Utilization Management Physician Daytona , FL; Remote

Utilization Management Physician (UMP)

Remote | Full-Time | Florida

Compensation: $240,000 base + bonus
Schedule: 40 hours/week
Work Model: Remote (on-site meetings in Daytona Beach, FL
)

Seeking an experienced Utilization Management Physician to perform medical necessity reviews, peer-to-peer discussions, and clinical determinations using evidence-based criteria.

• Review pre-auths, concurrent reviews, claims, and appeals
• Make medical necessity determinations using MCG/Inter Qual/CMS criteria
• Conduct peer-to-peer reviews and support UM staff
• Participate in committees and provider education as needed

• MD or DO with active, unrestricted Florida license
• 3+ years UM Physician experience
• 3–7 years clinical experience
• Managed care experience required
• Available via phone, email, and Teams

• Bonus opportunity
• 401(k)
• Health benefits
• Malpractice coverage
• PTO + CME
• Licenses, fees, travel, and relocation reimbursed

Health Plus Staffing is National Leader in the Healthcare Staffing Industry. We partner up with top facilities nationwide with the focus of finding them highly qualified candidates.

• We will put you in front of the decision makers.
• We will provide feedback on your application.
• We will work on your behalf to obtain as much info as you need to make a well-informed decision.

If interested in this position, please submit an application or call us at  to speak with one of our highly experienced consultants. We look forward to finding your next position!

The Health Plus Team.