Average salary: $262,962 /yearly
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- ...Part-Time | Remote (U.S. Based) Medical Review Institute of America (MRIoA) is a nationally recognized leader in utilization management and clinical review services, delivering... ...evidence-based solutions for more than Physician Advisor (Utilization Review) Part-Time |...SuggestedPart timeWork at officeRemote workWork from home10 hours per weekFlexible hoursShift workWeekend work
Medical Review Institute
Salt Lake City, UT3 days ago $103 per hour
Overview The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that... ...criteria and documentation requirements. Education/Advisory Physician Educator. Provide formal educational lectures and engage in...SuggestedHourly payDaily paidFull timeContract workPart timeFor contractorsApprenticeshipWork experience placementShift workNight shiftWeekend workAfternoon shift- The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient population and Hackensack UMC. These include but are not limited to utilization review...SuggestedDaily paidWeekend work
$174.07k - $374.92k
...care one person, one family and one community at a time. Company: Oak Street Health Title: Full-Time Utilization Management Physician Reviewer Location: Remote/ Treehouse Role Description: This full-time role is responsible for provisioning accurate...SuggestedHourly payFull timeLocal areaRemote workOak Street Health
Springfield, IL16 days ago- ...A recognized Independent Review Organization is seeking a Board-Certified Psychiatrist for a fully remote role conducting Utilization Reviews. Candidates should have an active New York medical license and Workers’ Compensation Board Certification. Responsibilities include...SuggestedExtra incomeRemote workFlexible hours
Dane Street
New York, NY3 days ago - ...to build stronger connections with patients and providers. Physician-led, Guidehealth empowers our partners to deliver high-quality... ...the exam room for all patients. What You’ll Be Doing Utilization Review & Clinical Determinations Complete timely review of healthcare...SuggestedBi-weekly payFull timeTemporary workFor contractorsLocal areaRemote workWork from home
Guidehealth
Peoria, IL3 days ago - ...A leading healthcare provider in the United States is seeking a Physician to provide utilization review services. The successful candidate will utilize clinical expertise to review medical records and ensure compliance with guidelines. This role includes reviewing prior...Suggested
Dane Street
New York, NY1 day ago - ...A healthcare review organization seeks a Physician Reviewer/Advisor in Delaware, Ohio. This role involves utilizing clinical expertise to review insurance appeals and claims while ensuring compliance with established guidelines. Responsibilities include thorough medical...SuggestedExtra income
Dane Street
Delaware, OH3 days 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...SuggestedRemote work
Solving IT
New York, NY1 day 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...SuggestedFull timeCasual workRemote workMonday to Friday
ExamWorks UM Strategies
New York, NY1 day 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...SuggestedFull timeRemote workOak Street Health, part of CVS Health
Chicago, IL17 hours ago$260k - $275k
...Type: Full-time | Remote | Non-clinical We are seeking a Board-Certified Physician to join a Utilization Management team in a fully remote, non-clinical role. This position focuses on reviewing clinical documentation and determining the medical appropriateness of inpatient...SuggestedFull timeRemote workWeekend workMedix
New York, NY1 day 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...SuggestedFull timeRemote workWork from home
ExamWorks
New York, NY1 day ago - ...IntePros is seeking a Physician Reviewer to provide remote support for a healthcare organization. The role involves reviewing medical necessity... ...offers a collaborative environment with opportunities to leverage clinical expertise in utilization management. #J-18808-Ljbffr...SuggestedRemote work
IntePros
New York, NY1 day ago - ...with standards. The ideal candidate is a board-certified MD or DO with at least 6 years of clinical experience and 1 year in utilization review. Responsibilities include timely medical reviews, clinical determinations, and accurate documentation. Licensure in Florida or...SuggestedFull time
- Hackensack Meridian Health Inc. is seeking a Senior Utilization Review Specialist in Hackensack, New Jersey, to collaborate with the healthcare team in managing and resolving utilization review activities and ensuring clinical record integrity. Candidates must hold a medical...Daily paidWeekend work
- ...Dane Street, a certified “Great Place to Work” company is seeking a Physician to provide utilization review services for the Group Health Department. This role requires utilizing clinical expertise to review medical records and provide an interpretation of the medical...
Dane Street
New York, NY1 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 workMedix
New York, NY1 day ago- ...Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-... ...Workers’ Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role...Price workExtra incomeFor contractorsRemote workFlexible hours
Dane Street
New York, NY4 days ago - TurningPoint Healthcare Solutions is hiring a Supervisor, Clinical Review Nurse in New York. This full-time role involves overseeing Utilization Management activities and leading a clinical team. Candidates should possess an active RN license, a minimum of five years of...Full time
- ...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...For contractorsRemote workMonday to FridayFlexible hours
Dane Street
Washington DC3 days ago - ...among the first 25 applicants Description Dane Street, a leading Independent Review Organization (IRO) and national provider of Utilization Review (UR) services, is currently expanding our physician panel. We are seeking Board-Certified Orthopedic Surgeons with an active...Extra incomeContract workFor contractorsRemote workFlexible hours
Dane Street
Wausau, WI3 days ago $211.2k - $277.2k
...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 our members. We started Oscar in 2012 to create the...Full timeLocal areaRemote workWork from homeHome officeWeekend workOscar Health
New York, NY17 hours ago- ...A healthcare administration company seeks a Utilization Management Nurse to perform medical necessity reviews while working remotely. The ideal candidate will be an active Licensed Practical Nurse (LPN) with strong proficiency in the Utilization Review process. Responsibilities...Remote work
Brighton Health Plan Solutions
Chapel Hill, NC3 days ago - The Per Diem Advanced Practice Nurse (APN) for Utilzation Review utilizes a patient-centered coordinated care model, demonstrating competencies... ...to New Jersey state law. Collaborative agreement with physicians on staff. Excellent written and verbal communication skills...Daily paidWork at office
- ...California - Irvine Health is looking for a Physician Advisor to support Community Network hospitals. This role involves reviewing medical records and collaborating with... ...staff and third parties regarding resource utilization. Candidates should have a minimum of 3 years...
- HURC is seeking a Physician Advisor to provide physician-to-physician reviews, clinical guidance, and education. Responsibilities include supporting utilization review and ensuring compliance with regulations. The ideal candidate must hold an MD or DO with appropriate...
- ...Medical Review Institute of America is seeking Board-Certified physicians in Radiology for a flexible remote Independent Contractor role conducting Utilization Reviews. The position requires a Medical Degree (MD or DO), a current state medical license in DC or Maryland...For contractorsRemote workFlexible hours
Medical Review Institute
Salt Lake City, UT3 days ago - ...A healthcare organization is seeking Board-Certified physicians in Oncology for a flexible, remote utilization review role. This position requires a Medical Degree (MD or DO) with a current license in Florida, Minnesota, or Oregon, and an active Board Certification in...Remote workFlexible hours
Medical Review Institute
Dallas, TX3 days ago - ...Medical Review Institute of America is looking for Board-Certified physicians in Radiology for a flexible remote Independent Contractor position. The role requires... ...hours per week, focusing on conducting independent Utilization Reviews while adhering to HIPAA regulations....For contractorsRemote workFlexible hours
Medical Review Institute
Anchorage, AK3 days ago
