Remote Physician Advisor - Utilization & Appeals Leader
Ensemble Health Partners
- Remote job
Ensemble Health Partners is seeking a Physician Advisor to render compliant status determinations for hospitalized patients, conduct peer-to-peer reviews with payors' medical directors, and serve as a subject matter expert on utilization management (UM) issues. The role reviews short inpatient stays and observation patients daily while building strong relationships with medical staff and leadership to support UM initiatives. #J-18808-Ljbffr Ensemble Health Partners
- ...The Physician Advisor Lead provides clinical leadership, mentorship, quality... ..., and high-quality utilization management outcomes across HURC... ...continued stay reviews, denials, appeals, and payer processes.... ...Ability to work effectively in a remote, client-facing environment while...Remote workFull time
- Client is seeking a Physician Advisor to join the Hospitals & Medical Centers space in a remote capacity. The role guides utilization management decisions supporting inpatient care, observation... ...and resolve coverage and appeals issues. This position supports quality...Remote job
- ...leading healthcare organization is seeking a RCS-Physician Advisor to join their Denial Management team. This full-time remote position requires a medical degree and board... ...to help optimize hospital services and resource utilization. #J-18808-Ljbffr Indiana University HealthRemote jobFull time
$160k - $300k
...Physician Advisor Optum Insight is improving the flow of health data and... ...to-peer discussions, manage appeals, and ensure appropriate... ...enjoy the flexibility to work remotely from anywhere within the U.S... ...Relationship Managers, and Team Leaders with prompt responses to...Remote jobMinimum wageFull timeWork experience placementLocal areaAll shiftsFlexible hoursWeekend workAfternoon shift- ...Job Purpose The Physician Advisor provides physician-to-physician reviews, clinical guidance... ...practices and appropriate resource utilization. Duties & Responsibilities... ..., level of care and denial prevention/appeals Support utilization review and case...Remote workContract workWork at officeLocal area
- ...The Physician Advisor provides physician-to-physician reviews, clinical guidance... ...and appropriate resource utilization. Key Responsibilities... ...care, and denial prevention/appeals Support utilization review... ...cycle teams Experience in a remote or consulting healthcare...Remote work
- HURC Healthcare Solutions is seeking a Physician Advisor Lead to provide clinical leadership, mentorship, quality oversight, and operational... ...determinations, P2P performance, denials prevention, and utilization management outcomes across client engagements. #J-18808-Ljbffr...Remote job
- The Physician Advisor Lead at HURC provides clinical leadership, mentorship, and quality oversight across the Physician Advisor team while... ...improve medical necessity determinations, P2P performance, and utilization management outcomes, while guiding onboarding and ongoing...Remote job
$198k - $297k
...hospitals and affiliated physician groups. They offer... ...The Physician Advisor provides... ...managing resource and utilization to deliver quality... ...results through other leaders by empowering them... ...with denials and appeals as appropriate... ...scale. This is a remote position; however,...Remote workTemporary workWork at officeLocal area- Wellstar Health System in Georgia is seeking a Physician Advisor to influence quality, utilization, and patient outcomes through performance improvement and education initiatives across facilities. You will collaborate with CMOs, Care Coordination, and hospital leadership...
$198k - $297k
For our client, we are seeking a Physician Advisor to join the team of a leader in the Hospitals & Medical Centers space. This remote role will help guide utilization management decisions that... ...collaboration and resolve coverage and appeals issues. This position plays an...Remote workFlexible hours- ...Regional Physician Advisor Make a broader impact beyond patient... ...partnering with physicians and leaders across the health system... ...Revenue Cycle's Utilization Review and Denials/Appeals processes to determine and... ...that are available as remote work, Sentara Health employs...Remote workFull timeTemporary workDay shift
$130 per hour
...Physician Advisor - AI Research Participants - United States (Remote) Location: Remote, United States Type of participation: Freelance, task-based Indicative... ...in physician advising, clinical review, or utilization management to join Prolific’s Expert Network for...Remote workHourly payContract workFreelance$150.08k - $199.07k
...and workflow orchestration. As our Physician Advisor , you will help our client facilities... ...is essential for excelling in this remote position. Here’s what you will experience... ..., and resolution of documentation and utilization issues. Required Skills: Active,...Remote workFull timeLocal area$176.13k
...philosophy, consider joining our team! Position Purpose The Physician Advisor optimizes efficient management of resources, ensuring... ...and determination of medical necessity in case evaluation and utilization management. The Physician Advisor collaborates with a...Remote workFor contractorsWork at officeLocal area$150 per hour
...JobThe temporary Medicare Advantage Utilization Management (UM) Physician provides physician-level decision-making... ..., concurrent review, and appeals programs. This role serves as the clinical... ...$200.00 per hourWork Mode - Mostly Remote: Employees who reside outside the local...Remote workTemporary workPart timeFor contractorsWork at officeLocal areaRelocation$150 per hour
...Job The temporary Medicare Advantage Utilization Management (UM) Physician provides physician-level decision-... ...authorization, concurrent review, and appeals programs. This role serves as the... ...0.00 per hour Work Mode - Mostly Remote: Employees who reside outside the local...Remote workHourly payTemporary workPart timeFor contractorsWork at officeLocal areaRelocation- ...Medicine) looking for a full-time, remote job in a nonclinical setting?... ...\n ExamWorks is seeking a physician board-certified in either... ...the team full-time as a Utilization Management Physician Reviewer... ...high quality work. \n Review appeals or complaints that relate to...Remote workFull timeMonday to FridayWeekend work
$211.2k - $275k
...Location: 100% Remote (Must reside in an eligible U.S. state; must... ...seeking a board-certified physician to join a collaborative clinical... ...as a Physician Reviewer in Utilization Management . In this role, you... ...initial requests, escalations, and appeals using evidence-based...Remote workLocal areaImmediate startHome officeMonday to FridayWeekend work- ...Med-Metrix, LLC is seeking a Physician Advisor to provide physician-to-physician reviews, clinical guidance, and education to promote evidence-based care and appropriate resource utilization. You will support utilization review and case management teams with complex...
- ...Physician Advisor II The Physician Advisor II serves as a leader on the Physician Advisor team, mentoring, teaching internally and externally, maintaining quality... ..., social services, discharge planning, and utilization management to recommend methods to optimize use...Remote jobWork at officeLocal areaMonday to FridayShift work
- ...expanding its panel of Physician Reviewers. We are currently... ...to conduct Utilization Reviews. This is a fully remote, non-clinical role offering... ...treatment requests and appeals. No patient contact, no... ...Dane Street is a national leader in Utilization Review and...Remote workPrice workExtra incomeFor contractorsFlexible hours
$320k - $340k
...Lead Medical Director, Utilization Management based in... .... This is a senior physician leadership opportunity... ...access, and outcomes. This remote-first role combines... ...-to-peer discussions, appeals, and provider education... ...Advise organizational leaders on utilization...Remote workFull timeWork at officeFlexible hours$320k - $340k
...powerful tool that helps physicians make informed health... ...need it most. The Utilization Management team supports... ...-to-peer discussions, appeals, and provider education... ...Advise organizational leaders on UM strategy,... ...Additionally, we embrace a remote-first culture that supports...Remote workFull timeWork experience placementWork at officeLocal areaFlexible hours$134k - $146k
...visit Position Summary: The Lead Utilization Management Pharmacist will oversee and manage... ...including prior authorization and appeal reviews, override requests, and inbound... ...minimal supervision, stay productive in a remote, high-volume, metric driven call center...Remote workFull timeContract workLocal areaFlexible hoursShift workWeekend work$93.6k - $312k
...Overview: Physician Advisor – Sentara Virginia Beach General... ...with physicians and leaders across the health system... ...peer discussions and appeal letters, in support... ...'s centralized Utilization Review (UR) process.... ...that are available as remote work, Sentara Health...Remote workFull timeTemporary workShift work$52 - $56 per hour
...Description Job Description You've done UM. You've worked appeals. Now find a role that uses both. We're hiring a... ...apply the same medical necessity judgment you built in utilization management. 100% remote (U.S.) | Contract | $52–$56/hr based on experience...Remote jobContract workAfternoon shift- ...Job Description Job Description Vivo HealthStaff is recruiting for a Utilization Review Physician based in New York for a Managed Care Insurance Plan. This position requires 4 days per month on-site. The Utilization Review Physician is the lead clinician for...Remote job
- ...Integra Partners is seeking an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals in a managed care UM program. You will collaborate with the Medical Director to review benefit language, medical necessity, and appeals within NCQA...Remote work
$81.95k - $110.24k
...hospitals and affiliated physician groups. They offer... .... The Lead Utilization Review RN is a key... ...to physician advisor in a timely manner... ...Coordinates the appeal process with the liaison... ...#LI-LS1 #LI-REMOTE Join an award-winning... ...Cycle 2019-2024 Leader in Everest Group's...Remote workFull timeWork at officeLocal area
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