Utilization Management Physician Reviewer

What you’d do

Review acute, post-acute, and pre-service service requests, document decisions in plain language, and apply evidence-based criteria and clinical reasoning to make utilization management determinations. Full time, working with Oak Street Health transitional care and PCP teams. Found on the employer's careers page on Oct 14, 2026. Apply through the link.

You’ll need

• Physician (MD/DO)
• Utilization management review experience
• Knowledge of CMS and MCG guidelines
• Clinical reasoning and evidence-based criteria