Remote Board Certified Utilization Review Physician in Tyler

Job ID: Available for Members

Location: Texas

Compensation: To Be Discussed

Posted: Friday, July 06, 2018

Job Category: Consulting, Healthcare

Telecommute Level: Occasionally

Travel Requirements: Field Travel Required, Some Travel

Employment Status: Independent Contractor

Employer Type: Employer

Career Level: Experienced

Education Level: Doctorate

Job Summary

A healthcare review organization is seeking a Remote Board Certified Utilization Review Physician in Tyler.

Candidates will be responsible for the following:

  • Reviewing medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care and return to work
  • Returning cases in a timely manner with clear concise and complete rationales and documented criteria
  • Telephonically contacting providers and interacts with other health professionals in a professional manner

Skills and Requirements Include:

  • Attends orientation and training and meets (when required) with Physician Review Medical Director
  • Must be in active medical practice to perform appeals
  • Current, unrestricted clinical license(s)
  • Board certification by American Board of Medical specialties or American Board of Osteopathic Specialties is required for MD or DO reviewer
  • Post-graduate experience in direct patient care
  • Must present evidence of current error and omissions liability coverage for job duties and activities performed