Average salary: $223,249 /yearly
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- ...Description Job Description: Manager of Clinical Utilization Management - Denial Compliance... ...staff, managing daily tasks, performance reviews, and any necessary disciplinary actions.... ...communication and collaboration with physician reviewers, medical directors, and other...SuggestedPermanent employmentFull timeTemporary workRemote workFlexible hours
Vivo HealthStaff
Burbank, CA12 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 a. Physician Educator. b. Provide formal educational lectures and engage...SuggestedHourly payDaily paidFull timeContract workPart timeFor contractorsWeekend work$75.12 per hour
...Overview The Per Diem Advanced Practice Nurse (APN) or Physician Assistant (PA) for the Transition Utilzation Review Team utilizes a patient-centered coordinated care model, demonstrating competencies in leadership, direct clinical practice, consultation/collaboration...SuggestedHourly payDaily paidFull timePart timeApprenticeshipWork experience placementWork at officeShift workNight shiftWeekend workAfternoon shiftHackensack Meridian Health
Hackensack, NJ4 days ago- ...The Per Diem Advanced Practice Nurse (APN) or Physician Assistant (PA) for the Transition Utilzation Review Team utilizes a patient-centered coordinated care model, demonstrating competencies in leadership, direct clinical practice, consultation/collaboration, coaching...SuggestedDaily paid
HACKENSACK UNIVERSITY MED CNTR
Hackensack, NJ4 days ago - ...Utilization Review Advisor- Physician (MD/DO) Fairfax, VA, United States Job Identification: 672754 Posting Date: 01/06/2026, 06:36 PM Job Schedule: Full time Locations: Inova Center for Personalized Health Job Description: Inova Fairfax Medical Campus...SuggestedFull timeRemote workFlexible hours
Accreditation Council For Graduate Medical Education
Fairfax, VA2 days ago - ...Job Description Please find below the detailed job description and share with me your updated resume: Job Title : Physician Reviewer Location : Remote Start Date : 2026-02-05 Contract : 24 Plus Months of contract with possible extension Job Description...SuggestedContract workRemote work
Mindlance
Irving, TX4 days ago $91.91k - $120.63k
...Job Description Job Description Hi, we're Oscar. We're hiring a Nurse Supervisor, Utilization Review to join our Utilization Review team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving...SuggestedFull timeRemote workWork from homeHome officeOscar Health
Tempe, AZ10 days ago- ...Job Description Travel Nurses, Inc. is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Orange, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 02/23/2026 ~...SuggestedWeekly payShift work
Travel Nurses, Inc.
Orange, CA2 days ago $211.2k - $277.2k
...Job Description Job Description 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....SuggestedFull timeLocal areaRemote workWork from homeHome officeWeekend workOscar Health
Tampa, FL23 days ago- ...A leading health services company in South Carolina is hiring a Clinical Specialist to oversee utilization review and care coordination for autism spectrum disorder. The ideal candidate will have a PhD or PsyD in Clinical Psychology, with at least 5 years of behavioral...SuggestedFull time
Southcarolinablues
West Columbia, SC2 days ago - ...Physician Reviewer Opportunity Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of... ...license and Workers' Compensation Board Certification to conduct Utilization Reviews. This is a fully remote, non-clinical role...SuggestedPrice workExtra incomeFor contractorsRemote workFlexible hours
Dane Street
Pittsburgh, PA2 days ago - ...A health services company is seeking a UR Intake Specialist to support the Utilization Review department. This hybrid role involves handling calls, verifying patient information, and entering requests in the CareMC program. Candidates should have strong multi-tasking...Suggested
CorVel
Downers Grove, IL2 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...SuggestedDaily paidWork at office
$214.24k
A prominent healthcare institution in Hackensack is seeking a Utilization Review Physician responsible for ensuring compliance with clinical documentation and regulations. The role involves collaboration with medical staff, overseeing patient status determinations, and...Suggested- ...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
- ...Job Description Job Description Position Summary Onsite Villa Rica GA Lead and manage the Utilization Review team that reviews member transportation requests outside contractual mileage guidelines and non‑covered Medicaid services/locations. Ensure timely...Flexible hours
Verida Inc
Villa Rica, GA5 days ago - Physician Advisor - Centralized Utilization Review - FT Days - MHS Location: Hollywood, Florida Summary Ensures documentation, data capture and opportunities for utilization are compliant, accurate and consistent. Responsibilities Makes decisions on referred individual...Work experience placementWork at officeShift workWeekend work
- ...documentation, data capture and opportunities for utilization are compliant, accurate and consistent.... ..., follow-up and focused chart audits/reviews (concurrent and retrospective) for the... ...) - State of Florida (FL) Osteopathic Physician License (OS LICENSE) - State of Florida...Work experience placementWeekend work
- 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...Extra income
- A leading healthcare institution in Fairfax, VA, is seeking a full-time Utilization Review Advisor - Physician (MD/DO). The role involves conducting medical necessity reviews and managing denial processes to ensure compliance in billing practices for hospital patients....Full time
- A leading healthcare provider in New York is seeking a Medical Doctor to oversee utilization review processes. The role requires collaboration with medical staff, critical decision-making on patient cases, and strong communication skills. Candidates must have a valid Medical...
- A leading healthcare provider in Virginia is seeking a Utilization Review Advisor-Physician to conduct medical necessity reviews and assist with denials management. This role requires a medical degree, board certification, and an active Virginia medical license. Key responsibilities...Flexible hours
- ...Job Description Job Description Physician Peer Reviewer – Psychiatrist - South Carolina Federal Hearings and Appeals Services (FHAS)... ...Independent Medical Review Organization (IRO) with Health Utilization Management (HUM) accreditation. For the past 30 years, FHAS...Contract workWork experience placementWork at officeRemote work
Federal Hearings And Appeals
Wilkes Barre, PA9 days ago $90k - $125k
...centric healthcare experience, and drive physician, patient and employee engagement across... ...and create your future. The Manager of Utilization Management is responsible for planning,... ...implementation of the Utilization Review Plan and the overall operation of the Utilization...Contract workWork at officeLocal area$70.97 - $125 per hour
...sector. Job Description Acentra seeks a Psychiatrist Physician Reviewer (PRN) to join our growing team. Job Summary: The Psychiatrist... ...to operations relating to the peer review process, utilization review activities, and other activities requiring clinical...Hourly payReliefLocal areaRemote workCNSI
United States3 days ago- About Dane Street Dane Street is a leading Independent Review Organization (IRO) and national provider of Utilization Review services. As we continue to expand our physician panel, we’re offering flexible, remote opportunities for board-certified physicians seeking supplemental...Extra incomeFor contractorsRemote workFlexible hours
$211.2k - $277.2k
A healthcare company is hiring a Physician Reviewer for their remote Utilization Management team. The role involves assessing medical appropriateness of services, conducting peer discussions, and ensuring documentation compliance. Candidates should have board certification...Remote job- ...leading health insurance company is hiring a fully remote Physician Reviewer to evaluate care requests, ensuring adherence to medical guidelines... ...DO, 5-6 years of clinical practice, and at least 1 year of utilization review experience in managed care. Enjoy the flexibility of...Remote job
- ...Job Description Job Description Description: Job Summary The Assistant Director, Utilization Review is responsible for assisting the Director, Utilization Review with the leadership, supervision and training of the Utilization Review and Quality Departments, as...Work at officeLocal area
Nexus
Schertz, TX12 days ago $90k - $125k
A leading healthcare consulting firm is seeking a Nurse Manager for Utilization Review in Chicago. This managerial role requires overseeing the implementation of the Utilization Review Plan, managing review staff, and ensuring compliance with healthcare regulations. Candidates...
