Florida Licensed Physician Reviewer

Job Summary

A company is looking for a Physician Reviewer - Utilization Management.

Key Responsibilities

• Provide timely medical reviews that meet quality parameters
• Document communication and decision-making accurately in workflow tools
• Conduct peer-to-peer discussions with treating providers regarding clinical information and review outcomes

Required Qualifications

• Board certification as an MD or DO
• Licensed in FL or NC and/or eligible for Interstate Medical Licensure Compact (IMLCC)
• 6+ years of clinical practice experience
• 1+ years of utilization review experience in a managed care plan