Remote Physician Clinical Reviewer in Helena

Job is Expired
Location: Montana
Compensation: To Be Discussed
Staff Reviewed: Tue, Aug 27, 2019

Job Summary

A healthcare provider has an open position for a Remote Physician Clinical Reviewer in Helena.

Core Responsibilities of this position include:

  • Reviewing all cases in which clinical determinations cannot be made
  • Providing clinical rationale for standard and expedited appeals
  • Ensuring documentation of all communications

Must meet the following requirements for consideration:

  • DO - Physician, State Licensure and Board Certified (ABMS or Specialty Board) - Physician, MD
  • Physician, State Licensure and Board Certified (ABMS or Specialty Board) - Physician
  • Familiarity with the principles and procedures of utilization management as practiced in managed care

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