Remote Urology Physician Clinical Reviewer
Prime Therapeutics
A national pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology for a remote position. The role involves reviewing medical necessity service requests, providing clinical rationale for appeals, and collaborating with medical staff. Candidates must possess a DO, MBBS, or MD and have over 5 years of clinical experience. This position offers competitive pay adjusted for skills and experience, as well as a comprehensive benefits package. #J-18808-Ljbffr
$90.87 - $154.33 per hour
A healthcare organization is seeking a Physician Clinical Reviewer specializing in Urology. This remote role involves reviewing clinical cases, ensuring compliance with medical necessity guidelines, and supporting initial clinical reviewers. A DO, MBBS, or MD is required...Remote work$90.87 - $154.33 per hour
A leading healthcare company is seeking a Physician Clinical Reviewer - Urology to provide medical review of service requests in a remote setting. Ideal candidates must have a DO, MBBS, or MD with at least 5 years of clinical experience. Responsibilities include ensuring...Remote work$90.87 - $154.33 per hour
A healthcare organization is seeking a Physician Clinical Reviewer for a remote role in Little Rock, Arkansas. The successful candidate will be pivotal in the utilization management team, conducting medical reviews of service requests and collaborating with physicians...Remote work$90.87 - $154.33 per hour
A nationwide pharmacy benefit management company based in Washington, DC is seeking a Physician Clinical Reviewer for a remote role focused on Urology. The ideal candidate should hold an MD, DO, or MBBS and have over 5 years of clinical experience. Responsibilities include...Remote work$90.87 - $154.33 per hour
A healthcare organization seeks a Physician Clinical Reviewer specializing in Urology to join their utilization management team. This remote role involves conducting medical reviews, discussing cases with physicians, and ensuring compliance with guidelines. Candidates...Remote work$90.87 - $154.33 per hour
A healthcare organization is seeking a Physician Clinical Reviewer for Urology. This remote role is crucial in the utilization management team, providing timely medical reviews and working with physicians and health plan members. Candidates must possess an MD or equivalent...Remote work- ...PRIME Therapeutics is seeking a Physician Clinical Reviewer – Urology for a remote position. The role involves medical review of service requests and interaction with physicians, ensuring evidence-based decision-making. The ideal candidate must have a DO, MBBS, or MD,...Remote work
- A progressive pharmacy benefits manager is seeking a Physician Clinical Reviewer in Urology to join their remote utilization management team. In this critical role, you will review medical necessity requests, interact with physicians, and provide insights for appeals. Candidates...Remote work
- A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology to join their utilization management team remotely. The ideal candidate will have a DO, MBBS, or MD degree and over 5 years of clinical experience. Responsibilities include...Remote work
$90.87 - $154.33 per hour
A leading pharmacy benefit manager is seeking a Physician Clinical Reviewer specializing in Urology. This remote position involves reviewing clinical cases for medical necessity, ensuring timely communication with healthcare providers, and maintaining accurate documentation...Remote work$90.87 - $154.33 per hour
A healthcare management firm is seeking a Physician Clinical Reviewer specializing in Urology. The role involves reviewing medical requests and ensuring compliance... ...and have over 5 years of clinical experience. This remote position offers a competitive salary range from $90....Remote work- ...and patient outcomes. Our talented remote workforce spans the country and plays... ...Overview We are seeking a Clinical Utilization Review Nurse (RN) to assess the medical necessity... ...tools ( InterQual ) Consult with physician/practitioner consultants when...Remote workFull timeContract workWork at officeWork from home
- ...Behavioral Health Services Reviewer Are you passionate about improving... ...? Do you enjoy using your clinical expertise to evaluate needs,... ...on this team. This is a remote position based in Oregon and... ...designated systems Consult with physician or practitioner reviewers...Remote workFull timeContract workWork from home
$85k - $92k
...Job Title: CLINICAL QUALITY REVIEWER (RN or LCSW) Job ID: 87049 Location: USA- Remote in approved states Overview: We are partnering with a leading organization supporting a large-scale federal healthcare program to identify a Clinical Quality Reviewer. This role...Remote workHourly payWork at officeHome office- ...Community HealthWorks in Sacramento is seeking a Licensed Clinical Reviewer for a per diem, non-exempt role focused on clinical documentation... ...or RN is required. This role supports underserved populations and involves remote or hybrid work as necessary. #J-18808-Ljbffr...Remote workDaily paid10 hours per weekFlexible hours
$28.37 - $32 per hour
...position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Clinical Reviewer based in the United States. This role plays a key part in ensuring the medical appropriateness and quality of clinical determinations...Remote workHourly payContract workWeekday work$28.37 - $35 per hour
...empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that... ...Job Summary and Responsibilities Acentra seeks a Clinical Reviewer to join our growing team. Job Summary: The Clinical Reviewer...Remote workContract workWork at officeLocal areaMonday to FridayFlexible hoursShift workWeekend work$58k - $78k
...Surgical Clinical Reviewer Req #: 0000238249 Category: Surgical / OR Techs Status... ...Contact with Others: Administrators, physicians, residents, students, hospital personnel... ...requirements: Full time days Fully remote in New Jersey. Essential Functions...Remote workFull timeTemporary workWork experience placementLocal areaFlexible hoursShift work$73.2k - $122k
...following: Laboratory molecular and genetic testing clinical case review activities. Evaluate telephone, fax, or web requests for... ...coverage of molecular and genetic laboratory requests from physician offices; comparing requests against established clinical protocols...Remote workLocal areaWork from homeFlexible hours- A healthcare consulting firm is seeking Peer Reviewers (MDs/DOs/DDS) for a full-time remote position. The role involves providing clinical expertise for peer reviews of patient care, making informed clinical judgments, and documenting all reviews per instructions. Applicants...Remote workFull time
- ...Clinical Reviewer Position Are you passionate about using your clinical expertise to support... ...determinations? We're recruiting for 2 full-time remote/hybrid Clinical Reviewer positions.... ...health care services. Consult with physician/practitioner consultants when reviews...Remote workFull timeWork from homeMonday to Friday
$50 - $52 per hour
...Claims Clinical Documentation Reviewer Schedule: 5-10 hours per week. Resource can work any day of the week they are available and any time including weekends if they prefer. Remote position. Equipment is provided by facility. Base pay: $50.00/hr - $52.00/hr....Remote workPart timeWork at officeLong distance10 hours per week$90.87 - $154.33 per hour
Prime Therapeutics is seeking a Physician Clinical Reviewer for Rheumatology to join their remote utilization management team. In this role, you will review service requests, collaborate with physicians, and ensure adherence to clinical guidelines. Candidates must have...Remote workHourly pay- ...Centene Corp. is looking for a Clinical Review Nurse - Prior Authorization to work remotely. This position entails analyzing prior authorization requests to determine medical necessity, working with healthcare providers for timely reviews, and maintaining compliance with...Remote workMonday to Friday
$68k - $71.03k
...Claims Clinical Documentation Reviewer Division of Fee for Service (DFSM) Job Location Address: 150 North 18th Avenue Phoenix, Arizona 85007. This... ...that affords employees flexibility, autonomy, and trust. Remote work is available within Arizona subject to prior authorization...Remote workFull timePart timeWork at officeLong distance- ...We are seeking a qualified SUD MD Reviewer to conduct a retrospective utilization... ...historically denied cases to determine if standard clinical criteria were appropriately applied.... ...Requirements Work is 100% remote and offers flexible hours. Benefits...Remote workTemporary workLocal areaFlexible hours
- A healthcare solutions provider is seeking a Remote Pharmacist to conduct VA quality reviews, focusing on clinical assessments without direct patient interaction. Candidates must have a Doctor of Pharmacy (PharmD) and an active pharmacist license in the U.S. Responsibilities...Remote workFlexible hours
- ...Title: Clinical Reviewer Location: Remote Work Duration: 03 Month contract (Extension possible) Job Description: The purpose of this position is to utilize clinical expertise to review medical records against appropriate criteria in conjunction with contract...Remote workContract workFlexible hours
$73.32k - $102.65k
...Clinical Reviewer Blue Cross of Idaho is seeking a Clinical Reviewer to support the Healthcare Operations initiatives to ensure the delivery... ...work location; potential consideration for working fully remote within a mutually acceptable location. We're Looking For A...Remote workTemporary workWork experience placementLocal area- ...employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following... ...Required Work Experience ~2 years of experience in clinical field of practice, health insurance, or other health care related...Remote workFull timeContract workWork experience placementWork at office1 day per week
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