Remote Utilization Management Physician Reviewer
Remote / Online - Candidates ideally in
Charleston, Charleston County, South Carolina, 29408, USA
Listed on 2026-08-22
Charleston, Charleston County, South Carolina, 29408, USA
Listing for:
Oak Street Health
Full Time, Remote/Work from Home
position Listed on 2026-08-22
Job specializations:
-
Doctor/Physician
Medical Doctor, Healthcare Consultant, Emergency Medicine Physician
Job Description & How to Apply Below
Oak Street Health is seeking a full-time Utilization Management Physician Reviewer to provide timely coverage determinations for inpatient and outpatient services using UM criteria and clinical judgment. The role collaborates with care teams to ensure medically appropriate care and adherence to CMS and MCG guidelines.
The ideal candidate holds an MD or DO, has an unrestricted US license, 3–5 years of primary care experience, and at least one year of UM experience for Medicare/Medicaid lines.
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