Licensed Physician Reviewer - Ortho - 100% Remote

ChenMed is seeking a part-time Physician Reviewer to support our Delegated Clinical Appropriateness Review functions. This fully remote position plays a vital role in ensuring quality, timely clinical reviews while contributing to coordinated patient care. The ideal candidate will have experience in utilization review and a strong clinical background, particularly in Internal Medicine, Family Practice, or Orthopedic Surgery.

Essential Duties & Responsibilities

• Conduct delegated clinical appropriateness reviews across assigned territories

• Complete 2-3 case reviews per day for each market covered (up to 6 markets)

• Attend daily health plan and internal coordination calls

• Participate in weekly Primary Care Provider (PCP) and Skilled Nursing Facility (SNF) meetings

• Advise other physician reviewers and contribute to internal team development

• Support ongoing quality and process improvement initiatives within delegated review operations

• Perform other duties as assigned by management

Required Knowledge, Skills & Abilities

• Excellent analytical and clinical judgment

• Strong problem-solving and decision-making capabilities

• Professional and effective communication (written and verbal)

• Strong organizational and time-management skills

• Proficiency in Microsoft Office (Outlook, Word, Excel, PowerPoint)

• Fluent in English (spoken and written)

Education & Experience Requirements

• MD or DO degree from an accredited medical school

• Unrestricted, active medical license

• Completion of Internal Medicine or Family Practice residency

• Completion of an Orthopedic Surgery Fellowship

• Board Certification in both primary specialty and Orthopedic Surgery

• Minimum 2 years of hospital medicine experience preferred

• At least 1 year of utilization review or delegated case review experience preferred

Make a meaningful impactjoin ChenMed and help transform care delivery through clinical excellence and innovationall from the comfort of your home.