidate will have an MD...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- ...Physician Advisor, Quality Utilization Management The Physician Advisor, Utilization Management (UM), provides clinical and management guidance to enhance process improvement and resource management at the hospital level. Reporting to the Regional Medical Director, the...SuggestedFull time
- ...Physician Advisor Corewell Health is expanding its Utilization Management team and is seeking a collaborative and clinically driven Physician Advisor to support our East Region. Position Overview The Physician Advisor serves at the intersection of clinical operations...SuggestedWeekend work
- ...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
- ...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
- ...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
- ...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
$250k - $410k
...Associate Medical Director, Physician Advisor The Associate Medical Director, Physician Advisor supports Utilization Management by providing clinical oversight, education, and guidance on medical necessity, Centers for Medicare and Medicaid Services (CMS) compliance...Full timeContract workPart timeRelocation package- ...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
$29.1 - $62.32 per hour
...CVS Health is seeking an experienced Registered Nurse for a remote position focusing on Utilization Management. The role offers a flexible work schedule requiring weekend availability and entails assessing, planning, and coordinating healthcare services for members. The...Remote workHourly payFlexible hoursWeekend work$32.01 - $68.55 per hour
...And we do it all with heart, each and every day. Position Summary This Utilization Manager position is with Aetna's Long-Term Services and Supports (LTSS) team and is a fully remote role. Candidates must hold a New York Registered Nurse license. The employee...Remote workHourly payFull timeLocal area10 hours per weekFlexible hours- 4004 Aetna Medicaid Administrators is seeking a Utilization Management Nurse Consultant (UMNC) to work remotely. This role involves using clinical skills to oversee utilization and benefit management processes, ensuring members receive the necessary and timely care they...Remote workMonday to Friday
$26.01 - $56.14 per hour
...health care one person, one family and one community at a time. Location: Remote (CST/MST preferred) Schedule: Monday – Friday 8:00 am to 5:00 pm in their time zone. Utilization Management is a 24/7 operation – schedules include evenings, weekends, and holidays....Remote workHourly payFull timeTemporary workLocal areaMonday to FridayAfternoon shift$29.1 - $62.32 per hour
...simplify health care one person, one family and one community at a time. Position Summary This Utilization Management Nurse Consultant (UMNC) position is 100% remote. As a Utilization Nurse Consultant, you will utilize clinical skills to coordinate, document and...Remote workHourly payFull timeTemporary workWork at officeLocal areaMonday to Friday$248.5k - $373k
...Medical Director For Utilization Management WellMed, part of the Optum family of businesses, is... ...internal medicine or family medicine physician to join our Utilization Management team... ...You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take...Remote workMinimum wageFull timeWork experience placementWork at officeLocal areaWork from home$26.01 - $56.14 per hour
...something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours. Utilizes clinical...Remote workHourly payFull timeTemporary workWork at officeLocal areaAfternoon shift$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- 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
- ...are seeking a high‑performing Physician Reviewer to join our Group... ...delivering timely, defensible utilization review determinations across... ...specific requirements. Ability to manage short‑TAT and urgent cases... ...operating systems. Work Environment Remote work from home. Full‑time,...Remote workFull timeTemporary workWork at officeWork from homeMonday to FridayNight shift
$26.01 - $68.55 per hour
...CVS Health Utilization Management Position We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with...Remote workHourly payFull timeWork at officeAfternoon shift$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 in clinical care and utilization management. Responsibilities include processing reviews, liaising with medical staff...Remote job- 4004 Aetna Medicaid Administrators is seeking a Utilization Management Nurse Consultant for a crucial role in a 24/7 operation based in Florida. This position works from home and requires applicants to reside in Florida. The ideal candidate will have clinical experience...Remote jobWork from home
- Corewell Health in Southfield, Michigan, is seeking a full-time Physician Advisor to join their Care Management team. The role involves supporting clinical operations and ensuring high-quality care across patient interactions. Responsibilities include developing relationships...Full time
- ...are met. Currently employed physician(s) in VA who met the requirements... ...Community (CITC) using lean management principles to measure... ...safety quality standards and utilization management for the Care in the... ...as a vital resource and advisor for programmatic - clinical...Full timeContract workFreelanceInternshipLocal areaMonday to Friday
- ...solutions provider in New Jersey is seeking a Physician Advisor to provide clinical guidance and... ...reviews. The candidate will support utilization review and ensure adherence to medical... ...skills and proficiency in utilization management are essential. This role offers a unique...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
$331.41k - $373.44k
Swedish is seeking a Physician Advisor to lead physician leadership within Utilization Management. This fully remote role supports Washington ministries focusing on high value care, optimizing patient flow, and reducing denials. Qualifications include an MD or DO degree...Remote job- ...(IRO), is expanding its panel of Physician Reviewers. We are currently seeking... ...Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental... ...portal and streamlined case management Full onboarding and ongoing...Remote workPrice workExtra incomeFor contractorsFlexible hours
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