Remote Utilization Review Physician

Specialty accepted :Remote Medical Director - Internal Medicine, Geriatrician, Hospitalist, and Emergency Medicine MD AcceptedStart date or shifts :ASAP OngoingDaily schedule :Remote, flexible full-time schedulePractice setting :Telehealth / Utilization ManagementTypes of procedures :Comprehensive review of medical records; synthesis of complex clinical scenarios; determinations based on national guidelines, CMS requirements, and Humana policiesNumber of patients :N / A Administrative Review RoleAges :Medicare and adult populationAdditional 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 or call us at 800-706-2378.Check out all of our locum tenens jobs at.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.. Experience: 5 years required