New York Licensed Orthopedic Reviewer

Job Summary

A company is looking for a Physician Reviewer - Orthopedic Spine Surgery (Utilization Review).

Key Responsibilities:

• Review medical records to determine the medical necessity of services
• Utilize state-specific workers' compensation guidelines and nationally recognized criteria
• Submit clear, concise, and well-supported determinations within required timeframes

Required Qualifications:

• Board Certification in Orthopedic Surgery (Spine focus preferred)
• Active, unrestricted New York medical license
• Workers' Compensation Board Certification (New York)
• Active clinical practice