Remote Physician Reviewer Utilization & Claims Review
Dane Street
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, ensuring compliance with state regulations, and providing clear rationale for case decisions. Preferred candidates should have a license in specific states. Compensation is based on a per-case basis as a 1099 independent contractor. #J-18808-Ljbffr
Vacancy posted 4 days ago
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...For roles that are 100% remote or hybrid, you must have access to a reliable high... ...the direction of a supervisor, the Utilization Management Reviewer evaluates medical necessity for... ...and escalate complex cases requiring physician review or additional intervention...Remote workHourly payContract workMonday to FridayFlexible hoursWeekend workAmeriHealth Caritas
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Newtown Square, PA1 day ago - ...Specialty Health System (StarCare) is seeking a full time Utilization Management (UM) Reviewer to join its outstanding Utilization Management team... ...will work in a hybrid work environment (combination of remote and on-site) and must be able to work on-site when job duties...Remote workFull timeWork at officeMonday to Friday
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Lubbock, TX3 days 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 States4 days ago $240k
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Daytona Beach, FL2 days ago- ...ChenMed in Miami, Florida is seeking a Physician Reviewer to lead Utilization Management reviews, advise other physician reviewers, and coordinate care with health plans and local teams to support patient outcomes. The role emphasizes process and quality improvement...Local area
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Doral, FL1 day ago - Comagine Health is seeking a Clinical Reviewer with LCSW/LPC/LCPC licensure for a remote, Oregon-based role requiring travel to Salem and surrounding areas... ...for diverse populations. The position emphasizes utilization review, documentation, and collaboration with stakeholders...Remote jobWork from home
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