State Licensed Pain Management Physician

Job Summary

To support a growing utilization management team, the full-time State Licensed Pain Management Physician will serve as a Physician Clinical Reviewer for Interventional Pain Management, reviewing cases and ensuring compliance with medical necessity guidelines in a remote work environment.

Key responsibilities

• Review cases for medical necessity and provide clinical rationale for appeals
• Engage in peer-to-peer discussions with requesting physicians regarding determinations
• Ensure accurate documentation of communications and participate in ongoing training

Required qualifications

• MD/DO/MBBS degree
• Current, unrestricted clinical license in medicine or required specialty
• Active Board Certification in Pain Management or relevant specialty
• Minimum of five years' experience in Pain Medicine post-residency (preferred)
• Strong clinical, management, and organizational skills