Physician Reviewer

Unlock your potential in a dynamic role with PSG Global Solutions Careers. We're seeking a skilled Physician Reviewer to join our team.The OpportunityWe're looking for a highly motivated individual to work in the Insurance industry in Chicago, Illinois, United States. As a Physician Reviewer, you'll play a crucial role in evaluating clinical service requests...

this positions is full-time Mon-Friday and possible weekend work as needed this is remote in any of our five plan states, but IL and TX are preferred Previous UM drug review experience is also preferred Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to...

Job Title: Physician ReviewerWe are seeking a highly skilled Physician Reviewer to join our team at Mindlance. As a key member of our organization, you will play a crucial role in evaluating clinical service requests made by our members and providers.Key Responsibilities:Evaluate clinical service requests using clinical judgment and our organization's...

Job Title: Orthopedic Physician Review SpecialistDescriptionAre you a Board Certified Orthopedic Surgeon seeking a flexible and experienced telecommute opportunity? We are seeking accomplished physicians for our medical review division, providing the ability to customize your schedule and caseload within a Monday - Friday work week.Reviews health claims...

We are looking for 40hrs per week aggregate from the two positions. If we find a strong candidate that is available to work 40hrs per week consistently, we can do away with one position. Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's Utilization Management...

Job Title: Physician ReviewerAt PSG Global Solutions Careers, we are seeking a highly skilled Physician Reviewer to join our team. As a Physician Reviewer, you will play a critical role in evaluating clinical service requests and providing clinical leadership in our organization.About the OpportunityWe are looking for a Physician Reviewer with 5 years of...

Endocrinology Physician OpportunityWe are seeking an experienced Endocrinology Physician to join our team at Physician Empire in New Mexico. Our practice offers a unique opportunity to work in a university town with a large primary care physician and subspecialty referral base.Key Highlights:100% outpatient onlyJoin a well-established practice with 2 MDs and...

Endocrinology Physician Opportunity in New MexicoWe are seeking a board-certified Endocrinology physician to join our team at Physician Empire in New Mexico. As a member of our team, you will have the opportunity to work with a large and diverse patient population, providing high-quality care and management of endocrine disorders.Practice Details100%...

Endocrinology Physician Opportunity in New MexicoWe are seeking a board-certified Endocrinology physician to join our team at Physician Empire in New Mexico. This is a full-time opportunity with a competitive salary and benefits package.Practice Details100% outpatient onlyJoin a well-established practice with 3 MDs and 3 APPsPosition open due to a...

Endocrinology Physician Opportunity in New MexicoWe are seeking a skilled Endocrinology Physician to join our team at Physician Empire in New Mexico. This is a permanent position in a metro area of over 900,000, offering a unique blend of urban and university town living.Job Summary:This is a 100% outpatient opportunity, joining an existing practice of 2 MDs...

Job SummaryWe are seeking a highly skilled and experienced Senior Review Coordinator to join our team at Telligen. As a key member of our population health management organization, you will play a critical role in conducting utilization review and medical management for all services, including training and mentoring other team members.Key...

Job SummaryR1 RCM is seeking a skilled Clinical Utilization Review Author to join our team. As a key member of our Physician Advisory team, you will play a critical role in providing first-level initial admission and continued stay case reviews for our hospital clients.Key ResponsibilitiesDetermine the appropriate cases for review, utilizing client-specific...

Overview Are you an accomplished Board Certified Orthopedic Surgeon ? C andidates must have a IL license Are you passionate about your work/life balance? We are seeking flexible and experienced physicians for our medical reviewstream division. This telecommute role provides the ability for you to customize your schedule and caseload within a...

Job Opportunity for PhysiciansWe are seeking a skilled physician to provide mental health exams and evaluations for veterans. The ideal candidate will have experience in PTSD evaluations and be able to work on an as-needed basis.Key Responsibilities:Perform mental health exams and evaluations for veteransConduct PTSD evaluations and follow-up examsBill per...

Job Opportunity for PhysiciansWe are seeking a skilled physician to provide mental health exams and evaluations for veterans. The ideal candidate will have experience in performing PTSD exams and other mental health assessments.Key Responsibilities:Perform mental health exams and evaluations for veteransConduct PTSD exams and follow-up evaluationsProvide...

Job Title: Pharmacist - Medication Review SpecialistDuration: 6 monthsLocation: North Chicago, ILShift Hours: Mon-Friday - 8-hour shift, that hour could be anytime between 6 am and 10 pmResponsibilities:Reviews prescriptions issued by Physician, or other authorized prescriber to assure accuracy and determine formulas and ingredients needed.Directs pharmacy...

Job SummaryWe are seeking a Board Certified Orthopedic Surgeon to join our medical review team as a telecommute opportunity. This role provides the flexibility to customize your schedule and caseload within a Monday - Friday work week and within business hours.ResponsibilitiesReviews medical files and provides recommendations for utilization review, chart...

Job Summary:We are seeking a Board Certified Orthopedic Surgeon to join our medical review team as a telecommute specialist. This role provides the opportunity to work from home and customize your schedule and caseload within a Monday - Friday work week.Responsibilities:Reviews medical files and provides recommendations for utilization review, chart reviews,...

Surgical Clinical Reviewer Job DescriptionThe Surgical Clinical Reviewer plays a crucial role in reflecting the mission, vision, and values of Northwestern Memorial Healthcare. This position adheres to the organization's Code of Ethics and Corporate Compliance Program, ensuring compliance with all relevant policies, procedures, guidelines, and regulatory and...

Job SummaryThe Surgical Clinical Reviewer reflects the mission, vision, and values of Northwestern Medicine, adhering to the organization's Code of Ethics and Corporate Compliance Program. This role is responsible for collecting and submitting reliable data to relevant registries through precise surgical chart review and entry into databases. The SCR will...