Remote Utilization Management Physician Reviewer

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

Benefits offered by this job

Secure online portal

Paperless workflow

Job summary

A leading independent review organization is seeking a Utilization Management Physician Reviewer for a full-time remote role. Candidates must possess an active Nebraska medical license and have a minimum of 5 years clinical practice experience. Responsibilities include conducting thorough reviews of utilization management cases, collaborating closely with the Medical Director and other stakeholders, and ensuring compliance with medical guidelines. The role offers a structured schedule from Monday to Friday with occasional weekend work required.

Qualifications

• 5+ years of clinical practice experience including residency.
• Active, unrestricted medical licensure in Nebraska.
• Strong knowledge of federal/state legislative mandates.

Responsibilities

• Perform utilization management reviews efficiently.
• Collaborate with Medical Director and Senior Management.
• Communicate with client Medical Directors regarding review outcomes.

Skills

Clinical practice experience

Medical terminology knowledge

Ability to work under pressure

Communication skills

Education

MD, DO, or DPM degree

Active board certification

Job description

A leading independent review organization is seeking a Utilization Management Physician Reviewer for a full-time remote role. Candidates must possess an active Nebraska medical license and have a minimum of 5 years clinical practice experience. Responsibilities include conducting thorough reviews of utilization management cases, collaborating closely with the Medical Director and other stakeholders, and ensuring compliance with medical guidelines. The role offers a structured schedule from Monday to Friday with occasional weekend work required.