Oak Street Health is seeking a Utilization Management Physician Reviewer to determine inpatient and outpatient coverage using UM criteria and clinical judgment. You will coordinate with care teams to ensure appropriate care, while aligning with CMS guidelines and organizational policies.
The role requires a US-licensed physician with 3–5 years of primary care experience, proficient communication, and a strong understanding of managed care and payor requirements.
#J-18808-LjbffrRemote Utilization Management Physician in workfromhome at Unknown Company
This position is listed as full time and onsite.