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 & Responsibilities

Conduct delegated clinical appropriateness reviews across assigned territories

Complete 2-3 case reviews per day for each market covered (up to 6 markets)

Attend daily health plan and internal coordination calls

Participate in weekly Primary Care Provider (PCP) and Skilled Nursing Facility (SNF) meetings

Advise other physician reviewers and contribute to internal team development

Support ongoing quality and process improvement initiatives within delegated review operations

Perform other duties as assigned by management

Required Knowledge, Skills & Abilities

Excellent analytical and clinical judgment

Strong problem-solving and decision-making capabilities

Professional and effective communication (written and verbal)

Strong organizational and time-management skills

Proficiency in Microsoft Office (Outlook, Word, Excel, PowerPoint)

Fluent in English (spoken and written)

Education & Experience Requirements

MD or DO degree from an accredited medical school

Unrestricted, active medical license

Completion of Internal Medicine or Family Practice residency

Completion of an Orthopedic Surgery Fellowship

Board Certification in both primary specialty and Orthopedic Surgery

Minimum 2 years of hospital medicine experience preferred

At least 1 year of utilization review or delegated case review experience preferred

Make a meaningful impactjoin ChenMed and help transform care delivery through clinical excellence and innovationall from the comfort of your home.