Telecommute Orthopedic Surgery Utilization Review Physician in Dallas

Job ID: Available for Members

Location: Texas

Compensation: To Be Discussed

Posted: Wednesday, March 07, 2018

Job Category: Healthcare, Quality Assurance

Telecommute Level: Occasionally

Travel Requirements: Onsite Required, Some Travel

Employer Type: Employer

Career Level: Experienced

Education Level: Doctorate

Job Summary

A healthcare company is in need of a Telecommute Orthopedic Surgery Utilization Review Physician in Dallas.

Core Responsibilities of this position include:

  • Reviewing medical files and providing recommendations for utilization review
  • Returning cases in a timely manner with clear, concise and complete rationales and documented criteria
  • Contacting providers and interacting with other health professionals in a professional manner

Must meet the following requirements for consideration:

  • Meets with the company's Physician Review Medical Director
  • Board certified MD or 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
  • Must be in active medical practice to perform appeals
  • Post-graduate experience in direct patient care
  • Demonstrated computer and telephonic skills
  • Must present evidence of current error and omissions liability coverage for job duties and activities performed