Remote Dermatology Physician Reviewer | Utilization
Prime Therapeutics
A healthcare services organization is seeking a Physician Clinical Reviewer for a remote position in Frankfort, Kentucky. This role involves medical review of service requests and collaborating with physicians and health plan staff. Candidates must have a DO, MBBS, or MD and over 5 years of clinical experience. The pay range for this position is competitive, reflecting experience and skills. Join us to make a positive impact in the healthcare industry. #J-18808-Ljbffr
- ...leading pharmacy benefits manager is seeking a Physician Clinical Reviewer specialized in Dermatology for a remote role. This position involves reviewing clinical... ...This is an opportunity to contribute to effective utilization management processes while working within a...Remote work
- A leading healthcare company is looking for a Physician Clinical Reviewer - Dermatology for a remote position. The successful candidate will review medical cases, interact with physicians, and ensure compliance with clinical guidelines. An MD/DO/MBBS degree is required...Remote workWork from home
$90.87 - $154.33 per hour
A health services company is seeking a remote Physician Clinical Reviewer specializing in dermatology. The ideal candidate will provide medical review of service requests, discuss cases with physicians, and ensure proper documentation of communications. This role requires...Remote work$90.87 - $154.33 per hour
A leading healthcare management company is seeking a Physician Clinical Reviewer specialized in Dermatology. This remote position involves reviewing cases and collaborating with physicians to ensure compliance with medical necessity guidelines. Candidates should possess...Remote work$90.87 - $154.33 per hour
A leading pharmacy benefits manager seeks a Physician Clinical Reviewer - Dermatology for a remote position. You will be responsible for medical reviews of service requests, communicating with physicians, and ensuring compliance with medical necessity guidelines. This...Remote work$90.87 - $154.33 per hour
A healthcare organization is seeking a Physician Clinical Reviewer with a strong clinical background for remote work in Helena, Montana. The ideal candidate will hold an MD, DO, or MBBS and have over 5 years of experience in clinical review. Responsibilities include reviewing...Remote work- A healthcare organization is seeking a Physician Clinical Reviewer in Dermatology to provide medical reviews and interact with medical staff. Responsibilities... ...over five years of experience in clinical review. This remote position is an excellent opportunity to impact patient...Remote work
$90.87 - $154.33 per hour
A healthcare organization is looking for a remote Physician Clinical Reviewer specializing in Dermatology. Key responsibilities include reviewing service requests for medical necessity, interacting with physicians, and providing clinical rationale for appeals. The ideal...Remote workHourly pay- ...Role Overview Our Utilization Management Reviewers evaluate medical necessity for inpatient and outpatient... ...escalate complex cases requiring physician review or additional intervention... ...Flexible work solutions include remote options, hybrid work schedules, competitive...Remote workMonday to FridayFlexible hoursWeekend work
- ...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
- ...IDD Utilization Management Reviewer Competitive Compensation & Benefits Package! Position eligible for: ~ Annual incentive bonus plan... ...Forgiveness Qualifying Employer Office Location: Remote Option Available; Flexible for any of Partners' NC locations...Remote workWork at officeFlexible hours
- ...IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization. The role involves reviewing medical necessity determinations... ...collaborative environment with opportunities to leverage clinical expertise in utilization management. #J-18808-Ljbffr...Remote work
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to ensure accurate coverage determinations for inpatient and outpatient... ...a license to practice in the US. This position offers remote work options and competitive compensation packages,...Remote workFull time
- ...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
- ...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
$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- ...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
- 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 workFor contractorsMonday to FridayFlexible hours
- A leading medical review organization is seeking Board‑Certified physicians in Pediatric Hematology Oncology for flexible, remote Utilization Reviews. This role requires conducting independent reviews of pediatric cases, engaging in peer-to-peer discussions, and ensuring...Remote jobPart timeFlexible hours
- ...Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking a... ...Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental...Remote workPrice workExtra incomeFor contractorsFlexible hours
- About Dane Street Dane Street is a leading Independent Review Organization (IRO) and national provider of Utilization Review services. As we continue to expand our physician panel, we’re offering flexible, remote opportunities for board-certified physicians seeking supplemental...Remote workExtra incomeFor contractorsFlexible hours
$37.21 per hour
...quest for better? Job Description *Shifts are weekdays. The Utilization Reviewer reflects the mission, vision, and values of NM, adheres to... ...closely with business office staff, clinical staff, and physicians to advocate for BHS patients with insurance and managed care...Remote workHourly payFor contractorsReliefWork at officeLocal areaRelocation packageShift workWeekday work- A national Independent Review Organization is looking for Board-Certified Orthopedic Surgeons for a fully remote, non-clinical role that offers flexible scheduling and supplemental income. Responsibilities include reviewing medical records for medical necessity and submitting...Remote workExtra incomeFlexible hours
$110k - $203.51k
...purpose to deliver a better world. Join us. **Job Description** **AECOM** is seeking an **Assistant Project Manager - Utility Design Reviewer** to work **remotely** . However, the client is located in Sacramento, CA and thus it's expected that this individual's working hours...Remote workFor contractorsFor subcontractorLocal areaWorldwideRelocationVisa sponsorshipFlexible hours- ...Humana is offering a remote RN Internship designed for transitioning military service members and military spouses. Interns will perform clinical reviews, support healthcare providers, and engage with interdisciplinary teams. Must be an active RN in Kentucky or have an...Remote workInternship
- A leading healthcare solutions provider is seeking a Nurse Reviewer (Registered Nurse) for a remote role in the US. The ideal candidate will have over 5 years of clinical experience and must hold an active RN license. Responsibilities include reviewing medical records,...Remote workFull time
$93.12k - $167.62k
Elevance Health is seeking a Psychologist Reviewer for a virtual role based in Cleveland, OH. This position involves collaborating with providers to assess the appropriateness of treatment levels and mentoring staff. Applicants must have a Ph.D. or Psy.D in clinical psychology...Remote job- ...Mateo NE Albuquerque, NM 87113-2237 Compensation Pay Range: Minimum Offer $0.00 Maximum Offer $0.00 Now Hiring: LTC Utilization Management Reviewer Summary: Build your Career. Make a Difference. Presbyterian is hiring a skilled LTC Utilization Management...Full timeTemporary workLocal areaImmediate startWork from homeShift work
- ...Lifepoint Health® is seeking a Full-time Utilization Review Specialist at Beckett Springs in Ohio. This role is essential in ensuring patients receive the necessary services through effective communication and advocacy with insurance providers. The ideal candidate will...Full time
- A national Utilization Review provider is seeking Board Certified physicians with an active New York license for a telework opportunity. This role allows for flexible scheduling, where physicians can provide advisory-only opinions on treatment requests. Responsibilities...Remote workExtra incomeFor contractorsFlexible hours
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