Telecommute Physician Clinical Reviewer in Chicago

Job ID: Available for Members

Location: Illinois

Compensation: To Be Discussed

Staff Reviewed: Wed, Sep 12, 2018

Job Category: Consulting, Healthcare

Telecommute Level: Occasionally

Travel Requirements: Field Travel Required, Some Travel

Weekly Hours: Part Time

Employer Type: Employer

Career Level: Experienced

Education Level: Doctorate

Job Summary

A healthcare company needs applicants for an opening for a Telecommute Physician Clinical Reviewer in Chicago.

Must be able to:

  • Review all cases in which clinical determinations cannot be made by the Initial Clinical Reviewer
  • Provide clinical rationale for standard and expedited appeals
  • Assist the Senior Medical Director in research activities/questions related to the Utilization Management process

Required Skills:

  • Reviews appeal cases and/or attends hearings for discussion of utilization management decisions
  • Education: MD
  • License and Certifications - Required
  • Current, unrestricted license to practice medicine in one or more states of the United States
  • Graduate degree from an accredited medical school
  • Familiarity with the principles and procedures of utilization management as practiced in managed care organizations