Remote Gastroenterologist Physician Clinical Reviewer

Job ID: Available for Members

Location: District of Columbia

Compensation: To Be Discussed

Staff Reviewed: Sun, Jul 19, 2020

This job expires in 4 days

Job Category: Healthcare

Telecommute Level: Majority

Travel Requirements: Possible Travel

Employer Type: Employer

Career Level: Experienced

Education Level: Doctorate

Job Summary

A healthcare company is searching for a person to fill their position for a Remote Gastroenterologist Physician Clinical Reviewer.

Candidates will be responsible for the following:

  • Providing clinical rationale for standard and expedited initial determinations and/or appeals
  • Discussing determinations with requesting physicians or ordering providers
  • Reviewing all cases in which clinical determinations cannot be made by the Initial Clinical Reviewer

Applicants must meet the following qualifications:

  • On a requested basis, reviews appeal cases and/or attends hearings for discussion of utilization management decisions
  • Board Certified by one of the following ABMS, ABOS, ABIM/ABOIM
  • DO - Physician, State Licensure and Board Certified (ABMS or Specialty Board)
  • DO (Required), MD (Required)
  • Physician, MD - Physician, State Licensure and Board Certified