Licensed Physician Reviewer - Ortho - 100% Remote
ChenMed is seeking a part-time Physician Reviewer to support our Delegated Clinical Appropriateness Review functions.This fully remote position plays a vital role in ensuring quality, timely clinical reviews while contributing to coordinated patient care.The ideal candidate will have experience in utilization review and a strong clinical background, particularly in Internal Medicine, Family Practice, or Orthopedic Surgery.Essential Duties & ResponsibilitiesConduct delegated clinical appropriateness reviews across assigned territoriesComplete 2-3 case reviews per day for each market covered (up to 6 markets)Attend daily health plan and internal coordination callsParticipate in weekly Primary Care Provider (PCP) and Skilled Nursing Facility (SNF) meetingsAdvise other physician reviewers and contribute to internal team developmentSupport ongoing quality and process improvement initiatives within delegated review operationsPerform other duties as assigned by managementRequired Knowledge, Skills & AbilitiesExcellent analytical and clinical judgmentStrong problem-solving and decision-making capabilitiesProfessional and effective communication (written and verbal)Strong organizational and time-management skillsProficiency in Microsoft Office (Outlook, Word, Excel, PowerPoint)Fluent in English (spoken and written)Education & Experience RequirementsMD or DO degree from an accredited medical schoolUnrestricted, active medical licenseCompletion of Internal Medicine or Family Practice residencyCompletion of an Orthopedic Surgery FellowshipBoard Certification in both primary specialty and Orthopedic SurgeryMinimum 2 years of hospital medicine experience preferredAt least 1 year of utilization review or delegated case review experience preferredMake a meaningful impactjoin ChenMed and help transform care delivery through clinical excellence and innovationall from the comfort of your home.. Experience: 3 years required