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Licensed Physician Reviewer - Urologist , PRN (remote)

Role overview

Qualifications

  • Graduate from accredited Medical School with a valid, unrestricted license
  • Completion of Internal Medicine or Family Practice residency
  • Board Certification in residency area - Urology
  • Two (2) years’ experience in Hospital medicine preferred

Responsibilities

  • Primary physician reviewer for Utilization Management (UM) cases
  • Advise other physician reviewers and attend daily calls with health plan teams
  • Establish 2-3 cases a day for each market covered (up to 6 markets)
  • Participate in Process and Quality improvement in Delegated Utilization Management

Key facts

  • Remote from: United States
  • Part time
  • Mid-level (2-5 years)
  • English

Other skills

  • Analytical Skills
  • Communication
  • Problem Solving
  • Organizational Skills
  • Microsoft Office

About the company

ChenMed logo

ChenMed

Medical Practices & Clinics

We’re on a mission. To change lives. And to change healthcare. ChenMed serves underserved – moderate-to-low-income seniors with complex chronic diseases. Our high-touch, VIP, preventive primary care works. For our patients. And our team members. Unlike typical primary care providers, we have a much lower doctor-patient ratio which allows us to spend more time with our patients, getting to know them and their concerns so we can better serve them. Practicing medicine, the way it was meant to be practiced. We are known to our patients as Dedicated Senior Medical Center, Chen Senior Medical Center, or JenCare Senior Medical Center. With 100+ centers in 15 states, our privately held, physician-led company is featured in Fortune’s 2020 “Change The World” list, listed as a “Great Places To Work” 2022, 2023, and listed as one of Newsweek's "Most Loved Places to Work" for 2021 and 2022. We offer competitive compensation/benefits, a great mission-driven culture and so much more.

Company details

Company typeLarge
IndustryMedical Practices & Clinics
Company size1001 - 5000

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Job description

We’re unique.  You should be, too.

We’re changing lives every day.  For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts?  Do you inspire others with your kindness and joy?

We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in our organization. Other duties include advising other physician reviewers and attending daily calls with health plan teams and our local teams assisting with this function and coordinating care for our patients. The position will also participate in Process and Quality improvement in our developing area of Delegated Utilization Management.
  • Provides Delegated UM by covering the specified territories as assigned:
    • Establish 2-3 cases a day for each market covered (up to 6 markets); ensures attendance on all health plan and local calls; calls in for the weekly Primary Care Provider (PCP) and Skilled Nursing Facility (SNF) meetings covering the assigned territories.
  • Advises other physician reviewers.
  • Other duties as assigned and modified by manager.
  • Excellent analytical and deductive reasoning skills
  • Good judgement and problem-solving skills
  • Professional and effective communication skills
  • Strong organizational skills
  • Written and verbal fluency in English
  • Proficient in the use of Microsoft Office products such as Outlook, Excel, Word and PowerPoint

EDUCATION AND EXPERIENCE CRITERIA:

  • Graduate from accredited Medical School with a valid, unrestricted license is required
  • Completion of Internal Medicine or Family Practice residency
  • Board Certification in residency area - Urology
  • Two (2) years’ experience in Hospital medicine preferred
  • At least one (1) year of utilization review experience preferred





PAY RANGE:

$204,761 - $292,515 Salary

The posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.

EMPLOYEE BENEFITS

https://chenmed.makeityoursource.com/helpful-documents

We’re ChenMed and we’re transforming healthcare for seniors and changing America’s healthcare for the better.  Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We’re growing rapidly as we seek to rescue more and more seniors from inadequate health care. 

ChenMed is changing lives for the people we serve and the people we hire.  With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow.  Join our team who make a difference in people’s lives every single day.

Current employees, if you want to apply to our internal career site, please click HERE

Current Contingent Worker please see job aid HERE to apply

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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