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 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 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 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 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- 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
- ...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
$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- 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
$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 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$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- ...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
- 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
$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$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- ...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
- 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
- ...The University of Massachusetts Medical School is seeking a Clinical Reviewer - PASRR. This role involves reviewing clinical documentation... ...experience, and possess strong critical thinking skills. The position is remote and may require weekend availability. #J-18808-Ljbffr...Remote workWeekend work
- ...community? Do you enjoy using your clinical expertise to evaluate needs,... ...time? In this role, you will review clinical documentation to... ...on this team. This is a remote position based in Oregon and... ...designated systems Consult with physician or practitioner reviewers when...Remote workFull timeContract workWork from home
- ...UMass Med School is seeking a Clinical Reviewer - PASRR responsible for reviewing referrals and clinical documentation for nursing facility... ...Massachusetts with a strong background in mental health services. This remote position will require critical thinking and excellent...Remote work
- ...Overview We are seeking an RN to perform Clinical Review work and QIDP reviews work. Team member... ...requirements. Consult and forward to a Physician Advisor/Consulting Physician all cases... ...Environment This position is primarily remote and performed in a home-based setting,...Remote workContract work
$50 per hour
...Overview RN Clinical Reviewer / IDR - Remote (#25310C) Location: Remote Employment Type: Full-time Hourly Rate: $50/hr Position Overview Greenlife Healthcare Staffing is seeking an experienced Registered Nurse Clinical Reviewer (IDR) to join a remote position at a non...Remote workHourly payFull timeWork at officeFlexible hours- Comprehensive Cancer Centers of Nevada is seeking a Clinical Insurance Reviewer to work remotely in Southern Nevada. The role requires reviewing diagnostic imaging and pulmonary testing orders for reimbursement guidelines, ensuring prompt authorization and avoiding delays...Remote work
- ...company, who manages all applications and next steps. Our partner is looking for a Clinical Appeals Reviewer (Licensed Healthcare Professional) based in the United States. This is a fully remote clinical decision-making role focused on conducting independent, evidence-based...Remote workContract workFlexible hours
- ...Registered Nurse with active licensure and minimum 3 years of clinical experience for a remote position. Candidates must have strong clinical... ...eligible for DoD background clearance. This role involves reviewing medical records, identifying quality issues, and...Remote work
$28.37 - $39.19 per hour
...empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that... ...and Responsibilities Acentra Health is looking for a Clinical Reviewer (SCA) to join our growing team. Job Summary: The purpose of...Remote workContract workWork at officeLocal areaFlexible hours$90.87 - $154.33 per hour
A healthcare organization seeks a Physician Clinical Reviewer in Gastroenterology to provide medical review for service requests remotely. Candidates should have 5+ years of clinical experience and relevant medical qualifications like DO, MBBS, or MD. The role involves...Remote work$85k - $92k
...TEEMA Solutions Group is seeking a Clinical Quality Reviewer to support a federal healthcare program. This role involves reviewing medical records... ...three years of clinical experience. The position may be remote or onsite based on business requirements. A secure home office...Remote workWork at officeHome office- COMAGINE HEALTH is seeking a registered nurse for Clinical Review and QIDP responsibilities, working remotely from any U.S. location. The role requires an active RN license in Alabama, a BA/BS in Nursing, and at least three years of direct patient care experience. Responsibilities...Remote workWork from home
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