State Licensed Peer Reviewer Dentist
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Job Summary
To enhance the quality of healthcare, a State Licensed Peer Reviewer Dentist will perform independent external medical reviews remotely on an ad hoc basis, utilizing clinical expertise to evaluate cases related to medical necessity and standard of care.
Key responsibilities
- Conduct objective, evidence-based peer reviews of clinical cases
- Make final determinations regarding medical necessity and quality of care
- Submit reviews in a timely and professional manner using provided IT systems
Required qualifications
- Must hold an unrestricted medical license in any U.S. state
- Board certification required through a recognized board
- At least five years of full-time equivalent clinical experience
- Active engagement in direct or virtual patient care for at least 20 hours per week
- Knowledge of current evidence-based clinical guidelines relevant to the reviews
Complete Job Description
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