Analyze complex clinical scenarios from an impartial, evidence-based perspective Qualifications ... Surgery Specialties Thoracic Surgery Why Join Us? Fully remote work-complete cases on your own ...
Analyze complex clinical scenarios from an impartial, evidence-based perspective Qualifications ... Surgery Specialties Thoracic Surgery Why Join Us? Fully remote work-complete cases on your own ...
Medical Claim Reviewer (CGS, DMEC)
OR · Remote
Remote (U.S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a ... Strong clinical background in managed care, home health, rehabilitation, and/or medical-surgical ...
Medical Claim Reviewer (CGS, DMEC)
OR · Remote
Remote (U.S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a ... Strong clinical background in managed care, home health, rehabilitation, and/or medical-surgical ...
Analyze complex clinical scenarios from an impartial, evidence-based perspective Qualifications ... Surgery Neurosurgery Orthopedics - Spine _____ Radiology & Imaging Diagnostic Radiology ...
Analyze complex clinical scenarios from an impartial, evidence-based perspective Qualifications ... Surgery Neurosurgery Orthopedics - Spine _____ Radiology & Imaging Diagnostic Radiology ...
REMOTE Utilization Review Nurse - Managed Care
Coos Bay, OR · Remote
$35.29 - $47.37/hr
Utilization Review Nurse The Clinical Review Nurse is responsible for providing clinically ... Remote Work Environment * Employee generally works within a remote work from home environment.
REMOTE Utilization Review Nurse - Managed Care
Coos Bay, OR · Remote
$35.29 - $47.37/hr
Utilization Review Nurse The Clinical Review Nurse is responsible for providing clinically ... Remote Work Environment * Employee generally works within a remote work from home environment.
Clinical Data Reviewer - Internal Medicine (US, CAN, UK Only) Syneos Health is a leading fully ... Ability to work independently in a virtual setting and as part of a remote team * Ability to ...
Clinical Data Reviewer - Internal Medicine (US, CAN, UK Only) Syneos Health is a leading fully ... Ability to work independently in a virtual setting and as part of a remote team * Ability to ...
Senior Oncology Clinical Pharmacist
OR · Remote
$112.50K - $187.50K/yr
Job Summary This position is responsible for remote order review and the implementation and maintenance of clinical pharmacy services for practices within The US Oncology Network (The Network). The ...
Senior Oncology Clinical Pharmacist
OR · Remote
$112.50K - $187.50K/yr
Job Summary This position is responsible for remote order review and the implementation and maintenance of clinical pharmacy services for practices within The US Oncology Network (The Network). The ...
Senior Oncology Clinical Pharmacist
OR · Remote
$112.50K - $187.50K/yr
Job Summary This position is responsible for remote order review and the implementation and maintenance of clinical pharmacy services for practices within The US Oncology Network (The Network). The ...
Senior Oncology Clinical Pharmacist
OR · Remote
$112.50K - $187.50K/yr
Job Summary This position is responsible for remote order review and the implementation and maintenance of clinical pharmacy services for practices within The US Oncology Network (The Network). The ...
Remote (U.S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a ... Strong clinical background in managed care, home health, rehabilitation, and/or medical-surgical ...
Remote (U.S. - Work from home) Remote Work Requirements : High-speed internet (non-satellite) and a ... Strong clinical background in managed care, home health, rehabilitation, and/or medical-surgical ...
Clinical Data Reviewer ((Internal Medicine)*** US, CAN, or UK with no sponsorship needs Syneos ... of a remote team Ability to prioritize and adjust work priorities quickly as needed to meet ...
Clinical Data Reviewer ((Internal Medicine)*** US, CAN, or UK with no sponsorship needs Syneos ... of a remote team Ability to prioritize and adjust work priorities quickly as needed to meet ...
Remote Prior Authorization Pharmacist
Portland, OR · Remote
$59.50 - $71.50/hr
Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ...
Remote Prior Authorization Pharmacist
Portland, OR · Remote
$59.50 - $71.50/hr
Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ...
Remote Prior Authorization Pharmacist
Beaverton, OR · Remote
$60.50 - $72.75/hr
Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ...
Remote Prior Authorization Pharmacist
Beaverton, OR · Remote
$60.50 - $72.75/hr
Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Review prior authorization requests for accuracy, appropriateness, and clinical necessity. * Apply ...
This team handles a variety of claim types including Radiology, Ambulance, Physical Therapy and Surgical. Performs medical reviews using clinical/medical information provided by physicians/providers ...
This team handles a variety of claim types including Radiology, Ambulance, Physical Therapy and Surgical. Performs medical reviews using clinical/medical information provided by physicians/providers ...
Per Diem Coding & OASIS Reviewer
$32 - $37/hr
This is a remote position requiring the Reviewer to work independently. Our Healthcare ... Communicate directly with internal & agency clinical staff as needed via EMR notes, MS Teams or ...
Per Diem Coding & OASIS Reviewer
$32 - $37/hr
This is a remote position requiring the Reviewer to work independently. Our Healthcare ... Communicate directly with internal & agency clinical staff as needed via EMR notes, MS Teams or ...
Clinical Review QC Auditor
$68.57K - $104.84K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Review medical records to determine accuracy of billing through verification of coding and review of supporting clinical ...
Clinical Review QC Auditor
$68.57K - $104.84K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Review medical records to determine accuracy of billing through verification of coding and review of supporting clinical ...
Are you a board-certified physician looking for a flexible, remote opportunity to apply your clinical expertise? We are seeking experienced physicians to conduct independent case reviews for the ...
Are you a board-certified physician looking for a flexible, remote opportunity to apply your clinical expertise? We are seeking experienced physicians to conduct independent case reviews for the ...
Are you a board-certified physician looking for a flexible, remote opportunity to apply your clinical expertise? We are seeking experienced physicians to conduct independent case reviews for the ...
Are you a board-certified physician looking for a flexible, remote opportunity to apply your clinical expertise? We are seeking experienced physicians to conduct independent case reviews for the ...
Are you a board-certified physician looking for a flexible, remote opportunity to apply your clinical expertise? We are seeking experienced physicians to conduct independent case reviews for the ...
Are you a board-certified physician looking for a flexible, remote opportunity to apply your clinical expertise? We are seeking experienced physicians to conduct independent case reviews for the ...
Are you a board-certified physician looking for a flexible, remote opportunity to apply your clinical expertise? We are seeking experienced physicians to conduct independent case reviews for the ...
Are you a board-certified physician looking for a flexible, remote opportunity to apply your clinical expertise? We are seeking experienced physicians to conduct independent case reviews for the ...
Clinical Review QC Auditor
$68.57K - $104.84K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Review medical records to determine accuracy of billing through verification of coding and review of supporting clinical ...
Clinical Review QC Auditor
$68.57K - $104.84K/yr
This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Review medical records to determine accuracy of billing through verification of coding and review of supporting clinical ...
Are you a board-certified physician looking for a flexible, remote opportunity to apply your clinical expertise? We are seeking experienced physicians to conduct independent case reviews for the ...
Are you a board-certified physician looking for a flexible, remote opportunity to apply your clinical expertise? We are seeking experienced physicians to conduct independent case reviews for the ...
Remote Surgical Clinical Reviewer information
What are the key skills and qualifications needed to thrive as a Remote Surgical Clinical Reviewer, and why are they important?
What are some common challenges faced by Remote Surgical Clinical Reviewers, and how can they be managed?
What is a Remote Surgical Clinical Reviewer?
What is the difference between Remote Surgical Clinical Reviewer vs Remote Medical Reviewer?
| Aspect | Remote Surgical Clinical Reviewer | Remote Medical Reviewer |
|---|---|---|
| Required Credentials | Medical degree, surgical or clinical experience, licensure | Medical degree, clinical experience, licensure |
| Work Environment | Remote, healthcare or insurance companies | Remote, insurance or healthcare organizations |
| Employer & Industry | Hospitals, insurance companies, healthcare providers | Insurance companies, healthcare organizations |
| Common Search & Comparison | Yes | Yes |
The main difference is that Remote Surgical Clinical Reviewers focus on evaluating surgical cases and procedures, requiring surgical experience, while Remote Medical Reviewers assess general medical claims and cases. Both roles involve remote work, require medical credentials, and are used in healthcare and insurance industries.
Surgical Physician, Medical Case Reviewer (Remote, Part-Time, Flexible Hours)
Broadway VenturesRemote
Other
Posted 20 days ago
Job description
Are you a board-certified physician looking for a flexible, remote opportunity to apply your clinical expertise? We are seeking experienced physicians to conduct independent case reviews for the Department of Veterans Affairs (VA). This role involves evaluating medical cases to assess quality of care, adherence to standards, and opportunities for improvement.
This is an ideal opportunity for physicians seeking part-time, flexible work that complements their clinical practice.
Position Details:
- Job Type: Part-time
- Location: Fully remote (U.S. only)
- Schedule: Flexible-complete cases at your convenience within 5 calendar days
- Case Volume: Varies monthly-no fixed predictions by specialty or case type
Key Responsibilities:
- Medical Case Audits & Quality Reviews
- Conduct objective medical case reviews using standardized assessment criteria
- Evaluate the timeliness and appropriateness of care provided
- Identify quality improvement opportunities
- Performance Improvement & Specialty Case Reviews
- Review cases initiated for non-standardized performance improvement reasons
- Assess medical decision-making and compliance with best practices
- Medical Advisory Opinions
- Provide expert medical opinions
- Analyze complex clinical scenarios from an impartial, evidence-based perspective
Qualifications & Requirements:
To be eligible for this role, you must meet the following criteria:
- Active, unrestricted physician license in any U.S. state or territory
- Board certification in a specialty recognized by the American Board of Medical Specialties
- Minimum of 5 years of clinical experience in your specialty
- Minimum of 2 years of recent clinical practice relevant to case reviews
- Actively engaged in direct patient care (minimum 20 clinical hours per month)
- Hospital privileges in your specialty
- Fluent in English (strong reading and writing skills required)
Open Positions by Specialty:
- Surgery Specialties Bariatric Surgery
- Surgery Specialties Cardio-Thoracic Surgery
- Surgery Specialties Colo-Rectal Surgery
- Surgery Specialties Neurosurgery
- Surgery Specialties Orthopedics-Spine
- Surgery Specialties Thoracic Surgery
Why Join Us?
Fully remote work-complete cases on your own schedule
Flexible hours- ability to complete reviews within 5 days on your own time
No court appearances-your reviews remain confidential
Make a meaningful impact-help improve healthcare standards for veterans
How to Apply:
If you meet the qualifications and are interested in joining our team, apply today!
About BROADWAY VENTURES
Sourced by ZipRecruiter
Industry
Business management consulting
Company size
11 - 50 Employees
Headquarters location
Canton, MS, US
Year founded
2013