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