Remote Utilization Management Physician Reviewer Job at Chicago Derm, Brooklyn, NY

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  • Chicago Derm
  • Brooklyn, NY

Job Description

Oak Street Health seeks a full-time Utilization Management Physician Reviewer to determine coverage for inpatient and outpatient services using UM criteria and clinical judgment. The role emphasizes coordinating with care teams to ensure medically appropriate care and adherence to CMS/MCG guidelines. Responsibilities include documenting rationale, collaborating with transitional care and PCP teams, staying current with payor policies, and supporting quality initiatives. #J-18808-Ljbffr

Job Tags

Full time

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