Remote Utilization Review Physician Reviewer

We are searching for Board Certified Physical Medicine & Rehabilitation physicians to conduct Independent Medical Exams (IME) and Peer Reviews. · Reviews all medical records and addresses each question posed by the client utilizing state-mandated or other nationally recognized ev ...

Dane Street is expanding its panel of Physician Reviewers to perform Utilization Reviews. This non-clinical role offers supplemental income with complete flexibility. · ...

+Job summary · The Associate Medical Director serves as a clinical expert responsible for reviewing requests for medical services and rendering coverage determinations in accordance with benefit plans, medical policies, and clinical guidelines. · +QualificationsHold an active, un ...

tango is a leader in the home health management industry and is preparing for significant growth Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We are currently looking for a Physician Reviewer to join o ...

We are seeking an experienced board-certified Physician Reviewer to evaluate clinical service requests within our organization. · Review and adjudicate clinical service requests using clinical expertise. · Collaborate with case managers to support anticipatory case management. · ...

Dane Street is expanding its panel of Physician Reviewers. We are seeking Board-Certified Psychiatrist with an active New York medical license and Workers' Compensation Board Certification to conduct Utilization Reviews. · ...

tango is a leader in the home health management industry and is preparing for significant growth Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. · ...

We are searching for Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews within a standard Monday - Friday work week. · Reviews all medical records and addresses each question posed by the client utilizing state-mandated or oth ...

Dane Street is expanding its panel of Physician Reviewers to conduct Utilization Reviews. · ...

Dane Street is a leading Independent Review Organization (IRO) offering flexible remote opportunities for board-certified physicians seeking supplemental income through non-traditional clinical work. · ...

This role provides medical necessity reviews for pre?service clinical requests on a remote, weekend?only schedule. The position requires an initial 4?week training period, followed by ongoing weekend coverage for at least two weekend days per month. · Conduct pre?service medical ...

The position is responsible for the medical direction of Authorization Review for Sharp Health Plan (SHP). The Physician Reviewer will perform all reasonably necessary functions to ensure quality of care and appropriate utilization in the most cost-effective, appropriate and prof ...

The Review Physician works in close collaboration with Clinical Services Department staff and is responsible for review of all applicable Clinical Assessment, · Clinical Re-assessment, · and additional assessment services when indicated.Reviews documentation associated with clini ...

Dane Street is expanding its panel of expert physician reviewers for independent medical reviews on a flexible remote basis. · ...

Performs medical review activities pertaining to delegated pediatric services including medical review of complex, controversial, or experimental medical services. · ...

The Psychiatrist Physician Reviewer conducts medical necessity reviews for behavioral health services across Medicaid, Medicare, · and Exchange lines of business.This role supports high-quality, cost-effective care by applying clinical expertise to utilization management decision ...

We are seeking a Physician Reviewer to join our team and contribute to our mission of providing exceptional healthcare services. · ...

Dane Street is expanding its panel of Physician Reviewers. We are seeking Board-Certified Orthopedic Surgeons with an active New York medical license and Workers' Compensation Board Certification. · ...

The physician reviewer will assist in improving quality and cost-effectiveness of care for members. · ...

Dane Street is expanding its panel of Physician Reviewers. We are seeking Board-Certified Physical Medicine and Rehabilitation providers with an active New York medical license and Workers' Compensation Board Certification. · ...

Dane Street is expanding its panel of Physician Reviewers to conduct Utilization Reviews. · ...