Job is Expired
Location: Arizona, Delaware, Florida, Mississippi, Nevada, New Hampshire, New Mexico, Oregon, Texas
Compensation: To Be Discussed
Staff Reviewed: Mon, Aug 23, 2021
Job Summary
A healthcare company has a current position open for a Remote Physician Clinical Reviewer.
Core Responsibilities of this position include:
- Reviewing all cases in which clinical determinations cannot be made by the Initial Clinical Reviewer.
- Discussing determinations with requesting physicians or ordering providers
- Providing clinical rationale for standard and expedited appeals
Required Skills:
- Familiarity with the principles and procedures of utilization management
- Current and active license in good standing in the state in which Physician works required
- Current Board Certified by ABPRM, ABMS, ABNM, ABCMC, ABA, ABOS, ABIM/ABOIM or equivalent