Remote Board Certified Physical Medicine and Rehabilitation Utilization Review Physician in Santa Rosa

Job ID: Available for Members

Location: California

Compensation: To Be Discussed

Posted: Friday, April 06, 2018

This job expires in 15 days

Job Category: Case Management, Healthcare

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Weekly Hours: Part Time

Employer Type: Employer

Career Level: Experienced

Education Level: Doctorate

Job Details

A healthcare company has an open position for a Remote Board Certified Physical Medicine and Rehabilitation Utilization Review Physician in Santa Rosa.

Individual must be able to fulfill the following responsibilities:

  • Reviewing medical files and providing recommendations for utilization review, chart reviews, medical necessity, etc
  • Returning cases in a timely manner with clear, concise, and complete rationales and documented criteria
  • Telephonically contacting providers and interacting with other health professionals in a professional manner

Applicants must meet the following qualifications:

  • Board certified MD, DO
  • Excellent understanding of network services and managed care
  • Current, unrestricted clinical license(s)
  • Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties
  • Must be in active medical practice to perform appeals
  • Post-graduate experience in direct patient care