Utilization Review Physician jobs in Lancaster, TX

Job Description Job Description The Utilization Review Case Manager is responsible for working with insurance companies and managed care systems for the authorization, concurrent and retrospective review of inpatient admissions and services. This position will obtain authorization for each admitted patient. Review and monitor each step of the authorization process to proactively identify...

Description: Flexible Independent Contractor (1099) Opportunity Current Unrestricted MINNESOTA, TEXAS or NEW MEXICO Medical License Required ABOUT MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We’re a leader in...

Hematology/Oncology Physician – Utilization Review Remote – Flexible Independent Contractor (1099) OpportunityMedical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology‑driven utilization management and clinical medical review solutions. We’re a leader in peer and utilization reviews, known for excellence and continuous...

Utilization Review Nurse for Workers' Comp Job Purpose: Review Workers Compensation requests submitted by the provider, requestor, claimant or carrier to determine the medical necessity of the treatment utilizing clinical expertise and evidence-based treatment guidelines. Duties: - Perform an evaluation of the medical data for utilization review requests. - Confirm accurate completion of data...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and...

$40/hour - Contract for 6 months Must reside in TX Full time remote Candidates must be based in TX. RN working in the insurance or managed care industry using medically accepted criteria to validate the medical necessity and appropriateness of the treatment plan. pay rate is $40/hour This position is responsible for performing initial, concurrent review activities; discharge care...

- Location: Richardson, Texas - Type: Contract - Job #101245 Job Title Human Resources Generalist II - Location: Illinois Job Type: Contract Expected hours per week (must include "per week"): 40 hours per week Schedule (include days, hours, onsite/hybrid or remote): Monday - Friday, Remote Pay Range (must include "per hour"): $41.25 per hour Job Description: - Location: Full-time remote...

Utilization Review RN with Acute Care Experience - PRN - Monday-Friday DaysEpic/MCG Experience RequiredThree (3) years of utilization review experience in hospital/acute care setting requiredJOB SUMMARYConduct medical certification review for medical necessity for acute care facility and services. Use nationally recognized, evidence-based guidelines approved by medical staff to recommend level of...

We are looking for a Utilization Review Nurse Remote/Local (Richardson, TX). The individual should be interested in non-direct patient care setting. Experience working within the workers compensation insurance/medical industry preferred.The Utilization Review Nurse (UR Nurse) performs medical necessity review of proposed, concurrent, or retrospective clinical services for injured workers in...

Description: Flexible Independent Contractor (1099) Opportunity for Physician Current Unrestricted NEW MEXICO, TEXAS or MINNESOTA Medical License Required ABOUT MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We’re...

Join to apply for the Remote - Urologist - Utilization Review - Contract (1099) role at Medical Review Institute of America .Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We’re a leader in Peer and Utilization Reviews,...

Description: Flexible Independent Contractor (1099) Opportunity Current Unrestricted Medical State License Required in one of the following states; Minnesota, Texas, New Mexico, Maryland, Pennsylvania, Virginia, DC or hold the IMLC Compact State Medical license. ABOUT MRIoA: Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization...

A leading medical review organization is seeking a Board-Certified Dermatologist for a remote role in Utilization Review. This position requires 1-2 hours per week with no minimum commitment. Candidates must possess an MD or DO, have at least 5 years of patient care experience, and an unrestricted state medical license. Responsibilities include conducting independent Utilization Reviews while...

Overview 1099 Utilization Review work for Radiation Oncologists – Flexible Independent Contractor (1099) opportunity with Medical Review Institute of America (MRIoA).About MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized independent review organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions....

Description: Flexible Independent Contractor (1099) Opportunity FOR PHYSICIANS ONLY Current Unrestricted MINNESOTA, TEXAS or NEW MEXICO or INDIANA Medical License Required (or current approval from the IMLC) ABOUT MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization...

Description: Remote Independent Contractor (1099) Opportunity Orthopedic Surgery: General, or fellowship trained in Spine, Shoulder & Elbow, and/or Hip & Knee - Current Unrestricted State Medical License Required in one of the following states: INDIANA, NEW MEXICO, MINNESOTA, TEXAS, MARYLAND, PENNSYLVANA, VIRGINIA, DC or hold the ILMC Compact State license ABOUT MRIoA Founded in 1983,...

Description: Flexible Independent Contractor (1099) Opportunity - INDIANA state medical license required. ABOUT MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review solutions. We’re a leader in Peer and Utilization Reviews, known...

Description: Flexible Independent Contractor (1099) Opportunity Current Unrestricted MINNESOTA or INDIANA Medical License Required (or current approval from the IMLC) ABOUT MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review Organization (IRO) specializing in technology-driven utilization management and clinical medical review...

Description: Medical Director (Physician Reviewer) – Remote / Work from Home Medical Review Institute of America (MRIoA) is experiencing continued growth and is seeking a full-time, remote Medical Director (Physician Reviewer) to join our team. For over 40 years, MRIoA has been a market leader in utilization management and clinical review solutions. Our Medical Directors play a critical role...

Description: Remote Independent Contractor (1099) Opportunity Current Unrestrictedstate medical license required in one of the following states: INDIANA, MINNESOTA, TEXAS, Maryland, Pennsylvania, Virginia or DC *Please apply if you hold a current IMLC Compact license ABOUT MRIoA Founded in 1983, Medical Review Institute of America (MRIoA) is a nationally recognized Independent Review...