Utilization Management Physician Reviewer – Pediatric Medicaid ACO in Cincinnati, OH for Cincinnati Children's

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Pulmonology/Critical Care Medicine - Physician - Loveland, Colorado

UCHealth

Loveland, Colorado

NEW!

Cardiac Electrophysiologist in New Brunswick, NJ

RWJBarnabas Health

New Brunswick, New Jersey

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Palliative Medicine Physician opportunity at Orlando Health St. Cloud Hospital

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Saint Cloud, Florida

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Financial Care Counselor - DRH Admissions

Duke University Health System

Durham, North Carolina

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Clinic Patient Representative Senior - Podiatry

CHRISTUS Health

Alexandria, Louisiana

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Trauma Acute Care Surgeon - Loveland, Colorado

UCHealth

Loveland, Colorado

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Clinic Patient Representative Senior - Primary Pediatric

CHRISTUS Health

Tyler, Texas

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LVN, Licensed Vocational Nurse - Med/Surg

CHRISTUS Health

Tyler, Texas

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Outpatient Child/Adolescent Psychiatrist

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Vascular Surgery - Physician - Pueblo, Colorado

UCHealth

Pueblo, Colorado

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Registered Nurse Navigator Population Health Senior - Population Health Admin

CHRISTUS Health

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Family Medicine - Physician - Woodland Park, Colorado

UCHealth

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Family Medicine - Physician - Sterling, Colorado

UCHealth

Sterling, Colorado

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Family Medicine - Physician - Berthoud, Colorado

UCHealth

Berthoud, Colorado

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Medical Records Abstractor - Administration

CHRISTUS Health

Tyler, Texas

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Patient Services Associate

Pediatrix Medical Group

Jacksonville, FL, USA

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Medical Director of Hospital Medicine

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ADVANCED PRACTICE PROVIDER - CARDIOTHORACIC

Cooper University Health Care

Camden, New Jersey

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Family Medicine - Physician - Prospect - Fort Collins, Colorado

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Fort Collins, Colorado

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Full-Time Occupational Health Advanced Practitioner (NP or PA) - Janesville, Wisconsin

SSM Health

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Cardiology Non Invasive

Baylor Scott & White Health

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Physician, Concierge Medicine

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San Francisco, California

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Inpatient RN Registered Nurse Care Coordinator I - Care Transitions

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Utilization Management Physician Reviewer – Pediatric Medicaid ACO

The Utilization Management (UM) Physician Reviewer at Cincinnati Children’s ensures that pediatric Medicaid members receive medically necessary, evidence-based, and cost-effective care. Working within an Accountable Care Organization (ACO) model, this role supports care quality, utilization efficiency, and compliance with Medicaid regulations. The position involves clinical review, interdisciplinary collaboration, and strategic input into population health initiatives. This position is remote with a schedule of Monday through Friday 8:00am-5:00pm EST with minimal weekend and holiday on call requirements. Telecommuting on a full-time basis may be permitted in the following states: Alabama, Arizona, Arkansas, Florida, Georgia, Idaho, Iowa, Kansas, Louisiana, Michigan, Mississ

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