Utilization Review Physician
Carteret, NJ · On-site
The Utilization Review Physician is the lead clinician for the health plan ... Responsible for the administration of medical services for company health plan utilizing the ...
Carteret, NJ · On-site
The Utilization Review Physician is the lead clinician for the health plan ... Responsible for the administration of medical services for company health plan utilizing the ...
Carteret, NJ · On-site
The Utilization Review Physician is the lead clinician for the health plan ... Responsible for the administration of medical services for company health plan utilizing the ...
The Utilization Review Physician is the lead clinician for the health plan ... Responsible for the administration of medical services for company health plan utilizing the ...
The Utilization Review Physician is the lead clinician for the health plan ... Responsible for the administration of medical services for company health plan utilizing the ...
The Utilization Review Physician is the lead clinician for the health plan ... Responsible for the administration of medical services for company health plan utilizing the ...
Quick apply
The Utilization Review Physician is the lead clinician for the health plan ... Responsible for the administration of medical services for company health plan utilizing the ...
The Utilization Review Physician is the lead clinician for the health plan ... Responsible for the administration of medical services for company health plan utilizing the ...
Quick apply
The Utilization Review Physician is the lead clinician for the health plan ... Responsible for the administration of medical services for company health plan utilizing the ...
The Utilization Review Physician is the lead clinician for the health plan ... Responsible for the administration of medical services for company health plan utilizing the ...
Quick apply
The Utilization Review Physician is the lead clinician for the health plan ... Responsible for the administration of medical services for company health plan utilizing the ...
Carteret, NJ · On-site
$150 - $220/hr
Responsibilities: * The Utilization Review Physician is the lead clinician for the health plan, responsible for the administration of medical services for the company health plan using ...
Carteret, NJ · On-site
$150 - $220/hr
Responsibilities: * The Utilization Review Physician is the lead clinician for the health plan, responsible for the administration of medical services for the company health plan using ...
... physicians to ensure accurate documentation of medical necessity. * Refer cases that do not meet ... Utilization Review Physician Advisor after discussions with attending physicians. Who You Are:
... physicians to ensure accurate documentation of medical necessity. * Refer cases that do not meet ... Utilization Review Physician Advisor after discussions with attending physicians. Who You Are:
... physicians to ensure accurate documentation of medical necessity. * Refer cases that do not meet ... Utilization Review Physician Advisor after discussions with attending physicians. Who You Are:
... physicians to ensure accurate documentation of medical necessity. * Refer cases that do not meet ... Utilization Review Physician Advisor after discussions with attending physicians. Who You Are:
Strong working knowledge of medical procedures, diagnoses, and procedure codes, including ICD-10, ... Collects and analyzes variances from the plan of care and collaborates with physicians and the ...
Strong working knowledge of medical procedures, diagnoses, and procedure codes, including ICD-10, ... Collects and analyzes variances from the plan of care and collaborates with physicians and the ...
Strong working knowledge of medical procedures, diagnoses, and procedure codes, including ICD-10, ... Collects and analyzes variances from the plan of care and collaborates with physicians and the ...
Strong working knowledge of medical procedures, diagnoses, and procedure codes, including ICD-10, ... Collects and analyzes variances from the plan of care and collaborates with physicians and the ...
... Physician Advisors. Qualifications: A. Education: Holds a current Texas license as a Registered ... Three years of clinical nursing experience in a general medical/surgical setting or appropriate ...
... Physician Advisors. Qualifications: A. Education: Holds a current Texas license as a Registered ... Three years of clinical nursing experience in a general medical/surgical setting or appropriate ...
Miami, FL · On-site
A strong utilization review professional ensures medical necessity, appropriate level of care ... physician accordingly. · Performs discharge reviews (ISD) of insurance and HMO patient records and ...
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Miami, FL · On-site
A strong utilization review professional ensures medical necessity, appropriate level of care ... physician accordingly. · Performs discharge reviews (ISD) of insurance and HMO patient records and ...
Odessa, TX · On-site
... Physician Advisors. Qualifications: A. Education: Holds a current Texas license as a Registered ... Three years of clinical nursing experience in a general medical/surgical setting or appropriate ...
Odessa, TX · On-site
... Physician Advisors. Qualifications: A. Education: Holds a current Texas license as a Registered ... Three years of clinical nursing experience in a general medical/surgical setting or appropriate ...
$52.03 - $101.24/hr
Job Summary and Responsibilities As our Utilization Review Nurse, you will ensure the medical ... physicians and affiliated providers. At Virginia Mason Franciscan Health you will find the safest ...
$52.03 - $101.24/hr
Job Summary and Responsibilities As our Utilization Review Nurse, you will ensure the medical ... physicians and affiliated providers. At Virginia Mason Franciscan Health you will find the safest ...
Las Vegas, NV · On-site
$41 - $60/hr
Collaborate with physicians, case managers, clinical documentation specialists, and other health ... reviewing medical records, and frequent collaboration with clinical teams. Occasional weekend or ...
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Las Vegas, NV · On-site
$41 - $60/hr
Collaborate with physicians, case managers, clinical documentation specialists, and other health ... reviewing medical records, and frequent collaboration with clinical teams. Occasional weekend or ...
Marlboro, NJ · On-site
Review clinical documentation to ensure it supports medical necessity. * Submit clinical ... Participate in utilization review meetings and case conferences. * Generate reports on ...
Marlboro, NJ · On-site
Review clinical documentation to ensure it supports medical necessity. * Submit clinical ... Participate in utilization review meetings and case conferences. * Generate reports on ...
$52.03 - $101.24/hr
Job Summary and Responsibilities As our Utilization Review Nurse, you will ensure the medical ... physicians and affiliated providers. At Virginia Mason Franciscan Health you will find the safest ...
$52.03 - $101.24/hr
Job Summary and Responsibilities As our Utilization Review Nurse, you will ensure the medical ... physicians and affiliated providers. At Virginia Mason Franciscan Health you will find the safest ...
$28.85 - $31.25/hr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Collaborate with primary or attending physician, case managers, patient and/or family to provide ...
$28.85 - $31.25/hr
Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories ... Collaborate with primary or attending physician, case managers, patient and/or family to provide ...
Marlboro, NJ · On-site
Review clinical documentation to ensure it supports medical necessity. * Submit clinical ... Participate in utilization review meetings and case conferences. * Generate reports on ...
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Marlboro, NJ · On-site
Review clinical documentation to ensure it supports medical necessity. * Submit clinical ... Participate in utilization review meetings and case conferences. * Generate reports on ...
... meets medical necessity criteria for the inpatient stay. * Discusses with physicians the ... Demonstrated availability to work variable and rotating shifts, including nights, weekends, and ...
... meets medical necessity criteria for the inpatient stay. * Discusses with physicians the ... Demonstrated availability to work variable and rotating shifts, including nights, weekends, and ...
$41.5K - $66.4K
0% of jobs
$66.4K - $91.3K
1% of jobs
$91.3K - $116.2K
1% of jobs
$116.2K - $141.1K
0% of jobs
$141.1K - $166K
3% of jobs
$166K - $191K
3% of jobs
$191K - $215.9K
6% of jobs
$221.2K is the 25th percentile. Wages below this are outliers.
$215.9K - $240.8K
49% of jobs
$257.9K is the 75th percentile. Wages above this are outliers.
$240.8K - $265.7K
17% of jobs
$265.7K - $290.6K
15% of jobs
$290.6K - $315.5K
5% of jobs
$41.5K
$233.5K
$315.5K
| Aspect | Weekend Medical Utilization Review Physician | Weekend Medical Case Manager |
|---|---|---|
| Credentials | Medical degree, medical license, board certification in relevant specialty | Nursing or social work degree, licensure or certification often preferred |
| Work Environment | Hospitals, insurance companies, healthcare organizations, primarily reviewing medical necessity | Insurance companies, healthcare providers, coordinating patient care and services |
| Employer & Industry Usage | Commonly employed by insurance companies and healthcare organizations for review roles | Typically employed by insurance companies and healthcare agencies for case management |
While both roles involve healthcare review and coordination, the Weekend Medical Utilization Review Physician focuses on medical necessity and clinical review, requiring a medical license and certification. The Weekend Medical Case Manager handles patient care coordination, often with nursing or social work backgrounds. Both roles are essential in healthcare but differ in their focus and qualifications.
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Vivo HealthStaff provides permanent recruitment services for both clinical and administrative positions in the healthcare sector. Over the past 2 years, our clients have seen a 98% retention rate with Vivo HealthStaff placements.
Health care and social assistance
11 - 50 Employees
Dublin, CA, US
2016