Remote Utilization Management Physician Reviewer
Oak Street Health
- Remote job
Oak Street Health seeks a Full-Time Utilization Management Physician Reviewer to provision accurate coverage determinations for inpatient and outpatient services. You will use UM criteria with clinical judgment, coordinate with care teams, and ensure care aligns with CMS/MCG guidelines. This remote role involves up to 40 hours weekly and close collaboration with internal and external teams. You’ll maintain strong knowledge of regulatory requirements and participate in quality initiatives to #J-18808-Ljbffr Oak Street Health
- ...Oak Street Health is seeking a full-time Utilization Management Physician Reviewer for a remote role. You will review requests, apply UM criteria, and coordinate with care teams to ensure appropriate care is provided in the right setting. Candidates should have MD/DO...Remote workFull time
- ...Oak Street Health is seeking a full‑time Utilization Management Physician Reviewer who will remotely assess inpatient and outpatient requests using UM criteria and clinical judgment. You will coordinate with Transitional Care and PCP teams to ensure medically appropriate...Remote workFull time
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to ensure medically appropriate coverage determinations for inpatient and outpatient services by applying UM criteria and clinical judgment. You will coordinate with internal and external...Remote workFull time
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provide timely coverage determinations for inpatient and outpatient... ..., and Medicare/Medicaid UM experience are required. Remote work option, standard full-time hours, and a comprehensive...Remote workFull time
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provide timely coverage determinations for inpatient and outpatient... ...by applying UM criteria and clinical judgment. This remote role collaborates with Transitional Care and PCP teams...Remote workFull time
- ...Oak Street Health seeks a Full-Time Utilization Management Physician Reviewer to provide timely coverage determinations for inpatient and outpatient services using UM criteria and clinical judgment. You will coordinate with care teams to ensure medically appropriate care...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 to...Remote work
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provide coverage determinations for inpatient and outpatient services... ..., clinical judgment, and internal policies. This remote role collaborates with care teams to ensure medically appropriate...Remote workFull time
- IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization. The role involves reviewing medical necessity... ...offers a collaborative environment with opportunities to leverage clinical expertise in utilization management. #J-18808-LjbffrRemote work
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provide accurate coverage determinations for inpatient and outpatient services. You will apply UM criteria with clinical judgment, coordinate with care teams, and ensure medically appropriate...Remote workFull time
- ...Oak Street Health is seeking a full-time Utilization Management Physician Reviewer to provide timely coverage decisions for inpatient and outpatient services... ...patient-centered care. The position offers a remote work setup, competitive benefits, and opportunities to...Remote workFull time
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provision accurate and timely coverage determinations for inpatient and outpatient services by applying UM criteria, clinical judgment, and internal policies. The role requires collaboration...Remote workFull time
- ...Oak Street Health is seeking a full-time Utilization Management Physician Reviewer to determine coverage for inpatient and outpatient services using UM... ...settings, while aligning with CMS and internal policies. This remote position offers a competitive salary range and...Remote workFull time
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to determine inpatient and outpatient coverage using UM criteria and clinical judgment. You will coordinate with internal teams to ensure medically appropriate care and maintain compliance...Remote workFull time
- ...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
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provide accurate coverage determinations for inpatient and outpatient services, applying UM criteria, clinical judgment, and internal policies. You will coordinate with care teams to...Remote workFull time
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provision accurate and timely coverage determinations for inpatient and outpatient services by applying UM criteria, clinical judgment, and internal policies. You will coordinate with...Remote workFull time
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to determine coverage for inpatient and outpatient services using UM... ...Medicaid, strong communication, and US work authorization. Anticipated 40-hour weeks; remote work option. #J-18808-Ljbffr...Remote workFull time
$174.07k - $374.92k
...Street Health in the United States is seeking a full-time Utilization Management Physician Reviewer to provide accurate and timely coverage determinations... ...applying UM criteria and clinical judgment. Working remotely, you will collaborate with care teams, stay current...Remote workWeekly payFull time- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer. This physician will determine inpatient/outpatient coverage using UM criteria, clinical judgment, and internal policies to ensure medically appropriate care. Collaboration with care teams...Remote workFull time
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to deliver accurate coverage determinations for inpatient and outpatient... ..., and support quality improvement initiatives while working in a remote, patient-centered #J-18808-Ljbffr...Remote workFull time
- ...Oak Street Health is hiring a Full-Time Utilization Management Physician Reviewer for a Remote/ Treehouse role. You will determine coverage for inpatient and outpatient services using UM criteria, clinical judgment, and internal policies, coordinating with care teams...Remote workFull time
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provide timely coverage determinations for inpatient and outpatient... ..., and 3–5 years in primary care. The position offers a remote work setup with a focus on regulatory compliance and...Remote workFull time
- ...Oak Street Health seeks a Full-Time Utilization Management Physician Reviewer to determine coverage for inpatient and outpatient services. The role relies on UM criteria, clinical judgment, and internal policies to recommend medically appropriate care, coordinating with...Remote workFull time
- ...Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to provide accurate coverage determinations for inpatient and outpatient services using UM criteria and clinical judgment. You will collaborate with PCP teams, stay current with CMS and...Remote workFull time
$130 - $145 per hour
...Hi, we’re Oscar. We’re hiring a part-time Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built around... ...Management. Work Location This is a remote position, open to candidates who reside in the United...Remote workHourly payFull timePart timeLocal areaWork from homeHome officeWeekend work$219k - $286.9k
Oscar Health is hiring a Physician Reviewer to join our Utilization Management team. You will determine the medical appropriateness of inpatient, outpatient,... ...information and applying evidence-based guidelines. This remote role in the United States offers work from home with...Remote jobWork from home- Oak Street Health in the United States is seeking a Full-Time Utilization Management Physician Reviewer to provide coverage determinations for inpatient and outpatient services using UM criteria and clinical judgment. You will collaborate with Transitional Care and PCP...Remote jobFull time
- Oak Street Health is hiring a Full-Time Utilization Management Physician Reviewer to provide timely coverage determinations for inpatient and outpatient... ...communication, and a willingness to collaborate across care teams in a remote setting. #J-18808-Ljbffr Oak Street HealthRemote jobFull time
- Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to determine inpatient and outpatient coverage using UM criteria and clinical judgment. You will coordinate with care teams to ensure medically appropriate decisions are made for patients...Remote jobFull time
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