Remote Utilization Management Physician Reviewer
Oak Street Health
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 to ensure appropriate care. Must hold an unrestricted US medical license and MD/DO degree. You will review requests (acute, post-acute, pre-service) and stay current with CMS/MCG guidelines, while supporting compliance and quality #J-18808-Ljbffr
Vacancy posted 2 days ago
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San Diego, CA2 days ago - ...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
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Harahan, LA2 days ago - ...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
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New York, NY3 days ago - ...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
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Lexington, KY2 days ago - ...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
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San Francisco, CA2 days ago - ...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
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Kansas City, MO2 days ago - ...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
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Oakland, CA2 days ago - ...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
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Chicago, IL2 days ago - ...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
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Greensboro, NC2 days ago $219k - $286.9k
...Physician Reviewer - Utilization Management Remote Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving...Remote workFull timeLocal areaWork from homeHome officeWeekend workOscar Health
United States5 hours ago$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
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