Average salary: $259,600 /yearly
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- Overview We are seeking a high‑performing Physician Reviewer to join our Group Health division. The role is responsible for delivering timely, defensible utilization review determinations across a high-volume, fast-paced environment. Reviews span multiple case types, including...SuggestedFull timeTemporary workWork at officeRemote workWork from homeMonday to FridayNight shift
- ...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 - ...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 $174.07k - $374.92k
...simplify health 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 and...SuggestedHourly payFull timeLocal areaRemote workOak Street Health
Springfield, IL4 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...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 - ...Utilization Physician Reviewer At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians...SuggestedReliefRemote workShift workWeekend work
- ...Orthopedic Surgeon Utilization Review Opportunity Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Orthopedic Surgeons with an active New York medical...SuggestedPrice workExtra incomeFor contractorsRemote workFlexible hours
- ...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...SuggestedFull timePart timeWork at officeLocal areaWork from homeHome office2 days per week
Blue Shield Of California
Los Angeles, CA2 days ago - ...remote/hybrid Must have 3-5 year in a hospital setting doing utilization management. This job will require the first 3 months... ...Accurate medical necessity screening and submission for Physician Advisor review Care coordination that includes admitting diagnosis/ medical...SuggestedWork at officeLocal areaRemote work
- 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 candidate...SuggestedRemote job
- 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 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,...SuggestedRemote jobFor contractorsMonday to FridayFlexible hours
- ...is seeking an experienced Medical Director to conduct clinical reviews and guide decision-making in inpatient care. The role... ...of clinical experience, with a focus on hospital medicine and utilization review. Join a distinguished team to impact patient outcomes while...SuggestedRemote work
Humana
Columbus, OH3 days ago - ...A leading healthcare company in Washington, D.C. is seeking a Medical Director to oversee inpatient medical necessity reviews and utilization management. This role requires strong analytical and communication skills, as well as 5+ years of clinical experience post-residency...SuggestedRemote work
Humana
Washington DC2 days ago - ...Director to conduct inpatient medical necessity reviews while collaborating with healthcare providers. This role requires a physician with at least 5 years of post-residency... ...performing clinical reviews, providing utilization management determinations, and ensuring compliance...Remote workMonday to Friday
Humana, Inc.
Nashville, TN2 days ago - 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
- 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
- ...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
- ...experience to ensure our client’s revenue cycle is managed in the most efficient and streamlined manner. We are seeking to add an ABA Utilization Review (UR) Specialist to our growing team. The ABA UR Specialist will utilize his or her knowledge and skills to review clinical...Work at officeRemote workFlexible hours
Spectrum Billing Solutions
Skokie, IL2 days ago - Comagine Health is seeking a Clinical Utilization Review Nurse (RN) to work remotely. This role involves assessing the necessity and quality of healthcare services through various review methods, ensuring compliance with clinical criteria. The ideal candidate must hold...Remote job
- Comagine Health is looking for a Clinical Utilization Review Nurse (RN) to perform remote assessments on the medical necessity of healthcare services. This full‑time position involves managing utilization reviews and ensuring compliance with clinical policies for quality...Remote jobFull time
$223.8k - $313.1k
...company is seeking a Medical Director to provide expert clinical reviews and advance patient outcomes. This remote position emphasizes... ...abilities. Join a dedicated team focused on effective utilization management while enjoying a competitive compensation range of...Remote workHumana
Springfield, IL3 days ago- ...Association Inc is seeking a Medical Director to enhance health outcomes via effective clinical reviews and provider collaboration. This role requires an M.D or D.O. with a focus on utilizing evidence-based medicine to support care delivery. With responsibilities including...Remote job
$2,250 per week
...AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Fort Myers, Florida. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 07/27/2026 ~...Temporary workRemote workShift workNight shiftWeekend workAMN Healthcare Revenue Cycle
Fort Myers, FL2 days ago$2,250 per week
...AMN Healthcare Revenue Cycle is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Towson, Maryland.Job Description & RequirementsSpecialty: Utilization ReviewDiscipline: RNStart Date: 07/06/2026Duration: 13 weeks36 hours per weekShift...Remote workMonday to FridayShift workAMN Healthcare Revenue Cycle
Towson, MD2 days ago$55k - $70k
...Utilization Review Specialist - Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary $55K - $70K Who We Are Exact Billing Solutions is a unique team of revenue‑cycle management professionals specializing in the substance use disorder, mental...Work at officeRemote workFlexible hoursExact Billing Solutions
Florida, NY3 days ago$55k - $70k
...Utilization Review Specialist – Exact Billing Solutions (EBS) Lauderdale Lakes, FL - On-site - No Remote Salary: $55K - $70K About the Role As a Utilization Review Specialist, you will play a pivotal role in ensuring the efficient and effective utilization of healthcare...Remote workFlexible hoursICBD
Florida, NY1 day ago- ...while making a meaningful difference every day. Job Summary The Utilization Review department manages all aspects of a patient’s stay related... ...with insurance providers and works closely with admissions, physicians, nurses, therapists and treatment teams to ensure timely,...Full timeWork at officeRemote workMonday to Friday
KVC Health Systems
Wichita, KS3 days ago $29.62 - $45.31 per hour
...Responsibilities Be responsible for all core functions in the Prior Authorization (PA) Department Coordinate and execute the review and research functions required to support the PA Department Investigate, review, and prepare all requests for prior authorization...Minimum wageFull timeWork experience placementLocal areaRemote workShift workProvidence Health & Service
Oregon, WI3 days ago
