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Remote Utilization Management Physician Reviewer

Oak Street Health

Oak Street Health is seeking a full-time Utilization Management Physician Reviewer to provision accurate coverage determinations for inpatient and outpatient services using UM criteria and clinical judgment. The role requires collaboration with care teams to ensure medically appropriate care is recommended and aligned with internal policies. Qualifications include MD/DO, current US medical license, 3–5 years of primary care experience, knowledge of CMS/MCG guidelines, and strong communication. #J-18808-Ljbffr

Vacancy posted 9 hours ago
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