Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Clinical Review Physician - Utilization & Care Management

Kaiser Permanente

Kaiser Permanente is seeking a Clinical Reviewer to adjudicate coverage requests using established criteria and contract language. You will document decisions, communicate rationale, and work with regional leaders to ensure timely reviews. The role requires an MD or DO with residency in internal or family medicine, Washington license, and experience in utilization/quality management. Strong collaboration and communication are essential. #J-18808-Ljbffr Kaiser Permanente

Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Clinical Review Physician - Utilization & Care Management in Renton, WA vacancy
  •  ...Group, a KP health plan partner, seeks a Clinical Reviewer to adjudicate coverage requests using...  ...communications and collaborate with care managers to ensure appropriate levels of care...  ...medicine residency; experience in utilization management and quality programs is preferred... 
    Suggested

    Kaiser Permanente - Washington Permanente Medical Group (WPM...

    Renton, WA
    4 days ago
  • JOB SUMMARY Clinical Reviewer Unit Physicians ensure that requests for coverage are adjudicated using...  ...chiefs, individual physicians and care management related to clinical review outcome...  ...hospital management, case management, utilization review, clinical pathways, and... 
    Suggested
    Contract work
    Immediate start
    Weekend work

    Kaiser Permanente - Washington Permanente Medical Group (WPM...

    Renton, WA
    4 days ago
  •  ...Medical Group in Renton, WA seeks a Clinical Reviewer to adjudicate coverage requests using...  ...regulatory timelines, and collaborating with care management teams. The role requires a medical...  ...Washington licensure; knowledge of utilization management and quality programs is... 
    Suggested

    Southern California Permanente Medical Group

    Renton, WA
    6 days ago
  •  ...Maternal Fetal Medicine Physician (MD/DO) | Full-Time Location...  ...by strong system-wide clinical resources and multidisciplinary...  ...comprehensive consultative and co-management care for high-risk pregnancies...  ...and care planning • Utilize EPIC EMR for documentation and... 
    Suggested
    Full time
    Local area

    The Provider Finder

    Renton, WA
    1 day ago
  • $300k - $325k

     ...Virtual Primary Care Physician Firefly Health is building...  ...and in-person clinical network, and our proprietary...  ...in quality review activities, contributing...  ...initiatives by supporting the management of high-complexity...  ...guiding appropriate utilization across the care... 
    Suggested
    Work at office
    Remote work
    Shift work

    Firefly Health

    Seattle, WA
    3 days ago
  •  ...patient-centered adult primary care, supported by seamless access...  ...emphasizes chronic disease management, preventive care, complex patient...  ...facilities, and robust clinical support. Position Summary...  ...Board-Eligible Internal Medicine Physician to join its expanding... 
    Permanent employment
    Full time

    The Provider Finder

    Renton, WA
    2 days ago
  •  ...mandated turnaround times. Our reviewers are compensated on a per-...  ...exams may be needed Job Summary Utilizes clinical expertise and reviews...  ...and retrospective claims. The Physician Reviewer will provide an interpretation...  ..., and standards of care. Major Duties and... 
    Contract work
    For contractors

    Dane Street

    Bellevue, WA
    6 days ago
  •  ...incumbent to provide patient care - direction -...  ...and leadership in the management of Chronic Pain and Opioid...  ...- therefore a clinical appointment at UW is included...  .... Currently employed physician(s) in VA who met the requirements...  ...- performing - reviewing - analyzing and... 
    Full time
    Contract work
    Traineeship
    Freelance
    Internship
    Work at office
    Local area
    Remote work
    Relocation package
    Monday to Friday

    U.S. Department of Veterans Affairs

    Seattle, WA
    3 days ago
  •  ...Nutritional Care Duties Nutritional Care:...  ...nutrition assessment utilizing the Nutrition Care Process...  ...recovery from illness, management of chronic disease or...  ...as a liaison between clinical units/wards and the food...  ...measurable outcomes and reviews the plan, as... 
    Permanent employment
    Remote work
    Relocation package
    Monday to Friday

    US Department of Veterans Affairs

    Seattle, WA
    1 day ago
  •  ...Position: Primary Care Physician (Family Medicine or Internal Medicine...  ...preventive medicine, chronic disease management, wellness care, same-day...  ...benefit from modern clinical spaces, coordinated support...  ...ancillary services as needed Utilize evidence-based guidelines and... 
    Permanent employment
    Full time

    The Provider Finder

    Renton, WA
    2 days ago
  • Occupational Medicine Clinical Consultant Location: US...  ...occupational health care company. With more than...  ...s medical model while utilizing the data and tools...  ...coordination and claims management that contribute to extended...  ...practices for Case Reviews and implement adoption... 
    Local area

    Concentra, Inc

    Seattle, WA
    4 days ago
  • $70 - $97 per hour

     ...Become a part of our caring community As a...  ...and periodic review of the Plan of Treatment...  ...Plan of Care. Utilize professional...  ...supervisor and/or the physician. Provide instruction...  ...Certification of Clinical Competence in...  ...care for patients managing a chronic condition... 
    Full time
    Temporary work
    Apprenticeship

    CenterWell

    Seattle, WA
    1 day ago
  • $70 - $97 per hour

     ...Join Our Caring Community As a therapist...  ...development and periodic review of the Plan of...  ...Plan of Care. Utilize professional...  ...supervisor and/or the physician. Provide instruction...  ...Certification of Clinical Competence in...  ...care for patients managing a chronic condition... 
    Temporary work

    CenterWell Senior Primary Care

    Seattle, WA
    1 day ago
  • $300k - $330k

    Requisition: 2026-0382 Physician - Sports Medicine (Renton, WA) | Full...  ...Medicine Physician to join our area clinics in our collaborative network...  ...patient-centered, team-based care to a diverse population of...  ...Inclusion on Becker's Hospital Review's list of 153 Great Community... 
    Full time
    Relocation package
    Flexible hours

    Valley Medical Center

    Renton, WA
    4 days ago
  • $275k - $325k

    Job Description Position: Primary Care Attending Physician Location: Danbury, CT Schedule: Full-Time Salary: $275,000 - $325...  ...telehealth primary care services. This role combines direct clinical care with quality management initiatives to optimize senior care. Key... 
    Daily paid
    Full time

    i4 Search Group

    Seattle, WA
    3 days ago
  • $125 per hour

     ...our scalable solutions and clinical expertise help solve programmatic...  ...to drive improvements in care delivery. After completion...  ..., daily work includes reviewing and analyzing clinical records...  ..., urology, or orthopedics. Utilization management experience preferred.... 
    Remote job
    Hourly pay
    Full time
    For contractors
    Work at office
    Local area
    Immediate start
    Work from home

    Virtix Health LLC

    Seattle, WA
    4 days ago
  •  ...deep understanding of diagnostic reasoning, chronic disease management, and patient care will help ensure AI systems deliver accurate, empathetic,...  ...reasoning. What You’ll Do: Design and solve advanced clinical scenarios reflecting internal or emergency medicine practice... 
    Remote job
    Contract work
    For contractors
    Freelance

    Turing

    Seattle, WA
    2 days ago
  •  ...Medicine, Division of Medical Genetics, seeks a full-time Assistant or Associate Professor on the Clinical Practice Track. The role is based at UW Medical Center to care for medical and biochemical genetics patients and to teach students and residents. Rank will be commensurate... 
    Full time

    UW

    Seattle, WA
    6 days ago
  •  ...Description Job Description Primary Care Physician (Family Medicine) | Full-Time...  ...across the lifespan • Diagnose and manage acute illnesses, chronic conditions...  ...-based care model with dedicated clinical support staff • Utilize EPIC EMR and integrated population... 
    Full time
    Work at office

    The Provider Finder

    Renton, WA
    2 days ago
  •  ...Maternal–Fetal Medicine Physician (MFM Specialist) Location...  ...and maintains strong clinical integration with a well-regarded...  ...comprehensive obstetric care, high-risk pregnancy management, advanced maternal...  ...quality initiatives, case reviews, and multidisciplinary team... 
    Permanent employment
    Full time

    The Provider Finder

    Renton, WA
    a month ago
  •  ...Job Description Primary Care Physician (MD/DO) | Full-Time Location...  ...patients across the lifespan • Manage acute and chronic conditions...  ...healthcare providers • Utilize evidence-based medicine to...  ...outpatient practice with strong clinical support and an emphasis on... 
    Full time

    The Provider Finder

    Seattle, WA
    a month ago
  • $245.58k

     ...want to be part of a caring, respectful, diverse community...  ...care. Supports clinical excellence through collaboration...  ...or procedures. Review and document patient's...  ...in developing and utilizing HealthPoint practice...  ...being involved with risk management and utilization... 
    Local area
    Shift work

    HealthPoint (Washington)

    Tukwila, WA
    4 days ago
  • $324.58k - $381.86k

     ...to provide exceptional care - and our model is...  ...Permanente Medical Group, our physicians benefit from...  ...their patients. From managing follow-up instructions...  ...care of many of the non-clinical responsibilities for you...  ...further information, please review the Know Your Rights... 
    Permanent employment
    Full time
    Local area

    Virginia Foundation for Healthy Youth

    Seattle, WA
    4 days ago
  • $295.3k - $347.41k

     ...geriatric fellowship trained physician(s) to join our clinic family at the Bellevue...  ...to be part of an integrated care delivery system that prioritizes...  ...clinical support to help manage patient needs & care...  ...further information, please review the Know Your Rights notice... 
    Full time
    Part time
    Live in
    Local area
    Immediate start
    Relocation package

    Virginia Foundation for Healthy Youth

    Bellevue, WA
    3 days ago
  • $130 per hour

     ...committed to improving access to very high-quality mental health care! Each clinician is dedicated to evidence-based care and a...  ...corporate administrative interference! Up to 240/hour clinical medication management, reimbursement organized per code, choice of 30 min or 20... 
    Hourly pay
    Full time
    Temporary work
    Work from home

    BlueSky Telepsych

    Renton, WA
    3 days ago
  • $340k - $360k

     ...perfect time to join our clinical team! We are actively...  ...about patient care and committed to clinical...  ...PsychiatryExperienced in both medication management as well as therapy....  ..., our recruiters utilize email addresses with...  ...as they will not be reviewed or responded to. To... 
    Full time
    Work at office
    Weekend work

    LifeStance Health

    Renton, WA
    2 days ago
  • $41.47 - $68.43 per hour

     ...Language Pathologist (Acute Care) - CCC Required (2023-0...  ...descriptions are reviewed and revised to meet the...  ...Speech Language Pathologist Clinical Resource JOB OVERVIEW:...  ...REPORTS TO: Manager, designee - Supervisor...  ...quality patient care. Utilize technology for communication... 
    Daily paid
    Full time
    Interim role
    Relocation package
    Monday to Friday
    Shift work
    Weekend work

    Valley Medical Center

    Renton, WA
    6 days ago
  • $300k

     ...ophthalmic groups, offering excellent clinical support, state-of-the-art facilities...  ...about who we are, our culture, our physician leadership, and the communities we...  ..., we are known for our cutting-edge care, collaborative co-management model, and commitment to outstanding... 
    Full time
    Part time

    Sight Partners Physicians

    Renton, WA
    4 hours ago
  • $274.9k - $328.6k

     ...One Medical is a primary care solution challenging the industry...  ...preventive care, chronic care management, common illnesses and mental...  ...Continuous learning during weekly Clinical Rounds and through other...  ...with virtual clinical teams  Utilization of your specific clinical... 
    Full time
    Temporary work
    Work at office
    Relocation package

    One Medical

    Seattle, WA
    7 hours ago
  • $274.9k - $328.6k

     ...One Medical is a primary care solution challenging the industry...  ...preventive care, chronic care management, common illnesses and mental...  ...Continuous learning during weekly Clinical Rounds and through other...  ...with virtual clinical teams  Utilization of your specific clinical... 
    Full time
    Temporary work
    Work at office
    Relocation package

    One Medical

    Seattle, WA
    7 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Clinical Review Physician - Utilization & Care Management. Be the first to apply!