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Physician Utilization Management at Jobgether - ApplyBlast

Physician Utilization Management

Jobgether

2 months ago

Remote

Full Time

Senior

0 applicants

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About this role

The role involves conducting medical necessity reviews for inpatient and post‑acute services, applying evidence‑based guidelines and CMS requirements, and collaborating with physicians and care teams to ensure appropriate, cost‑effective care. It also includes participation in utilization committees, data analysis for program development, and mentorship of clinical staff within a remote, full‑time setting.

Responsibilities

Conduct medical necessity reviews for inpatient and post‑acute services
Lead peer‑to‑peer discussions with physicians to determine appropriate care levels
Analyze utilization trends and develop clinical programs

Skills

Qualifications

M.D. or D.O. licenseMPHMBAMHAABQAURP certification

About Jobgether

jobgether.com

Headquarters

Brussels, Belgium

Company Size

11-50 employees

Founded

2020

View Profile

Jobgether is a remote job platform and career tool designed specifically for senior professionals with 10+ years of experience. It uses AI-powered matching to surface relevant remote and flexible roles, providing match scores, CV review, LinkedIn optimization, and one-click auto-apply. The platform also offers networking guidance and career coaching to help experienced professionals improve their positioning and land the right opportunities faster.