Hi, we're Oscar. We're hiring a Physician Reviewer to join our Utilization Management team. Oscar is the first health insurance company built around a full stack technology platform and a relentless ...
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Remote (Remote (New York))
Remote
permanent
Clinical ReviewEvidence-Based GuidelinesDocumentationCommunicationTurn-Around TimesPeer CollaborationComplianceLicensureUtilization ManagementHealthcare Industry
December 8, 2025
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Utilization Management Nurse - Emergency department
Luminishealth
Lanham, MD
permanent
Patient CareEMR SystemsHIPAAPhlebotomyVital SignsMedical TerminologyCPRBLS Certification
Position Objective: Conducts concurrent and retrospective chart review for clinical, financial, and resource utilization information. Provides intervention and coordination to decrease avoidable delay...
January 13, 2026
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Utilization Management LVN
Welbehealth
Los Angeles, CA, USA (Los Angeles Area, CA)
permanent
Chart AuditingAuthorization ReviewClinical Inboxes ManagementInconsistency IdentificationPrior authorizations
Utilization Management LVN At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to the most vulnerable senior population, while functioning a...
December 10, 2025
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United States
Remote
permanent
Internal MedicineClinical decision makingClinical guidelinesEvidence-Based InformationUtilization reviewMedical AppropriateRegulatory StructureTechnological ProficiencyManaged careProvider Connectivity
Opportunity Overview: We are looking for physicians who have expertise in Internal Medicine including medical and surgical clinical areas to deliver on Cohere’s program by determining the medical app...
December 8, 2025
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