What are the responsibilities and job description for the Utilization Management Physician needed in Daytona Beach, FL (Remote) position at HealthPlus Staffing?
Utilization Management Physician (UMP)
Remote | Full-Time | Florida
Compensation: $240,000 base bonus
Schedule: 40 hours/week
Work Model: Remote (on-site meetings in Daytona Beach, FL)
Overview
Seeking an experienced Utilization Management Physician to perform medical necessity reviews, peer-to-peer discussions, and clinical determinations using evidence-based criteria.
Responsibilities
-
Review pre-auths, concurrent reviews, claims, and appeals
-
Make medical necessity determinations using MCG/InterQual/CMS criteria
-
Conduct peer-to-peer reviews and support UM staff
-
Participate in committees and provider education as needed
Requirements
-
MD or DO with active, unrestricted Florida license
-
3 years UM Physician experience
-
3–7 years clinical experience
-
Managed care experience required
-
Available via phone, email, and Teams
Benefits
-
Bonus opportunity
-
401(k)
-
Health benefits
-
Malpractice coverage
-
PTO CME
-
Licenses, fees, travel, and relocation reimbursed
About Us:
HealthPlus Staffing is National Leader in the Healthcare Staffing Industry. We partner up with top facilities nationwide with the focus of finding them highly qualified candidates.
Our Promise:
- We will put you in front of the decision makers.
- We will provide feedback on your application.
- We will work on your behalf to obtain as much info as you need to make a well-informed decision.
If interested in this position, please submit an application or call us at 561-291-7787 to speak with one of our highly experienced consultants. We look forward to finding your next position!
The HealthPlus Team.