Top 214 Physician case reviewer Jobs

Pediatrician with Neonatology Sub-Specialty Physician Reviewer PRN Remote
BHM Healthcare Solutions —Remote
- Part-time
- Remote
- Medicine
- Doctoral degree
- 5 years
- Flexible schedule
Quick Apply
ENT Physician Reviewer | NC License
BHM Healthcare Solutions —Remote
- Part-time
- Remote
- 5 years
- BC/BE
- Senior level
- Flexible schedule
Quick Apply
Physician Reviewer-Remote Contract
HireOps Staffing, LLC —Dallas, TX
- $105 an hour
- Full-time
- Remote
- Medicine
- 5 years
- Senior level
- Health insurance
- Dental insurance
Quick Apply
9d
NC Licensed Pain Management Peer Reviewer
BHM Healthcare Solutions —Remote
- Part-time
- Remote
- 5 years
- BC/BE
- Senior level
- Flexible schedule
Quick Apply
10d
Radiology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Remote
- Part-time
- Remote
- Medicine
- BC/BE
- Writing skills
- Flexible schedule
Nephrology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Remote
- Part-time
- Remote
- Medicine
- BC/BE
- Writing skills
- Flexible schedule
Cardiology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Remote
- Part-time
- Remote
- Medicine
- BC/BE
- Writing skills
- Flexible schedule
Surgical Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Remote
- Part-time
- Remote
- Medicine
- Surgery
- BC/BE
- Flexible schedule
Gastroenterology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Remote
- Part-time
- Remote
- BC/BE
- Writing skills
- English
- Flexible schedule
Physician Reviewer
MedReview —Remote
- $230,000 a year
- Full-time
- Remote
- Medicine
- 5 years
- BC/BE
Quick Apply
Hematology/Oncology, Physician Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Remote
- Part-time
- Remote
- Medicine
- BC/BE
- Writing skills
- Flexible schedule
Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway Ventures —Washington, DC
- Part-time
- Remote
- Surgery
- BC/BE
- Writing skills
- Flexible schedule
Board-Certified Physician for Disability Appeal Reviews
Emperion —Remote
- Part-time
- Remote
- Physical & Rehabilitation Medicine
- Mid-level
- Neurology
Quick Apply
Physician Reviewer - Physical Medicine and Rehabilitation (Utilization Review)
Dane Street, LLC —New York, NY
- Remote
- Physical & Rehabilitation Medicine
- Mid-level
Quick Apply
Physician Reviewer-Internal, Family, Physical & Rehab, Occupational, Sports, Gen
Dane Street, LLC —California
- Contract
- Remote
- Medicine
- Physical & Rehabilitation Medicine
- Internal Medicine
Quick Apply
PEER REVIEWER - ADDICTION MEDICINE PHYSICIAN - REMOTE
MICHIGAN PEER REVIEW ORGANIZATION —Remote
- Remote
- Microsoft Word
- Medicine
- Addiction Medicine
Quick Apply
Physician Reviewer - Internal Medicine
Dane Street, LLC —Chicago, IL
- Contract
- Remote
- Medicine
- Internal Medicine
- Mid-level
Quick Apply
Endocrinologist - Independent Reviewer for Disability Appeals
Emperion —Remote
- $100 - $1,000 an hour
- Part-time
- Remote
- Mid-level
- 3 years
- Communication skills
Quick Apply
Physician - Internal Medicine
Loyal Source —El Paso, TX
- $200 an hour
- Full-time
- CPR Certification
- Medicine
- Microsoft Excel
Quick Apply
Medical Doctor
Loyal Source —El Paso, TX
- $170.86 an hour
- Full-time
- Spanish
- CPR Certification
- Medicine
Quick Apply
1d

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Pediatrician with Neonatology Sub-Specialty Physician Reviewer PRN Remote

BHM Healthcare Solutions -
Remote

Quick Apply

Job Details

Part-time | Contract

Benefits

Flexible schedule

Qualifications

Direct patient care
Medicine
Doctoral degree
BC/BE
DEA License
Medical License
Documentation review

Full Job Description

STATEMENT OF ROLE & RESPONSIBILITY

POSITION TITLE: Physician Clinical Reviewer

SCOPE OF ROLE & RESPONSIBILITIES

Clinical review of internal and/or external review cases for medical necessity, treatment appropriateness, or administrative compliance.
Thorough review of all submitted information, documentation of determination, clinical rationale, and citation of sources used to support decision within the specified timeframe.
Complete Peer-to-Peer phone calls with providers when scheduled.

QUALIFICATION REQUIREMENTS

Have current, non-restricted licensure or certification as required for clinical practice in a state of the United States.
Have at least five (5) years full-time equivalent experience providing direct clinical care to patients;
Have a scope of licensure or certification and professional experience that typically manages the medical condition, procedure, treatment, or issue and are clinical peers for each case under review.
If an M.D. or D.O. has board certification by a medical specialty board approved by the American Board of Medical Specialties (ABMS) or the American Osteopathic Association (AOA); and if a D.P.M., has board certification by the American Board of Podiatric Surgery (ABPS) or the American Board of Podiatric Orthopedics and Primary Podiatric Medicine
If performing External Review, must meet all of the above and have experience providing direct clinical care to patients within the past three (3) years.

Job Types: Contract, Part-time

Benefits:

Flexible schedule

Application Question(s):

Are you a board-certified Neonatologist?

License/Certification:

BC/BE (Required)
Medical License (Required)

Work Location: Remote

Quick Apply

Refine Your Search

physician case reviewer jobs

Pediatrician with Neonatology Sub-Specialty Physician Reviewer PRN Remote

ENT Physician Reviewer | NC License

Physician Reviewer-Remote Contract

NC Licensed Pain Management Peer Reviewer

Radiology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Nephrology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Cardiology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Surgical Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Gastroenterology Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Physician Reviewer

Hematology/Oncology, Physician Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)

Board-Certified Physician for Disability Appeal Reviews

Physician Reviewer - Physical Medicine and Rehabilitation (Utilization Review)

Physician Reviewer-Internal, Family, Physical & Rehab, Occupational, Sports, Gen

PEER REVIEWER - ADDICTION MEDICINE PHYSICIAN - REMOTE

Physician Reviewer - Internal Medicine

Endocrinologist - Independent Reviewer for Disability Appeals

Physician - Internal Medicine

Medical Doctor

I want to receive the latest job alert for physician case reviewer

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