... Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review ... We are currently seeking Board-Certified physicians in International Radiology to conduct ...
... Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review ... We are currently seeking Board-Certified physicians in International Radiology to conduct ...
... Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review ... We are currently seeking Board-Certified physicians in Psychiatry to conduct independent ...
... Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review ... We are currently seeking Board-Certified physicians in Psychiatry to conduct independent ...
Review clinical documentation to determine medical necessity and appropriate levels of care ... Collaborate with providers, physicians, case management teams, and other healthcare professionals.
Quick apply
Review clinical documentation to determine medical necessity and appropriate levels of care ... Collaborate with providers, physicians, case management teams, and other healthcare professionals.
... Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review ... We are currently seeking Board-Certified physicians in International Radiology to conduct ...
... Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review ... We are currently seeking Board-Certified physicians in International Radiology to conduct ...
... Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review ... We are currently seeking Board-Certified physicians in Psychiatry to conduct independent ...
... Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review ... We are currently seeking Board-Certified physicians in Psychiatry to conduct independent ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Review medical records to determine the medical necessity of services * Utilize state-specific ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Review medical records to determine the medical necessity of services * Utilize state-specific ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Review medical records to determine the medical necessity of services * Utilize state-specific ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Review medical records to determine the medical necessity of services * Utilize state-specific ...
Description Flexible Independent Contractor (1099) Remote Opportunity Required State Medical ... We are currently seeking Board-Certified physicians in DERMATOLOGY to conduct independent ...
Description Flexible Independent Contractor (1099) Remote Opportunity Required State Medical ... We are currently seeking Board-Certified physicians in DERMATOLOGY to conduct independent ...
Review clinical documentation to determine medical necessity and appropriate levels of care ... Collaborate with providers, physicians, case management teams, and other healthcare professionals.
Quick apply
Review clinical documentation to determine medical necessity and appropriate levels of care ... Collaborate with providers, physicians, case management teams, and other healthcare professionals.
... remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS). Minimum of 3 years acute medical Care ...
... remote Utilization Review RN role supporting multiple service lines and levels of care, including Inpatient, Extended Hospital Outpatient, and Observation (OBS). Minimum of 3 years acute medical Care ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Review medical records to determine the medical necessity of services * Utilize state-specific ...
Quick apply
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Review medical records to determine the medical necessity of services * Utilize state-specific ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Review medical records to determine the medical necessity of services * Utilize state-specific ...
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling ... Review medical records to determine the medical necessity of services * Utilize state-specific ...
Review clinical documentation to determine medical necessity and appropriate levels of care ... Collaborate with providers, physicians, case management teams, and other healthcare professionals.
Quick apply
Review clinical documentation to determine medical necessity and appropriate levels of care ... Collaborate with providers, physicians, case management teams, and other healthcare professionals.
Review clinical documentation to determine medical necessity and appropriate levels of care ... Collaborate with providers, physicians, case management teams, and other healthcare professionals.
Quick apply
Review clinical documentation to determine medical necessity and appropriate levels of care ... Collaborate with providers, physicians, case management teams, and other healthcare professionals.
Review clinical documentation to determine medical necessity and appropriate levels of care ... Collaborate with providers, physicians, case management teams, and other healthcare professionals.
Quick apply
Review clinical documentation to determine medical necessity and appropriate levels of care ... Collaborate with providers, physicians, case management teams, and other healthcare professionals.
UTILIZATION REVIEW NURSE
Norfolk, VA · On-site +1
Ensures medical director written decision is consistent with criteria (CMS, state, medical policy ... For positions that are available as remote work, Sentara Health employs associates in the following ...
UTILIZATION REVIEW NURSE
Norfolk, VA · On-site +1
Ensures medical director written decision is consistent with criteria (CMS, state, medical policy ... For positions that are available as remote work, Sentara Health employs associates in the following ...
Description Oncology Utilization Review State Medical Licenses required: Arizona, Florida ... THE OPPORTUNITY: We are currently seeking Board-Certified physicians in Oncology to conduct ...
Description Oncology Utilization Review State Medical Licenses required: Arizona, Florida ... THE OPPORTUNITY: We are currently seeking Board-Certified physicians in Oncology to conduct ...
Utilization Review Specialist
$62K - $70K/yr
Physicians: MD or DO (typically Board Certified in Psychiatry or Child/Adolescent Psychiatry ... Proficiency with electronic medical records (EMR) and utilization management systems
Utilization Review Specialist
$62K - $70K/yr
Physicians: MD or DO (typically Board Certified in Psychiatry or Child/Adolescent Psychiatry ... Proficiency with electronic medical records (EMR) and utilization management systems
Utilization Review Nurse
$34.73 - $45.15/hr
Performs medical record review for severity of illness and intensity of service; liaison function ... Refers to designated physician advisor those patients not meeting criteria as well as quality of ...
Utilization Review Nurse
$34.73 - $45.15/hr
Performs medical record review for severity of illness and intensity of service; liaison function ... Refers to designated physician advisor those patients not meeting criteria as well as quality of ...
Description Flexible Independent Contractor (1099) Require a DC or Maryland State Medical License ... We are currently seeking Board-Certified physicians in RADIOLOGY to conduct independent Utilization ...
Description Flexible Independent Contractor (1099) Require a DC or Maryland State Medical License ... We are currently seeking Board-Certified physicians in RADIOLOGY to conduct independent Utilization ...
Remote Medical Utilization Review Physician information
See salary details
$21.39 - $25.72
2% of jobs
$25.72 - $30.05
9% of jobs
$33.01 is the 25th percentile. Wages below this are outliers.
$30.05 - $34.38
21% of jobs
The median wage is $37.88 / hr.
$34.38 - $38.70
23% of jobs
$38.70 - $43.03
13% of jobs
$46.39 is the 75th percentile. Wages above this are outliers.
$43.03 - $47.36
10% of jobs
$47.36 - $51.68
8% of jobs
$51.68 - $56.01
5% of jobs
$56.01 - $60.34
5% of jobs
$60.34 - $64.66
2% of jobs
$64.66 - $68.99
2% of jobs
$21
$42
$68
How much do remote medical utilization review physician jobs pay per hour?
As of Sep 3, 2026, the average hourly pay for remote medical utilization review physician in the United States is $42.28, according to ZipRecruiter salary data. Most workers in this role earn between $33.41 and $48.56 per hour, depending on experience, location, and employer.
What does a remote medical utilization review physician do?
A Remote Medical Utilization Review Physician evaluates medical records and treatment plans to determine the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. Working remotely, they review clinical documentation, apply evidence-based guidelines, and make recommendations regarding approvals or denials of insurance claims. They also collaborate with healthcare providers, case managers, and insurance companies to ensure patients receive appropriate care while managing healthcare costs. This role is vital in maintaining high standards of patient care and compliance with regulations.
What are the key skills and qualifications needed to thrive as a remote medical utilization review physician?
To thrive as a Remote Medical Utilization Review Physician, you need a valid medical degree (MD or DO), active medical license, and thorough knowledge of clinical guidelines and insurance regulations. Familiarity with electronic medical record systems, utilization management software, and board certification in a relevant specialty are typically required. Excellent analytical thinking, attention to detail, and strong written and verbal communication skills help ensure objective and effective case reviews. These competencies are essential for accurately assessing medical necessity, ensuring compliance, and supporting quality patient care while managing healthcare costs.
What are some common challenges faced by remote medical utilization review physicians, and how can they be managed?
Remote Medical Utilization Review Physicians often encounter challenges such as navigating complex insurance policies, staying updated with evolving clinical guidelines, and communicating effectively with healthcare providers who may have differing opinions. Managing these challenges typically involves continuous education, leveraging decision-support tools, and developing strong written and verbal communication skills to explain decisions clearly. Additionally, working remotely requires efficient time management and the ability to maintain focus in a virtual environment, often supported by collaboration platforms and regular check-ins with the broader review team.
What is the difference between Remote Medical Utilization Review Physician vs Remote Medical Case Manager?
| Aspect | Remote Medical Utilization Review Physician | Remote Medical Case Manager |
|---|---|---|
| Credentials | Medical degree, medical license, certification in utilization review | Nursing or social work degree, case management certification |
| Work Environment | Performing reviews, analyzing medical records remotely | Coordinating care, communicating with providers and patients remotely |
| Employer & Industry | Insurance companies, third-party administrators, healthcare organizations | Insurance companies, healthcare providers, case management firms |
The Remote Medical Utilization Review Physician primarily evaluates medical necessity and approves or denies treatment requests, requiring medical licensure and certification. In contrast, the Remote Medical Case Manager focuses on coordinating patient care and facilitating communication between providers and patients, often with nursing or social work credentials. Both roles are remote, serve the healthcare and insurance industries, but differ in their core responsibilities and required qualifications.
More about Remote Medical Utilization Review Physician jobs
What cities are hiring for Remote Medical Utilization Review Physician jobs?
Cities with the most Remote Medical Utilization Review Physician job openings:
What are the most commonly searched types of Medical Utilization Review Physician jobs?
The most popular types of Medical Utilization Review Physician jobs are:
What states have the most Remote Medical Utilization Review Physician jobs?
States with the most job openings for Remote Medical Utilization Review Physician jobs include:
What job categories do people searching Remote Medical Utilization Review Physician jobs look for?
The top searched job categories for Remote Medical Utilization Review Physician jobs are:
Contractor
Posted 22 days ago
Job description
Description
Flexible Independent Contractor (1099) Opportunity
Interventional Radiology Contract Reviews - Remote - Any State Medical License
ABOUT MRIoA
Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.
THE OPPORTUNITY:
We are currently seeking Board-Certified physicians in International Radiology to conduct independent Utilization Reviews. This is a flexible, fully remote opportunity requiring just 1-2 hours per week-with no minimum commitment.
ADDITIONAL INFORMATION:
California Consumer Privacy Act (CCPA) Information (California Residents Only):
Requirements
Flexible Independent Contractor (1099) Opportunity
Interventional Radiology Contract Reviews - Remote - Any State Medical License
ABOUT MRIoA
Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We're a leader in Peer and Utilization Reviews, known for excellence and continuous improvement.
THE OPPORTUNITY:
We are currently seeking Board-Certified physicians in International Radiology to conduct independent Utilization Reviews. This is a flexible, fully remote opportunity requiring just 1-2 hours per week-with no minimum commitment.
ADDITIONAL INFORMATION:
- Work remotely from anywhere in the US (Per HIPPA Regulations patient records cannot leave the US).
- Covered under MRIoA's Errors and Omissions policy.
- Independent Contractor (1099) opportunity.
- Workers are required to adhere to all applicable HIPAA regulations and company policies and procedures regarding the confidentiality, privacy, and security of sensitive health information.
California Consumer Privacy Act (CCPA) Information (California Residents Only):
- Sensitive Personal Info: MRIoA may collect sensitive personal info such as real name, nickname or alias, postal address, telephone number, email address, Social Security number, signature, online identifier, Internet Protocol address, driver's license number, or state identification card number, and passport number.
- Data Access and Correction: Applicants can access their data and request corrections. For questions and/or requests to edit, delete, or correct data, please email the Medical Review Institute at HR@mrioa.com.
Requirements
- Must have a Medical Degree MD or DO
- Must have a current STATE unencumbered medical license
- Current Board Certification in Radiology, IR/DR certified
- Must have 5 years of clinical experience residency to be included
- Daytime availability is required for peer-to-peer conversations