Physician Reviewer
4 weeks ago
This position will work every weekend and possible holidays
Must be available M-F for full-time training to start
Job Description -
- Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests.
- May also provide clinical leadership in other areas of the organization. Identifies opportunities to manage members' clinical situations with a view toward creative problem solving and anticipation of possible future clinical problems for the member.
- Participates in the process to evaluate clinical service requests. Practices anticipatory case management for members whose cases come for review, in partnership with case managers.
- Participates in the Physician Review Units' appeal process of service denials. Participates in the development of Physician Review Units' policies and procedures. Actively participates in all unit continuous quality improvement activities.
- Other duties as assigned by the Medical Director. Board Certified (ABMS) M.D. or D.O, unrestricted and active license to practice medicine requested and 5 years clinical experience to include inpatient experience, or any combination of education/experience that would provide an equivalent background. Must have understanding of managed care and demonstrate PC proficiency, as file review will be done via computer in most cases. (Note: Position does not provide direct patient care or medical diagnosis.)
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Physician Reviewer
1 month ago
Chicago, United States Integrated Resources, Inc Full timeSeeking physician medical reviewer for REMOTE weekend work - at least 2 weekends per month Can work in any state Job Description This position requires an initial time commitment to undergo and complete training. After training, physician medical reviewer will provide weekend coverage, 8 hour shifts per Saturday and/or Sunday per month. This is a remote...
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Physician Reviewer
18 hours ago
Chicago, United States Integrated Resources, Inc Full timeSeeking physician medical reviewer for REMOTE weekend work - at least 2 weekends per month Can work in any state Job Description This position requires an initial time commitment to undergo and complete training. After training, physician medical reviewer will provide weekend coverage, 8 hour shifts per Saturday and/or Sunday per month. This is a remote...
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Physician Reviewer
6 hours ago
Chicago, United States Integrated Resources Full timeSeeking physician medical reviewer for REMOTE weekend work - at least 2 weekends per month Can work in any state Job Description This position requires an initial time commitment to undergo and complete training. After training, physician medical reviewer will provide weekend coverage, 8 hour shifts per Saturday and/or Sunday per month. This is a remote...
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Physician Reviewer
2 weeks ago
Chicago, United States Innovative Systems Group Full timeMajor Healthcare company100% Remote from any state, except California or New YorkSeeking physician medical reviewer for REMOTE weekend work - at least 2 weekends per monthRequired Qualification(s):MD or DO, ABMS Board CertifiedThis position requires an initial time commitment to undergo and complete training. After training, physician medical reviewer will...
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Physician Reviewer
1 month ago
Chicago, United States Innovative Systems Group Full timeMajor Healthcare company100% Remote from any state, except California or New YorkSeeking physician medical reviewer for REMOTE weekend work - at least 2 weekends per monthRequired Qualification(s):MD or DO, ABMS Board CertifiedThis position requires an initial time commitment to undergo and complete training. After training, physician medical reviewer will...
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Physician Reviewer
1 month ago
Chicago, United States Innovative Systems Group Full timeMajor Healthcare company100% Remote from any state, except California or New YorkSeeking physician medical reviewer for REMOTE weekend work - at least 2 weekends per monthRequired Qualification(s):MD or DO, ABMS Board CertifiedThis position requires an initial time commitment to undergo and complete training. After training, physician medical reviewer will...
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Physician Reviewer
2 weeks ago
Chicago, United States w3r Consulting Full timeDescription: This position requires an initial time commitment to undergo and complete training. After training, physician medical reviewer will provide weekend coverage, 8 hour shifts per Saturday and/or Sunday per month. This is a remote position. Physician medical reviewer evaluates clinical service requests based on company guidelines to make medical...
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Physician Reviewer
22 hours ago
Chicago, United States w3r Consulting Full timeDescription: This position requires an initial time commitment to undergo and complete training. After training, physician medical reviewer will provide weekend coverage, 8 hour shifts per Saturday and/or Sunday per month. This is a remote position. Physician medical reviewer evaluates clinical service requests based on company guidelines to make medical...
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Physician Reviewer
2 weeks ago
Chicago, Illinois, United States Mitchell Martin Inc Full timeOur client, a member owned health insurance company, is seeking an Physician ReviewerLocation: Chicago, ILPosition Type: ContractJob Responsibilities and Requirements:Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests. May also...
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Physician Reviewer
20 hours ago
Chicago, Illinois, United States Mitchell Martin Inc Full timeOur client, a member owned health insurance company, is seeking an Physician ReviewerLocation: Chicago, ILPosition Type: ContractJob Responsibilities and Requirements:Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests. May also...
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Physician Reviewer
2 weeks ago
Chicago, United States w3r Consulting Full timeDescription: Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests. May also provide clinical leadership in other areas of the organization. Identifies opportunities to manage members' clinical situations with a view toward creative...
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Physician Reviewer
1 day ago
Chicago, United States w3r Consulting Full timeDescription: Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests. May also provide clinical leadership in other areas of the organization. Identifies opportunities to manage members' clinical situations with a view toward creative...
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Physician Reviewer
7 hours ago
Chicago, United States Mindlance Full timeremote in our five states pay rate is ***/hour This position will work every weekend and possible holidays Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests. May also provide clinical leadership in other areas of the...
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Physician Reviewer
4 weeks ago
Chicago, IL, United States Innovative Systems Group Full timeMajor Healthcare company100% Remote from any state, except California or New YorkSeeking physician medical reviewer for REMOTE weekend work - at least 2 weekends per monthRequired Qualification(s):MD or DO, ABMS Board CertifiedThis position requires an initial time commitment to undergo and complete training. After training, physician medical reviewer will...
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Physician Reviewer | Remote | Contract
1 week ago
Chicago, United States Walker Healthforce Full timePhysician Reviewer | Remote | Contract to Hire Walker Healthforce is seeking a Physician Reviewer for a healthcare client located remotely. This is a contract opportunity. START DATE: ASAP Walker Healthforce Standard Perks: Weekly pay via Direct Deposit Medical, Dental, and Vision Available 401K JOB SUMMARYEvaluates clinical service requests made by an...
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Physician Reviewer | Remote | Contract
10 hours ago
Chicago, United States Walker Healthforce Full timePhysician Reviewer | Remote | Contract to Hire Walker Healthforce is seeking a Physician Reviewer for a healthcare client located remotely. This is a contract opportunity. START DATE: ASAP Walker Healthforce Standard Perks: Weekly pay via Direct Deposit Medical, Dental, and Vision Available 401K JOB SUMMARYEvaluates clinical service requests made by an...
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Physician Reviewer
2 months ago
Chicago, IL, United States Dane Street Full timeDane Street, a certified "Great Place to Work'' company, is searching for Board Certified Internal Medicine physicians to conduct Independent Medical Exams (IME) and Peer Reviews. This opportunity allows you to customize your schedule and caseload within a standard Monday - Friday work week while maintaining client-mandated turnaround times. We will...
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Physician Reviewer
2 weeks ago
Chicago, United States w3r Consulting Full timeDescription: Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests. Participates in the process to evaluate clinical service requests. Other duties as assigned by the Medical Director. Board Certified (ABMS) M.D. or D.O, unrestricted...
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Physician Reviewer
22 hours ago
Chicago, United States w3r Consulting Full timeDescription: Evaluates clinical service requests made by an organization's members and providers. Uses clinical judgment in conjunction with organization's criteria to adjudicate these requests. Participates in the process to evaluate clinical service requests. Other duties as assigned by the Medical Director. Board Certified (ABMS) M.D. or D.O, unrestricted...
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Chicago, United States Concentra Full timeOverview Are you an accomplished Board Certified Orthopedic Surgeon? Preferred candidates will 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...