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  •  ...Dane Street, LLC is seeking a Physician Reviewer/Advisor for Disability Peer Review. This telework role provides flexible scheduling for physicians to review medical records and offer independent opinions regarding disability benefits. Key responsibilities include reviewing... 
    Remote work
    Extra income
    Flexible hours

    Dane Street

    New York, NY
    2 days ago
  •  ...Job Title: Physician Reviewer Location: 100% Remote Duration: 2+ Years Contract Position+ Contract to Hire Schedule: 40hr, Mon- Fri, 8 am – 5.00 pm (Including - at least 2 weekends per month). Pay Rate: $105.00 hr. on w2 Job description: · This is a remote position and... 
    Remote work
    Contract work

    Careers Integrated Resources Inc

    United States
    15 days ago
  •  ...DRG Clinical Physician Reviewer We are seeking a highly experienced DRG Clinical Physician Reviewer to join our growing clinical review team. This is a fully remote opportunity for a physician with a strong background in utilization review and clinical validation who... 
    Remote work

    Med Review Inc

    United States
    1 day ago
  •  ...expanding and we need great people to join our team. The Physician Reviewer is the primary physician reviewer for Utilization Management...  ...apply to our internal career site, please click HERE ( Current Contingent Worker please see job aid HERE to apply #LI-Remote... 
    Remote work
    Hourly pay
    Full time
    Local area

    ChenMed

    Miami, FL
    1 day ago
  •  ...NM and OK licensure is preferred remote in any state except, CA, NY, HI, and AK 20 - 40 hours/week and possible weekend coverage...  ...evaluate clinical service requests. Participates in the Physician Review Units' appeal process of service denials. Participates in... 
    Remote work
    Weekend work

    Careers Integrated Resources Inc

    United States
    8 hours ago
  •  ...case management for members whose cases come for review, in partnership with case managers. Participates in the Physician Review Units' appeal process of service denials...  ...but may need to work 3-4 weekends per year remote, but must reside within one of our plan states... 
    Remote work
    Contract work
    Weekend work

    VIVA

    Richardson, TX
    2 days ago
  •  ...job and more exclusive features. Location: Remote (Must reside in IL, MT, NM, OK, TN, or TX) Position...  ...is seeking experienced, board-certified physicians to join their Medicare Utilization Management team as Physician Reviewers. In this remote role, you will review... 
    Remote work
    Full time
    Weekend work

    Solving IT

    New York, NY
    1 day ago
  •  ...Remote Physician Medical Reviewer Pre-service reviews only. Training will be for 3-4 days per week for at least 4 weeks, Monday - Friday 8a-5pm [CST]. Seeking physician medical reviewer for REMOTE weekend work - at least 2 weekends per month. Additional hours subject... 
    Remote work
    Work at office
    Monday to Friday
    Shift work
    Weekend work
    3 days per week

    Mindlance

    United States
    6 days ago
  • $105 - $115 per hour

     ...Oklahoma Type: Contract Job #103291 Job Title: Physician Reviewer Job Summary The Physician Reviewer is...  ...Pay Rate: $105 - $115/hour Work Arrangement: Fully remote (Not available in CA, NY, HI, or AK) Key Responsibilities... 
    Remote work
    Contract work
    Flexible hours
    Weekend work

    EPITEC

    Tulsa, OK
    1 day ago
  • $155 - $165 per hour

     ...exclusive features. Direct message the job poster from EPITEC As a Physician Reviewer, you'll play a critical role in ensuring that our members...  ...quality improvement activities What We Offer Fully remote work arrangement (Weekends only) 9AM to 6PM CST Opportunity to... 
    Remote work
    Full time
    Contract work
    Work at office
    Weekend work

    EPITEC

    New York, NY
    2 days ago
  •  ...Incomplete applications will not be considered. This position is located Remote United States This can be a full-time or part-time role Position...  ...National Practitioner Data Bank (NPDB) Medicare regulations or review experience, preferred Resided in the United States for a minimum... 
    Remote work
    Full time
    Contract work
    Temporary work
    Part time
    For contractors
    Local area

    TMF Health Quality Institute

    Austin, TX
    4 days ago
  •  ...A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed... 
    Remote work
    Full time
    Work from home

    ExamWorks

    New York, NY
    2 days ago
  • Recruitment Leader at Medix™ - Expert in Staffing APP’s and Physicians. The organization is a technology‑driven health insurance company...  ...of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence‑based guidelines.... 
    Remote job
    Weekend work

    Medix™

    Florida, NY
    5 days ago
  •  ...IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization. The role involves reviewing medical necessity determinations and applying InterQual criteria. Candidates should have an MD or DO, active board certification, and a background... 
    Remote work

    IntePros

    New York, NY
    2 days ago
  • A healthcare review company is seeking a Physician Reviewer to work telecommuting. This role utilizes clinical expertise to review insurance appeals and claims. Candidates must possess an active NM License and have a solid understanding of evidence-based guidelines. Responsibilities... 
    Remote work
    For contractors

    Dane Street

    Santa Fe, NM
    8 hours ago
  •  ...A healthcare management organization is seeking experienced Physician Reviewers to join their Medicare Utilization Management team in a remote position. Responsibilities include reviewing clinical service requests, applying evidence-based guidelines, and collaborating... 
    Remote work

    Solving IT

    New York, NY
    2 days ago
  • $174.07k - $374.92k

     ...Oak Street Health, part of CVS Health, is seeking a Full-Time Utilization Management Physician Reviewer to ensure accurate coverage determinations for inpatient and outpatient services. This role requires at least one year of Utilization Management experience in Medicare... 
    Remote work
    Full time

    Oak Street Health, part of CVS Health

    Chicago, IL
    1 day ago
  • $260k - $275k

     ...Medix™ is seeking a Board-Certified Physician for a fully remote, non-clinical role in Utilization Management. The position involves reviewing clinical documentation to determine the appropriateness of inpatient, outpatient, and pharmacy services. Ideal candidates will... 
    Remote work

    Medix

    New York, NY
    2 days ago
  •  ...A healthcare company is looking for experienced Physician Reviewers/Advisors in California for a telework position that offers supplemental income. The role involves reviewing medical records, interpreting the medical necessity of services, and providing advisory opinions... 
    Remote work
    Extra income

    Dane Street

    California, MO
    4 days ago
  •  ...A healthcare consulting firm is seeking a Physician Reviewer/Advisor to provide advisory opinions without establishing doctor/patient relationships. This telework opportunity offers schedule flexibility as physicians can choose case types and volume based on their availability... 
    Remote work
    For contractors

    Dane Street

    Grand Rapids, MI
    4 days ago
  •  ...A leading independent review organization is seeking a Utilization Management Physician Reviewer for a full-time remote role. Candidates must possess an active Nebraska medical license and have a minimum of 5 years clinical practice experience. Responsibilities include... 
    Remote work
    Full time
    Casual work
    Monday to Friday

    ExamWorks UM Strategies

    New York, NY
    2 days ago
  •  ...A telehealth review company is seeking a Physician Reviewer to evaluate insurance appeals and claims. This remote role requires candidates to hold licenses in NM, TX, MN, or NC. Responsibilities include reviewing medical records, ensuring compliance with client criteria... 
    Remote work
    Flexible hours

    Dane Street

    Dallas, TX
    4 days ago
  •  ...Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified...  ...Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role offering supplemental income... 
    Remote work
    Price work
    Extra income
    For contractors
    Flexible hours

    Dane Street

    New York, NY
    8 hours ago
  •  ...A healthcare services company is seeking a physician reviewer to utilize clinical expertise in reviewing insurance appeals and claims. This telework opportunity allows for a customizable schedule while ensuring compliance with client-specific policies. Candidates must... 
    Remote work
    Contract work
    For contractors

    Dane Street

    Washington DC
    4 days ago
  •  ...A healthcare organization is offering a remote role that requires a Doctor or PharmD degree. The position focuses on providing independent...  ...to practice, and board certification. The role includes reviewing Medicare regulations and ensuring all appeal issues are addressed... 
    Remote work

    TMF Health Quality Institute

    Austin, TX
    4 days ago
  •  ...A leading AI research firm is seeking experienced Physicians for flexible, project-based work to assess AI-generated medical content. Candidates...  ...DO degree and relevant clinical experience. The work is fully remote, allowing you to contribute between 5–20 hours per week as... 
    Remote work
    Flexible hours

    Handshake

    San Francisco, CA
    4 days ago
  •  ...A healthcare consulting firm is looking for a Physician Reviewer/Advisor for Disability Peer Review. This telework position offers supplemental income, allowing physicians to choose their services and case types according to their schedules. Responsibilities include reviewing... 
    Remote work
    Extra income
    For contractors
    Flexible hours

    Dane Street

    New York, NY
    2 days ago
  • $260k - $275k

     ...weekend every 16 weeks Position Type: Full-time | Remote | Non-clinical We are seeking a Board-Certified Physician to join a Utilization Management team in a fully...  ..., non-clinical role. This position focuses on reviewing clinical documentation and determining the medical... 
    Remote work
    Full time
    Weekend work

    Medix

    New York, NY
    2 days ago
  •  ...An established industry player is seeking a Remote Physician Reviewer for a 3-year contract role. This exciting opportunity involves evaluating clinical service requests, utilizing clinical judgment to adjudicate requests, and providing clinical leadership within the organization... 
    Remote work
    Contract work

    The Judge Group, LLC

    New York, NY
    2 days ago
  •  ...A recognized healthcare provider is seeking a Board Certified Orthopaedic Spine Surgeon to conduct utilization reviews. This telework position allows for a flexible schedule within a standard Monday – Friday work week. Responsibilities include reviewing medical records... 
    Remote work
    For contractors
    Monday to Friday
    Flexible hours

    Dane Street

    Washington DC
    4 days ago