Remote Utilization Management Physician Reviewer

ExamWorks; United States; Remote; USD 200,000 - 250,000; Full time

Benefits offered by this job

Work remotely

Secure online portal

Paperless workflow

Job summary

A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed reviews of medical cases while ensuring high standards of patient care. Responsibilities include collaborating with management and providing guidance on clinical questions. This is a unique opportunity to work from home while contributing to quality medical reviews.

Qualifications

• 5+ years of clinical practice experience, including residency.
• Unrestricted medical licensure in specified states or IMLCC.

Responsibilities

• Perform utilization management reviews accurately.
• Communicate review outcomes to stakeholders.
• Collaborate with the Medical Director and team.
• Audit cases and provide quality feedback.

Skills

Clinical guidance

Medical terminology

Communication

Attention to detail

Ability to work under pressure

Education

MD, DO, or DPM degree

Active board certification in an ABMS or AOA-recognized specialty

Job description

A peer review organization is seeking a full-time remote Utilization Management Physician Reviewer. Ideal candidates must hold an MD, DO, or DPM degree with active board certification and unrestricted medical license in relevant states. The role involves performing detailed reviews of medical cases while ensuring high standards of patient care. Responsibilities include collaborating with management and providing guidance on clinical questions. This is a unique opportunity to work from home while contributing to quality medical reviews.