Average salary: $259,600 /yearly
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- ...Job Description Job Description 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...SuggestedRemote work
Vivo HealthStaff
New York, NY9 days ago $51 per hour
...Utilization Review Specialist (BCBA Licensee)Baltimore, MD (Remote – offsite) Contract To Hire $51/hr (W2) 100% Remote Must be Licensed in one of the 3 states: MD, VA or Washington D.C.Utilizing key principles of utilization management, the Utilization Review Specialist...SuggestedContract workWork at officeRemote workWork from homeSystem One Holdings, LLC
Baltimore, MD20 hours ago$51 per hour
...Job Title: Utilization Review Specialist (BCBA Licensee) Location: Baltimore, MD (Remote – offsite) Type: Contract To Hire Compensation: $51/hr (W2) Work Model: 100% Remote Must be Licensed in one of the 3 states: MD, VA or Washington D.C. Overview...SuggestedContract workTemporary workWork at officeLocal areaRemote workWork from homeSystem One
Baltimore, MD7 days ago- Medical Review Institute of America (MRIoA) seeks Board-Certified Family Medicine physicians to perform independent Utilization Reviews. This flexible, fully remote 1099 contractor role requires 1-2 hours per week with no minimum commitment. Applicants must hold an MD/DO...SuggestedRemote jobFor contractorsFlexible hours
- ...ChenMed is looking for a Licensed Physician Reviewer – Ortho for a remote role based in Miami, FL. This position involves conducting Utilization Management reviews and advising other physician reviewers while participating in quality improvement efforts. The ideal...SuggestedRemote work
ChenMed
Miami, FL1 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...SuggestedPrice workExtra incomeTemporary workFor contractorsRemote workFlexible hours
Dane Street, LLC
New York, NY1 day ago $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
Illinois13 days ago$219k - $286.9k
...Physician Reviewer - Utilization Management 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...SuggestedFull timeLocal areaRemote workWork from homeHome officeWeekend workOscar Health
United States5 days ago- ...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...SuggestedRemote work
Dane Street
United States4 days ago - ...Working fully remote in a full-time capacity, the Utilization Management Physician Reviewer will be responsible for making accurate coverage determinations for inpatient and outpatient services by applying utilization management criteria and clinical judgment while ensuring...SuggestedFull timeRemote work
Virtual Vocations Inc
United States5 days ago - ...ABOUT MRIoA Founded in 1983, Medical Review Institute of America (MRIoA)is a... ...(IRO) specializing in technology-driven utilization management and clinical medical review solutions... ...are currently seeking Board-Certified physicians in RADIOLOGY to conduct independent Utilization...SuggestedFull timeContract workFor contractorsRemote workFlexible hours
Medical Review Institute of America
Remote22 days ago - Oscar Health is hiring a part-time Physician Reviewer to join the Utilization Management team. You will determine the medical appropriateness of inpatient, outpatient, and pharmacy services by reviewing clinical information and applying evidence-based guidelines. This...SuggestedRemote jobPart timeLocal area
- ChenMed is seeking a Physician Reviewer to lead utilization management reviews and advise fellow physicians. The role includes coordinating care with health plans and local teams, participating in QA and delegated UM processes, and supporting territory-based case development...SuggestedRemote jobLocal area
- Oak Street Health is seeking a Full-Time Utilization Management Physician Reviewer to ensure accurate coverage determinations for inpatient and outpatient services. The role involves collaborating with care teams and making utilization management decisions based on clinical...SuggestedRemote jobFull time
- 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...SuggestedExtra incomeFor contractorsRemote workFlexible hours
- 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 job
- 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 jobFor contractorsMonday to FridayFlexible hours
- Oak Street Health seeks a full-time Utilization Management Physician Reviewer to determine coverage for inpatient and outpatient services using UM criteria and clinical judgment. The role emphasizes coordinating with care teams to ensure medically appropriate care and adherence...Remote jobFull time
- Brighton Health Plan Solutions is seeking an Utilization Management Nurse to perform medical necessity and benefit reviews remotely. The role requires current LPN licensure and expertise in CMS/MCG criteria with experience in inpatient/outpatient reviews. The successful...Remote job
- ...York, seeks experienced Board-Certified Orthopedic Surgeons for a fully remote, non-clinical position. Qualified physicians will conduct Utilization Reviews, providing objective, evidence-based opinions on treatment requests. Responsibilities include reviewing medical records...Remote jobExtra income
- ...care system in California. The Medical Director, Utilization Management - will report to the Sr. Medical Director... ...you will deliver and collaborate on clinical review activities, which includes management of the physician processes in support of utilization management and...Full timePart timeWork at officeLocal areaWork from homeHome office2 days per week
Blue Shield Of California
Los Angeles, CA4 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 jobFlexible hours
- Rheumatology (MD/DO) Utilization Review - Remote Contract (1099) Apply for this independent contractor position with Medical Review Institute... .... The Opportunity We are seeking board‑certified physicians in rheumatology to conduct independent utilization reviews....Remote jobContract workFor contractorsFlexible hours
- ...highly skilled Medical Director to join our growing team. This pivotal role will be responsible for overseeing and performing utilization reviews, prior authorizations, and making crucial medical necessity determinations. The Medical Director will serve as a key clinical...Full timeRemote work
CURAtive
Austin, TX4 days ago $248.5k - $373k
...businesses, is seeking an internal medicine or family medicine physician to join our Utilization Management team. Optum is a clinician-led care... ...organizational determination processesParticipates in case review and medical necessity determinationMaintain proficiency in...Minimum wageFull timeWork experience placementWork at officeLocal areaRemote workWork from home- ...Director Board Certified in Medical Oncology (or Hematology/Oncology) for a remote role across the USA. You will perform chart review and utilization review for health plan companies with experience in imaging cases. Must be board-certified with active license and 5+ years...Remote jobFull timeImmediate start
$70.97 - $125 per hour
...Psychiatrist Physician Reviewer - PRN - Remote (Within Illinois) Part-time Acentra Health exists to empower better health outcomes... ...expertise to operations relating to the peer review process, utilization review activities, and other activities requiring clinical...Hourly payPart timeReliefLocal areaRemote workCNSI
Lombard, IL1 day ago- Join Optum/UnitedHealth Group to support behavioral health and substance abuse case management through utilization reviews and care coordination. While not a member facing role, you'll help ensure they receive the right level of care at the right time. This is a fully remote...Remote workMonday to Friday
Optum
Sedona, Yavapai County, AZ2 days ago $55k - $70k
...Billing Solutions delivers hands-on, process-driven operational support to behavioral health programs. We are looking for a Utilization Review (UR) Specialist in Boca Raton, FL Compensation: $55,000 - $70,000 a year - (Based on experience) Full-time Why Join...Full timeWork at officeRemote workQuadrant Health Group
Coral Springs, FL1 day ago$80 per hour
...healthcare professionals experienced in prior authorization, utilization management, clinical review, medical necessity criteria, payer authorization... ...especially valuable depending on project scopeExperience in physician office, hospital, health system, payer, managed care,...Hourly payPart timeFor contractorsWork at officeRemote workFlexible hours24-MAG LLC
New York, NY3 days ago
