Remote Utilization Review Physician
Job at a glance
Job description
Specialty accepted: Remote Medical Director - Internal Medicine, Geriatrician, Hospitalist, and Emergency Medicine MD Accepted
Start date or shifts: ASAP – Ongoing
Daily schedule: Remote, flexible full-time schedule
Practice setting: Telehealth / Utilization Management
Types of procedures: Comprehensive review of medical records; synthesis of complex clinical scenarios; determinations based on national guidelines, CMS requirements, and Humana policies
Number of patients: N/A – Administrative Review Role
Ages: Medicare and adult population
Additional information: This is a remote position within the U.S. Medical Directors perform expert medical necessity reviews, communicate determinations to external providers, and ensure compliance with CMS and organizational standards. Must hold an MD or DO degree with at least five years of post-residency clinical experience and current, unrestricted licensure in at least one U.S. jurisdiction. Board certification through an ABMS specialty required. Experience in hospital-based care, utilization management, or Medicare Advantage is strongly preferred.
Benefits: Malpractice insurance coverage; weekly electronic pay; remote flexibility; earn $2,000 per referral.
How to apply: Email your CV to [Register to View] or call us at [Register to View] . Check out all of our locum tenens jobs at [Register to View]
About Us: All Medical Personnel streamlines hiring to get you back to the work you love. Established in 1990, our staffing business lines place locum tenens, travel nursing, travel therapy, allied health, and clinical laboratory professionals from coast to coast. We believe in focusing and uplifting the hiring process, with a deep understanding of the unique challenges you face. We are here to ensure each experience with us is simplified, elevated, and impactful, for you and your patient.
Please reference Job number: 267693