Remote Utilization Management Physician Reviewer Job at Oak Street Health, part of CVS Health, United States

  • Oak Street Health, part of CVS Health
  • United States

Job Description

Oak Street Health is seeking a Utilization Management Physician Reviewer for a fully remote, full-time role. You will apply UM criteria and clinical judgment to determine coverage for inpatient and outpatient services, coordinating with care teams to ensure appropriate care.

The position requires an MD/DO, 1+ year UM experience with Medicare/Medicaid, and knowledge of CMS/MCG guidelines. Benefits are competitive and focused on quality care.

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Job Tags

Full time

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