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 …
Skills: Utilization Management, Analytical Reasoning, Deductive Reasoning, Problem-solving, Professional Communication
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 …
Skills: Patient Advocacy, Customer Service, Salesforce, Medicare Advantage, Electronic Medical Records (EMR)
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 …
Skills: Utilization Management, Analytical Reasoning, Deductive Reasoning, Problem Solving, Professional Communication
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 …
Skills: Utilization Management, Analytical Reasoning, Deductive Reasoning, Problem Solving, Professional Communication
East Lake-Orient Park, Florida, United States · On-site
$221k–$316k/yr
Senior
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 …
Skills: Patient Care, Chronic Disease Management, Health Coaching, Care Coordination, Clinical Leadership
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 …
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 …
Skills: Medical terminology, Phlebotomy, Vital signs measurement, Patient care, Health coaching
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 …
Skills: Vital signs measurement, Phlebotomy, Patient interviewing, Medical history recording, Medication administration
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 …
Skills: Utilization Management, Analytical Reasoning, Deductive Reasoning, Problem Solving, Professional Communication
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 …
Skills: Medical assistant functions, Phlebotomy, Vital signs measurement, Patient interviewing, Medical terminology
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 …
Skills: Patient Care, Chronic Disease Management, Health Coaching, Clinical Leadership, Care Coordination
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 …
Skills: Utilization Management, Analytical Reasoning, Deductive Reasoning, Problem Solving, Professional Communication
Saint Petersburg, Saint Petersburg, Russia · Hybrid
$36/hr–$52/hr
Mid level
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 …
Skills: Case management, Clinical nursing, Patient assessment, Care planning, Critical thinking
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 …
Skills: Primary Care, Patient Care Coordination, Chronic Disease Management, Health Coaching, Evidence Based Medicine
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 …
Skills: Customer service, Medical insurance knowledge, Electronic medical records, Scheduling, Administrative support
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 …
Skills: Vital signs measurement, Phlebotomy, Patient interviewing, Medical terminology, Electronic medical records
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 …
Skills: Medical terminology, Phlebotomy, Vital signs measurement, Patient care, Electronic medical records
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 …
Skills: Patient Vital Signs, Phlebotomy, Medical Documentation, Patient Interviewing, Health Coaching
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 …
Skills: Case management, Clinical nursing, Critical thinking, Patient assessment, Care planning
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 …
Skills: Utilization Management, Analytical Reasoning, Deductive Reasoning, Problem-Solving, Professional Communication
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$205k–$293k/yr
Part-time
postgraduate degree
Comprehensive benefits, Career development, Advancement opportunities, Work-life balance
Posted 8d ago
~40 hrs/week
Remote in Miami, Florida, United States
Responsibilities
The Physician Reviewer manages Utilization Management cases and coordinates care for patients across specified territories. They also advise other reviewers and participate in process and quality improvement for Delegated Utilization Management.
Requirements
Candidates must be a graduate of an accredited medical school with a valid license and board certification in Internal Medicine or Family Practice. Preferred experience includes two years in hospital medicine and at least one year in utilization review.
Full 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.
ESSENTIAL JOB DUTIES/RESPONSIBILITIES:
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.
KNOWLEDGE, SKILLS AND ABILITIES:
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
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.
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
Urgently pursuing more good days for our patients and team members.
Industry
Medical Practices
Company size
1,001-5,000 employees
Founded
1970
Headquarters
Miami Gardens, FL
LinkedIn followers
71,442
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 12 states, our privately held, physician-led company has won several awards including:
Great Places To Work” for 2022, 2023, & 2026
Top Workplace in Healthcare for 2026
AMA's Joy in Medicine 2024
Newsweek's "Most Loved Places to Work" for 2021 and 2022
Fortune’s 2020 “Change The World”
We offer competitive compensation/benefits, a great mission-driven culture and so much more.
Offices: 1395 NW 167th Street, Miami Gardens, FL 33169, US · 2801 NE 213th St, 101, Aventura, Florida 33180, US · 20801 NW 2nd Ave, Miami Gardens, Florida 33169, US · 2150 W 68th St, #200, Hialeah, Florida 33016, US · 1000 Park Centre Blvd, #100, Miami, Florida 33169, US
Urgently pursuing more good days for our patients and team members.
Industry
Medical Practices
Company size
1,001-5,000 employees
Founded
1970
Headquarters
Miami Gardens, FL
LinkedIn followers
71,442
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 12 states, our privately held, physician-led company has won several awards including:
Great Places To Work” for 2022, 2023, & 2026
Top Workplace in Healthcare for 2026
AMA's Joy in Medicine 2024
Newsweek's "Most Loved Places to Work" for 2021 and 2022
Fortune’s 2020 “Change The World”
We offer competitive compensation/benefits, a great mission-driven culture and so much more.
Offices: 1395 NW 167th Street, Miami Gardens, FL 33169, US · 2801 NE 213th St, 101, Aventura, Florida 33180, US · 20801 NW 2nd Ave, Miami Gardens, Florida 33169, US · 2150 W 68th St, #200, Hialeah, Florida 33016, US · 1000 Park Centre Blvd, #100, Miami, Florida 33169, US