Physician Clinical Reviewer - Cardiology - State Licensed
Job is Expired
Location: Remote
Compensation: To Be Discussed
Staff Reviewed: Wed, Jul 10, 2024
Job Summary
A company is looking for a Physician Clinical Reviewer in Cardiology for a remote position.
Key Responsibilities:
- Review cases that do not meet medical necessity guidelines
- Provide clinical rationale for appeals and assist Initial Clinical Reviewers
- Participate in training and research activities related to Utilization Management
Required Qualifications:
- Doctor of Medicine (MD) or equivalent degree
- Current, unrestricted medical license in the United States
- Board certification by ABMS, ABOS, ABIM, or ABOIM
- Familiarity with utilization management principles in managed care organizations
- Medicare Part D experience preferred
COMPLETE JOB DESCRIPTION
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Job is Expired
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