Utilization Management Physician needed in Daytona Beach, FL (Remote)

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.