Remote Utilization Management Physician Reviewer
Remote / Online - Candidates ideally in
Northern, Floyd County, Kentucky, USA
Listed on 2026-08-22
Northern, Floyd County, Kentucky, USA
Listing for:
Chicago Derm
Full Time, Remote/Work from Home
position Listed on 2026-08-22
Job specializations:
-
Doctor/Physician
Emergency Medicine Physician, Primary Care Physician, Medical Doctor
Job Description & How to Apply Below
Oak Street Health seeks a full-time Utilization Management Physician Reviewer to determine coverage for inpatient and outpatient services using UM criteria and clinical judgment. The role emphasizes coordinating with care teams to ensure medically appropriate care and adherence to CMS/MCG guidelines.
Responsibilities include documenting rationale, collaborating with transitional care and PCP teams, staying current with payor policies, and supporting quality initiatives.
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