Average salary: $137,345 /yearly

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Remote anywhere as long as they have TX license Weekdays for 8 hour shifts beginning July 1. The need may last only until October,...  ...understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases. (Note: Position does... 
Remote job
Permanent employment
For contractors
Shift work
Weekday work

Integrated Resources, Inc

Richardson, TX
5 days ago
Physician medical reviewer needed for REMOTE weekend work, minimum of two weekends per month. The pay rate is $105 per hour under a 12-month contract. Eligible to work from any state. This position requires an initial time commitment to undergo and complete training... 
Remote job
Hourly pay
Contract work
Shift work
Weekend work
Sunday
Saturday

HireOps Staffing LLC

Dallas, TX
17 hours ago
 ...Physician Reviewers iMPROve Health is seeking Vascular Surgery physician reviewers to conduct peer review. Reviewer Benefits * Use...  ...medical specialty. * Enjoy the convenience of reviewing cases remotely. Reviewer Duties * Provide final determinations... 
Remote job

Michigan Peer Review Organization

Detroit, MI
4 days ago
 ...Physician Clinical Reviewer- Pediatric Oncology - REMOTE at Prime Therapeutics in Boise, Idaho, United States Job Description Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and... 
Remote job
Internship

Idaho State Job Bank

Boise, ID
4 days ago
 ...commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to...  ...of a patient's ability to pay for health care. The Surgical Review Specialist prospectively reviews, validates, and audits... 
Remote job
Full time

St. Luke's University Health Network

Allentown, PA
3 days ago
 ...Remote/Location: Must reside within the Contiguous United States Hours: M-F, 8:00 AM - 5:00 PM EST Job Description: As a Desktop Reviewer/Applications Processor our successful team members perform in a variety of exciting areas geared towards... 
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AdNet AccountNet, Inc.

Baltimore, MD
4 days ago
 ...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 the health plan. Responsible for the... 
Remote job

Vivo HealthStaff

Brooklyn, NY
17 hours ago
 ...commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to...  ...of a patient's ability to pay for health care. The Charge Review Specialist, Physician Billing is responsible for all revenue... 
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St. Luke's University Health Network

Allentown, PA
17 hours ago
 ...Position Summary: The Utilization Reviewer (UR) is a strong advocate for clients to access medically necessary care by pursuing insurance...  ...need for the recommended length of treatment. Schedule: REMOTE Full-time, 40 hours/week Monday-Friday, 8am-4:30pm... 
Remote job
Full time
Monday to Friday

The Emily Program

Saint Paul, MN
1 day ago
 ...technologies, making this a great experience to add to your resume. Come join their winning team! This Contract role as a Remote Physician Reviewer will be responsible for evaluating clinical service requests made by an organization's members and providers, uses... 
Remote job
Contract work

Virtual Employee Services (I)

Richardson, TX
2 days ago
Job Title External Physician Reviewer Job Type Occasional Category Medical Services Location Work from Home FSM Based - Fort Smith, AR 72903 US Work from Home LR Based - Little Rock, AR 72201 US (Primary) Education Professional Travel... 
Suggested
Full time
Contract work
Local area
Work from home

Arkansas Foundation for Medical Care

Fort Smith, AR
4 days ago
Job Description: Remote UR Nurse for level II Trauma Center. Schedule will be Monday through Friday and expected need until November. Must Have: -Recent experience in Utilization Review 2 years or more. -Proficient in MCG, InterQual, and experienced with Epic.... 
Remote job
Holiday work
Shift work
Day shift
Monday to Friday

HexaQuEST Global - Healthcare

Chico, CA
2 days ago
 ...Major Responsibilities:E/ M experience required. Review assigned codes, which most accurately describe each documented diagnosis and...  ...ICD-10-CM coding guidelines along with modifier usage and medi Physician, Clinician, Specialist, Health, Education, Medical, Healthcare... 
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Advocate Aurora Health

Oak Brook, IL
1 day ago
 ...care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency...  ...medical services and procedures in the hospital setting. Utilization review is the assessment for medical necessity, both for admission to... 
Remote job

Community Health System

Franklin, TN
4 days ago
 ...passionate individuals dedicated to being a vital partner for health solutions in the public sector. Acentra seeks an OBGYN Physician Reviewer (PRN, Remote within Illinois) to join our growing team. Job Summary: The OB/GYN Physician Reviewer will provide principal... 
Remote job
Relief
Local area

Acentra Health

Lombard, IL
2 days ago
Overview: General Description The Director, LTC Medical Review will: Lead tracking and coordination of all direct bill therapy...  .... # Self-motivated and disciplined with the ability to work remotely. # Must be knowledgeable of the general interpretation of... 
Remote job
For contractors
Flexible hours

Healthpro Heritage, LLC

Greenville, SC
1 day ago
 ...We are seeking a Sr. Tax Reviewer for a growing CPA / Wealth Management Firm in Encino, CA. Sr. Tax Reviewer Responsibilities:--Review...  ...Individual, Corporate, Partnership, and Fiduciary Tax Returns.--Assist with Federal, State, and Tax, Remote, Senior, Technology, Staffing... 
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Goodwin Recruiting

Encino, CA
1 day ago
 ...confirm member eligibility and benefits Obtain additional documentation required for case review Place relevant documents into image repository Initiate outbound contact to members or prov Appeals, Clinical, Microsoft, Remote, Health, Technology, Healthcare, Benefits... 
Remote job

UnitedHealth Group, Inc.

Dallas, TX
4 days ago
 ...evaluation of processes for clinical performance improvement and peer review. The Coordinator supports concurrent oversight and review of...  ...-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and hospice and... 
Full time
Local area
Shift work

Providence

Santa Rosa, CA
2 days ago
 ...Join us as an Medical Director to conduct chart and peer reviews from your home office. where you'll be empowered to make...  ...~ Be a team player. Work collaboratively with over 500+ Physician Peers to help ensure patients receive proper care via evidence... 
Remote job
Holiday work
Full time
Part time
Work from home
Home office
Weekend work
Monday to Friday

Max Populi, LLC

New York, NY
2 days ago
 ...** **Position Summary:** Reporting to the VP Quality & Controls Assurance, the incumbent is responsible for independent quality reviews of medical claims, and evaluating Call Center activities for compliance with policies and Standard Operating Procedures (SOP). Additionally... 
Remote job
Local area
Immediate start

Commonwealth Care Alliance

Boston, MA
17 hours ago
 ...Job Title: Care Review Clinician Location: Remote (USA) Schedule: Monday - Friday, 8 AM to 5 PM MST Salary: $80,000-$100,000 + Benefit Package Experience Required: 3+ years of hospital acute care/medical experience, UM experience Summary: As a Bilingual... 
Remote job
Permanent employment
Temporary work
Monday to Friday

Morgan Stephens

Phoenix, AZ
3 days ago
 ...Remote Coding Quality Reviewer- Surgery at Guidehouse in Boise, Idaho, United States Job Description Job Family : General Coding Travel Required : None Clearance Required : None What You Will Do : The Remote Coding Quality Reviewer - Surgery will be responsible for accessing... 
Remote job
Hourly pay
Holiday work
Contract work
Flexible hours

Idaho State Job Bank

Boise, ID
1 day ago
 ...Street, a certified "Great Place to Work'' company, is searching for Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize your schedule and caseload within a standard Monday -... 
For contractors
Monday to Friday

Dane Street, LLC

Chicago, IL
17 hours ago
Reality Based Group is seeking a Video Review/CX Scout. The Video Review/CX Scout position plays a crucial role in ensuring our clients...  ...income. Responsibilities include: Video Review (Remote): Review and analyze shop footage from various client locations... 
Remote job
For contractors
Second job
Local area
Flexible hours

Reality Based Group

Missoula, MT
4 days ago
 ...respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. The QA Home Care Reviewer will facilitate the process of improving clinical documentation through extensive clinical documentation reviews and concurrent interactions... 
Remote job
Flexible hours

Yale-New Haven Health

New Haven, CT
4 days ago
 ...saving lives. Summary: Supporting recovery services, the Remote Review Coordinator is responsible for remotely reviewing medical...  ...7. Resourceful and accurate in communication with coworkers, physicians, and hospital staff. 8. Responsible for participating in quality... 
Remote job
Holiday work
Shift work

LifeLink

Tampa, FL
4 days ago
 ...com to see how we empower creators to own their own destiny. We're seeking a highly motivated Senior Manager of Security Risk & Reviews who will help us continue to evolve our Risk function by using engineering principles and data-driven strategies to precisely... 
Remote job
Hourly pay
Holiday work
Gangs
Flexible hours

Klaviyo

Boston, MA
1 day ago
 ...Position Title: Medical Claims Review Nurse Type: Fully Remote Schedule: Monday to Friday, 9:00 AM to 5:00 PM local time.  Daily Responsibilities: ~ Reviewing medical patient records against standard medical criteria. Minimum Qualifications: Three years... 
Remote job
Local area
Monday to Friday

Morgan Stephens

Philadelphia, PA
3 days ago
 ...solutions in the public sector. Acentra seeks a Prior Authorization Reviewer to join our growing team. Job Summary: The Prior...  ...Saturday shifts from 10:00 AM to 4:00 PM Central. ** ** This is a Remote position within the state of Alabama, where the selected... 
Remote job
Hourly pay
Full time
Work experience placement
Local area
Shift work
Saturday
Monday to Friday

CNSI

Auburn, AL
1 day ago