Top 38 Utilization management physician reviewer Jobs in Florida

Licensed Physician Reviewer (Remote) PRN - Radiology
Chen Medical Associates —Miami, FL
- $204,761 - $292,515 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
Licensed Physician Reviewer - Pain Management - PRN - REMOTE
Chen Medical Associates —Miami, FL
- $204,761 - $292,515 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
12d
Licensed Physician Reviewer- Rheumatology - PRN (REMOTE)
Chen Medical Associates —Miami, FL
- $204,761 - $292,515 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
Licensed Physician Reviewer
Chen Medical Associates —Miami, FL
- $204,761 - $292,515 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
5d
Licensed Physician Reviewer- Endocrinology - PRN - Remote
Chen Medical Associates —Miami, FL
- $204,761 - $292,515 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
Licensed Physician Reviewer- Orthopedics - PRN - Remote
Chen Medical Associates —Miami, FL
- $204,761 - $292,515 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
Licensed Physician Reviewer - Dermatology PRN (remote)
Chen Medical Associates —Miami, FL
- $204,761 - $292,515 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
Physician Reviewer - Utilization Management
Oscar Health —Orlando, FL
- $219,000 - $286,902 a year
- Remote
- Medicine
- BC/BE
- Travel
- Paid parental leave
- Paid holidays
Quick Apply
Licensed Physician Reviewer- Pulmonology - PRN - Remote
Chen Medical Associates —Miami, FL
- $204,761 - $292,515 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
Licensed Physician Reviewer- - Otorhinolaryngology (ENT) PRN Remote
Chen Medical Associates —Miami, FL
- $204,761 - $292,515 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
Licensed Physician Reviewer, Ophthalmology - Remote PRN
Chen Medical Associates —Miami, FL
- $204,761 - $292,515 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
Physician Reviewer
Independent Living Systems —Miami, FL
- Medicine
- HIPAA
- Mid-level
Licensed Physician Reviewer- Neurology - PRN (REMOTE)
Chen Medical Associates —Miami, FL
- $204,761 - $292,515 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
Licensed Physician Reviewer - Urologist , PRN (remote)
Chen Medical Associates —Miami, FL
- $204,761 - $292,515 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
Licensed Physician Reviewer- Infectious Disease - PRN - REMOTE
Chen Medical Associates —Miami, FL
- $204,761 - $292,515 a year
- Full-time
- Remote
- Medicine
- Microsoft Excel
- Microsoft Outlook
- Opportunities for advancement
Utilization Review Specialist
We Level Up —Pompano Beach, FL
- $50,000 - $90,000 a year
- Full-time
- Remote
- 18 years or older
- CPR Certification
- HIPAA
Quick Apply
Utilization Reviewer 2
Enlyte —Tampa, FL
- $59,500 - $76,000 a year
- Full-time
- RN License
- Mid-level
- Office
- Health savings account
- AD&D insurance
GROUP DIR - UTILIZATION MANAGEMENT
Wekiva Springs Center —Jacksonville, FL
- Full-time
- Management
- Senior level
DIR - UTILIZATION REVIEW / MGMT
Wekiva Springs Center —Jacksonville, FL
- Full-time
- Nursing
- Management
- RN License
Orlando Chiropractor
Dane Street, LLC —Orlando, FL
- Contract
- Mid-level
- Analysis skills
- Communication skills
Quick Apply

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utilization management physician reviewer jobs near florida

Licensed Physician Reviewer (Remote) PRN - Radiology

Chen Medical Associates -
Miami, FL

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Job Details

Full-time | PRN
$204,761 - $292,515 a year

Benefits

Opportunities for advancement

Qualifications

BC/BE
Medical License

Full Job Description

We’re unique. You should be, too.

We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?

We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in our organization. Other duties include advising other physician reviewers and attending daily calls with health plan teams and our local teams assisting with this function and coordinating care for our patients. The position will also participate in Process and Quality improvement in our developing area of Delegated Utilization Management.

Provides Delegated UM by covering the specified territories as assigned:
- Establish 2-3 cases a day for each market covered (up to 6 markets); ensures attendance on all health plan and local calls; calls in for the weekly Primary Care Provider (PCP) and Skilled Nursing Facility (SNF) meetings covering the assigned territories.
Advises other physician reviewers.
Other duties as assigned and modified by manager.

Excellent analytical and deductive reasoning skills
Good judgement and problem-solving skills
Professional and effective communication skills
Strong organizational skills
Written and verbal fluency in English
Proficient in the use of Microsoft Office products such as Outlook, Excel, Word and PowerPoint

EDUCATION AND EXPERIENCE CRITERIA:

Graduate from accredited Medical School with a valid, unrestricted license is required
Completion of Internal Medicine or Family Practice residency
Board Certification in residency area
Two (2) years’ experience in Hospital medicine preferred
At least one (1) year of utilization review experience preferred

PAY RANGE:

$204,761 - $292,515 Salary

The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.

EMPLOYEE BENEFITS

https://chenmed.makeityoursource.com/helpful-documents

We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care.

ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people’s lives every single day.

Current employees, if you want to apply to our internal career site, please click HERE

#LI-Remote

Apply Now

Refine Your Search

utilization management physician reviewer jobs in florida

Licensed Physician Reviewer (Remote) PRN - Radiology

Licensed Physician Reviewer - Pain Management - PRN - REMOTE

Licensed Physician Reviewer- Rheumatology - PRN (REMOTE)

Licensed Physician Reviewer

Licensed Physician Reviewer- Endocrinology - PRN - Remote

Licensed Physician Reviewer- Orthopedics - PRN - Remote

Licensed Physician Reviewer - Dermatology PRN (remote)

Physician Reviewer - Utilization Management

Licensed Physician Reviewer- Pulmonology - PRN - Remote

Licensed Physician Reviewer- - Otorhinolaryngology (ENT) PRN Remote

Licensed Physician Reviewer, Ophthalmology - Remote PRN

Physician Reviewer

Licensed Physician Reviewer- Neurology - PRN (REMOTE)

Licensed Physician Reviewer - Urologist , PRN (remote)

Licensed Physician Reviewer- Infectious Disease - PRN - REMOTE

Utilization Review Specialist

Utilization Reviewer 2

GROUP DIR - UTILIZATION MANAGEMENT

DIR - UTILIZATION REVIEW / MGMT

Orlando Chiropractor

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