Telecommute Clinical Coverage Review Medical Director

Job ID: Available for Members

Location: Arizona, California, Florida, Illinois, New York, Texas

Compensation: To Be Discussed

Posted: Tuesday, September 18, 2018

Job Category: Healthcare, Quality Assurance

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Weekly Hours: Day Shift, Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Education Level: Doctorate

Job Summary

A healthcare company is searching for a person to fill their position for a Telecommute Clinical Coverage Review Medical Director.

Core Responsibilities Include:

  • Conducting coverage review based on individual member plans
  • Daily clinical review and evaluation of all service requests
  • Providing support for CCR nurses and non clinical staff

Applicants must meet the following qualifications:

  • Active, unrestricted physician license
  • Current board certification in ABMS or AOA specialty
  • 5+ years of post-residency clinical practice experience
  • 5+ years experience in utilization and coverage review
  • Substantial experience in using electronic clinical systems
  • Solid PC skills (MS Word, Outlook, Excel, etc)