Remote Utilization Review Physician Physiatrist in Greenwood Village

Job ID: Available for Members

Location: Colorado

Compensation: To Be Discussed

Posted: Thursday, June 07, 2018

Job Category: Consulting, Healthcare

Telecommute Level: Majority

Travel Requirements: Field Travel Required, Onsite Required, Some Travel

Weekly Hours: Part Time

Employer Type: Employer

Career Level: Experienced

Education Level: Doctorate

Job Summary

A medical review company needs applicants for an opening for a Remote Utilization Review Physician Physiatrist in Greenwood Village.

Core Responsibilities Include:

  • Reviewing medical files and provides recommendations for utilization review, chart reviews, medical necessity, appropriateness of care
  • Returning cases in a timely manner with clear concise and complete rationales and documented criteria
  • Performing other duties as assigned including identifying and responding to quality assurance issues, complaints, regulatory issues, depositions, court appearances, or audits

Qualifications Include:

  • Attend orientation and training
  • Colorado physicians are required to have either a Level 1 or Level 2 Accreditation
  • Board certified MD, DO, with an excellent understanding of network services and managed care
  • 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
  • Must be in active medical practice to perform appeals