Licensed Physician Reviewer – Urologist

ChenMed

Licensed Physician Reviewer - Urologist handling UM cases and advising other reviewers. Engaging in quality improvement and communication with health plan teams while ensuring patient care coordination.

Posted 7/24/2026part-timeRemote • 🇺🇸 United StatesJuniorMid-Level💰 $204,761 - $292,515 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Utilization Management, coordinating patient care, and conducting quality improvement initiatives. Holds a valid medical license and board certification in Urology, with strong analytical, communication, and organizational skills.

Highest-signal resume keywords

Utilization ManagementBoard Certification in UrologyInternal Medicine or Family Practice ResidencyUtilization Review ExperienceMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Utilization ManagementPatient Care CoordinationQuality ImprovementAnalytical SkillsDeductive ReasoningProblem-SolvingOrganizational Skills

Soft Skills

Effective CommunicationGood Judgement

Tools & Technologies

Microsoft OutlookMicrosoft ExcelMicrosoft WordMicrosoft PowerPoint

Certifications & Qualifications

Valid Medical LicenseBoard Certification in Urology

Industry Keywords

Hospital MedicinePrimary Care ProviderSkilled Nursing FacilityHealth Plan CoordinationDelegated Utilization Management

About the role

Key responsibilities & impact

Primary physician reviewer for Utilization Management (UM) cases in our organization
Advise other physician reviewers
Attend daily calls with health plan teams and local teams assisting with this function
Coordinate care for patients
Participate in Process and Quality improvement in Delegated Utilization Management
Establish 2-3 cases a day for each market covered (up to 6 markets)
Ensure attendance on all health plan and local calls
Call in for weekly Primary Care Provider (PCP) and Skilled Nursing Facility (SNF) meetings covering the assigned territories

Requirements

What you’ll need

Graduate from accredited Medical School with a valid, unrestricted license is required
Completion of Internal Medicine or Family Practice residency
Board Certification in residency area - Urology
Two (2) years’ experience in Hospital medicine preferred
At least one (1) year of utilization review experience preferred
Excellent analytical and deductive reasoning skills
Good judgement and problem-solving skills
Professional and effective communication skills
Strong organizational skills
Written and verbal fluency in English
Proficient in the use of Microsoft Office products such as Outlook, Excel, Word and PowerPoint

Benefits

Comp & perks

Great compensation
Comprehensive benefits
Career development and advancement opportunities
Work-life balance