Family Practice - Daytona Beach - ProTouch Staffing

    ProTouch Staffing
    ProTouch Staffing Daytona Beach

    6 days ago

    Description
    Utilization Management Physician (UMP) - Remote

    Full-Time 40 Hours Weekly
    A leading healthcare organization is seeking an experienced

    Utilization Management Physician (UMP)

    for a

    full-time remote

    opportunity.

    This role is ideal for a physician with strong clinical judgment, managed care experience, and expertise in medical necessity review and evidence-based decision-making.

    The position is primarily remote, with occasional on-site attendance required for meetings and committee participation in

    Daytona Beach, Florida .
    Position Highlights

    Remote full-time role

    40 hours per week

    Bonus opportunity

    Must be available via

    phone, email, and Microsoft Teams

    On-site presence required periodically for meetings/committees

    Location:
    Daytona Beach, FL

    Key Responsibilities


    Review and render determinations for:
    Pre-authorization requests

    Initial and concurrent clinical reviews

    Post-service decisions, including claims and appeals

    Apply medical necessity criteria using nationally recognized guidelines, including:
    MCG (Milliman Care Guidelines)

    InterQual

    CMS (Medicare/Medicaid) standards

    Internal protocols and coverage documents

    Participate in annual review and updates of clinical criteria and scripts

    Provide physician support and guidance to Utilization Management staff

    Conduct peer-to-peer discussions with treating providers (phone or electronic)

    Assist with provider education regarding treatment protocols and best practices

    Participate in medical and utilization management committees as requested

    Patient/Plan Focus

    This role supports utilization review across multiple plan types, including:
    Medicare

    Medicaid

    Commercial health plans

    Requirements

    MD or DO from an accredited medical school

    Active, unrestricted Florida medical license

    Board certification in primary specialty preferred

    Minimum 3 years' experience as a Utilization Management Physician

    3-7 years of overall clinical experience

    Knowledge of managed care health plan operations and benefits

    Strong working knowledge of medical policy application and evidence-based criteria

    Willingness to participate in audit/interrater reliability processes to ensure consistency

    Compensation & Benefits
    Annual bonus opportunity

    401(k) retirement plan

    Health benefits for provider and eligible dependents

    Malpractice insurance provided

    Paid leave time

    CME stipend

    Licenses, fees, and dues reimbursement

    Travel reimbursement

    Location

    Remote (Florida)
    Occasional on-site meetings in

    Daytona Beach, FL

  • Work in company

    Family Practice

    Source Medical, LLC.

    Family Medicine Primary Care Physician · We are seeking a Board Certified or Board Eligible Family Medicine Physician to join our well-established practice in Daytona Beach, FL. · No inpatient care responsibilities · Physician Governance Council allows for physician input into st ...

    Daytona Beach

    4 days ago

  • Work in company

    Family Practice

    The Curare Group, Inc

    Outpatient Family Medicine opportunity in Coastal Florida Join a local Health System minutes from the beach searching for another FM to join their large multi-specialty group. · ...

    Daytona Beach

    1 week ago

  • Work in company

    Family Practice

    The Curare Group, Inc

    Outpatient Family Medicine opportunity in Coastal Florida Join a local Health System minutes from the beach searching for another FM to join their large multi-specialty group. · ...

    Daytona Beach

    21 hours ago

  • Work in company

    Family Practice

    SourceMD

    Join our well-established practice in Daytona Beach as a Board Certified or Board Eligible Family Medicine Physician. · We offer: · A competitive compensation package based on production and achievement of value-driven quality metrics · A comprehensive benefits package including ...

    Daytona Beach

    1 week ago

  • Work in company

    Family Practice

    AdventHealth Primary Health Division

    We're seeking an experienced Family Medicine Physician to join our team at AdventHealth Well 65+. As a member of our team you will provide personalized care to patients 65 years old and older.This practice exclusively focuses on Medicare Advantage patients. · ...

    Daytona Beach

    1 week ago

  • Work in company

    Family Practice

    MASC Medical Recruitment Firm

    A Board-Certified/Board-Eligible Internal Medicine or Family Medicine physician opportunity in Daytona Beach offers flexible office hours and a light call schedule. ...

    Daytona Beach

    21 hours ago

  • Work in company

    Family Practice

    DOCTORS CHOICE PLACEMENT SERVICES, INC.

    Family Practice option in affluent Daytona Beach suburb Seeking full time physician with stable work history demonstrating desire to stay in one area build and maintain patient panel Willing to focus on prevention and quality Appropriately utilize available ancillaries Strong wor ...

    Daytona Beach

    1 day ago

  • Work in company

    Family Practice

    The Provider Finder

    Join our partner's Daytona Beach facility as a Primary Care Physician to experience flexible office hours, limited call duties, and access to advanced healthcare services. · Patient load: 18-20 patients per day · Outpatient-only position · Flexible 40-hour workweek · ...

    Daytona Beach

    2 weeks ago

  • Work in company

    Family Practice

    The Provider Finder

    Job Summary: · A BC/BE Primary Care Physician opportunity with flexible office hours and limited call in a large multi-specialty HMO facility. · Key Responsibilities · Flexible 40-hour work week with outpatient only duties · Limited call as physician on duty (1:3 ratio) · ...

    Daytona Beach

    3 days ago

  • Work in company

    Family Practice

    FCS, Inc.

    +Expanding organization seeking full-time Primary Care Physician for their Daytona Beach FL location. · +Scribe provided. · Outstanding support staff · ...

    Daytona Beach

    21 hours ago

  • Work in company

    Family Practice

    1888MDSEARCH,Inc.

    Utilization Management Position for Primary Care in Central FL client · ...

    Daytona Beach

    1 week ago

  • Work in company

    Family Practice

    FCS, Inc.

    The expanding organization is seeking a full-time Primary Care Physician for their Daytona Beach FL location. The job offers a fantastic salary, relocation assistance and complete benefit package. · New grads BC and BE are welcome. ...

    Daytona Beach

    2 days ago

  • Work in company

    Family Practice

    Physician Services

    A large multi-specialty staff model HMO seeks a BC/BE Internal Medicine/Family Medicine/Primary Care Physician to join their Daytona Beach facility. · MD / DO · BC / BE · ...

    Daytona Beach

    21 hours ago

  • Work in company

    Family Practice

    CenterWell and Conviva Senior Primary Care

    We have a unique care model that sets us apart for patients and providers. · Grow with us as we expand our reach to help more Seniors live better, healthier lives. · ...

    Daytona Beach

    1 week ago

  • Work in company

    Family Practice

    ProTouch Staffing

    Full-time remote Utilization Management Physician (UMP) opportunity.This role requires strong clinical judgment and expertise in medical necessity review. · Review pre-authorization requests · ...

    Daytona Beach

    6 days ago

  • Work in company

    Family Practice

    MASC Medical Recruitment Firm

    We are seeking a Primary Care Physician to join our practice in Florida. Our ideal candidate will hold a current unrestricted Florida medical license. · Working Monday - Friday from 8am - 5pm · Collect, record, and maintain patient information... · ...

    Ormond Beach

    1 week ago

  • Work in company

    Family Practice

    MASC Medical Recruitment Firm

    We are currently seeking a Primary Care Physician to join our practice. · We take pride in keeping our patients happy and healthy longer through our excellent care and service in a cost effective manner.Working Monday - Friday from 8am - 5pmCollect, record, and maintain patient i ...

    Ormond Beach

    21 hours ago

  • Work in company

    Family Practice

    DOCTORS CHOICE PLACEMENT SERVICES, INC.

    · ...

    Ormond Beach

    1 day ago

  • Work in company

    Family Practice

    FCS, Inc.

    Expanding organization seeking full-time Primary Care Physician for their Port Orange FL location. · Fantastic Salary · ...

    Port Orange

    21 hours ago

  • Work in company

    Family Practice

    The Provider Finder

    Join Our Team As A Primary Care Physician · We're seeking an experienced Primary Care Physician to join our team at one of our Ormond Beach facilities located in Volusia County. · ...

    Ormond Beach

    1 week ago

Jobs
>
Family practice
>
Jobs for Family practice in Daytona Beach