Average salary: $275,000 /yearly

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  • Part-Time Associate Physician Advisor - Utilization Review

     ...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 |... 
    Suggested
    Part time
    Work at office
    Remote work
    Work from home
    10 hours per week
    Flexible hours
    Shift work
    Weekend work

    Medical Review Institute

    Salt Lake City, UT
    3 days ago

  • Family Medicine, Utilization Management Physician Reviewer

    $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... 
    Suggested
    Hourly pay
    Full time
    Local area
    Remote work

    Oak Street Health

    Springfield, IL
    16 days ago

  • Clinical Care Manager- Utilization Review Nurse

     ...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... 
    Suggested
    Bi-weekly pay
    Full time
    Temporary work
    For contractors
    Local area
    Remote work
    Work from home

    Guidehealth

    Peoria, IL
    3 days ago

  • Remote Psychiatrist Reviewer: Utilization Review, Flexible Hours

     ...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... 
    Suggested
    Extra income
    Remote work
    Flexible hours

    Dane Street

    New York, NY
    3 days ago

  • Remote Physician Reviewer Medicare Utilization Management

     ...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... 
    Suggested
    Remote work

    Solving IT

    New York, NY
    1 day ago

  • Remote Utilization Management Physician Reviewer

     ...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... 
    Suggested
    Full time
    Remote work
    Work from home

    ExamWorks

    New York, NY
    1 day ago

  • Physician Reviewer - Utilization Management (Remote)

    $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... 
    Suggested
    Full time
    Remote work
    Weekend work

    Medix

    New York, NY
    1 day ago

  • Remote Physician Reviewer Utilization Management

     ...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... 
    Suggested
    Remote work

    IntePros

    New York, NY
    1 day ago

  • Remote Utilization Management Physician Reviewer

    $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... 
    Suggested
    Full time
    Remote work

    Oak Street Health, part of CVS Health

    Chicago, IL
    19 hours ago

  • Remote Utilization Management Physician Reviewer

     ...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... 
    Suggested
    Full time
    Casual work
    Remote work
    Monday to Friday

    ExamWorks UM Strategies

    New York, NY
    1 day ago

  • Remote Physician Reviewer - Utilization Management

    $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... 
    Suggested
    Remote work

    Medix

    New York, NY
    1 day ago

  • Physician Reviewer - Physical Medicine and Rehabilitation (Utilization Review)

     ...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... 
    Suggested
    Price work
    Extra income
    For contractors
    Remote work
    Flexible hours

    Dane Street

    New York, NY
    4 days ago

  • Remote Physician Reviewer Utilization & Claims Review

     ...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... 
    Suggested
    For contractors
    Remote work
    Monday to Friday
    Flexible hours

    Dane Street

    Washington DC
    3 days ago

  • Remote Utilization Management Nurse - Clinical Review

     ...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... 
    Suggested
    Remote work

    Brighton Health Plan Solutions

    Chapel Hill, NC
    3 days ago

  • Physician Reviewer - Utilization Management

    $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... 
    Suggested
    Full time
    Local area
    Remote work
    Work from home
    Home office
    Weekend work

    Oscar Health

    New York, NY
    19 hours ago

  • Physician Reviewer - Orthopedic Surgery (Utilization Review) TX

     ...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 income
    Contract work
    For contractors
    Remote work
    Flexible hours

    Dane Street

    Wausau, WI
    3 days ago

  • Remote Oncology Utilization Review Physician (1099)

     ...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 work
    Flexible hours

    Medical Review Institute

    Dallas, TX
    3 days ago

  • Remote Radiologist Utilization Review (1-2 hrs/wk)

     ...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 contractors
    Remote work
    Flexible hours

    Medical Review Institute

    Anchorage, AK
    3 days ago

  • Remote Radiologist Utilization Review (1-2 hrs/wk)

     ...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 contractors
    Remote work
    Flexible hours

    Medical Review Institute

    Salt Lake City, UT
    3 days ago

  • Remote Endocrinology Utilization Review Physician (1099)

    A healthcare organization is seeking Board-Certified physicians in Endocrinology for a flexible, remote Independent Contractor (1099) position. This role requires conducting independent Utilization Reviews, needing only 1-2 hours per week. Candidates must hold an MD or... 
    For contractors
    Remote work
    Flexible hours

    Medical Review Institute

    Orlando, FL
    19 hours ago

  • Remote Inpatient Utilization Review Medical Director

    $223.8k - $313.1k

     ...organization is seeking a Medical Director in Jefferson City, Missouri. The role involves conducting clinical reviews of inpatient records and making utilization management determinations. Candidates should possess an MD or DO, an active medical license, and at least 5... 
    Remote work

    Humana

    Jefferson City, MO
    3 days ago

  • Remote Inpatient Utilization Review Medical Director

     ...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... 
    Remote work

    Humana

    Columbus, OH
    3 days ago

  • Remote Utilization Review Medical Director (DMEPOS)

    $250k

     ...A national healthcare solutions provider is seeking a Utilization Review Medical Director to conduct clinical reviews of Durable Medical Equipment requests. This full-time role emphasizes adherence to workflow timelines and requires an MD or DO degree along with board... 
    Full time
    Remote work

    Integra Partners

    Troy, MI
    1 day ago

  • Remote - Radiologist Utilization Review - (contract)

     ...License 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... 
    Contract work
    For contractors
    Remote work
    Flexible hours

    Medical Review Institute

    Salt Lake City, UT
    4 days ago

  • Clinical Utilization Review Nurse II (Per Diem, Variable)

     ...Job Description At NorthBay Health the Clinical Utilization Review Nurse II (URN) is an experienced registered nurse who prospectively...  ...obligations. The Level II URN serves as a clinical resource to physicians/providers by providing education related to medical... 
    Daily paid
    Work at office
    Local area
    Remote work
    Shift work

    NorthBay Health

    Fairfield, CA
    3 days ago

  • Remote Medical Director, Utilization Review (DME)

    $250k

     ...Integra Partners is seeking a full-time Utilization Review Medical Director to conduct clinical reviews of Durable Medical Equipment requests. The role requires an MD or DO degree, board certification, and experience in utilization management. Responsibilities include... 
    Full time
    Remote work

    Integra Partners

    New York, NY
    1 day ago

  • Utilization Review Medical Director

     ...The Utilization Review Medical Director is responsible for conducting clinical reviews of Durable Medical Equipment (DME) and related requests...  ..., and regulatory requirements. This role is best suited for physicians who thrive in a process-driven environment and are committed... 
    Full time
    Temporary work
    Local area
    Remote work

    Integra Partners

    Troy, MI
    2 days ago

  • Remote Medical Director Utilization Review

     ...A health insurance startup is looking for an experienced Medical Director to oversee utilization reviews and prior authorizations. This remote position demands a strong clinical background with a doctorate in medicine and board certification. The ideal candidate will have... 
    Remote work
    Flexible hours

    VALID8 Financial

    Austin, TX
    1 day ago

  • Remote Utilization Review Nurse I: Clinical Decision Expert

     ...Santa Barbara Cottage Hospital is hiring a Utilization Review Nurse for a remote position. The role involves gathering clinical information, certifying medical necessity, and making decisions on treatment certifications. Ideal candidates will have a strong nursing background... 
    Remote work

    Santa Barbara Cottage Hospital

    New York, NY
    1 day ago

  • Remote Utilization Review Medical Director for Medicare Advantage - Sacramento, California

    $275k - $300k

     ...00,000) ~ Full benefits: health, vision, dental, vacation, CME, PTO ~ Requires 5+ years experience in Medicare Advantage Utilization Review/Utilization Management and an active unrestricted CA license ~ ASAP start date ~ Sacramento is the state's capital and has... 
    Full time
    Immediate start
    Remote work
    Work from home
    Monday to Friday

    Inspire Healthcare

    United States
    1 day ago